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BMC Psychiatry
Published in: BMC Psychiatry 1/2019

Open Access 01-12-2019 | Tuberculosis | Research article

Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia

Authors: Tamirat Tesfaye Dasa, Aklilu Abrham Roba, Fitsum Weldegebreal, Frehiwot Mesfin, Abiyot Asfaw, Habtamu Mitiku, Zelalem Teklemariam, Bahubali Jinnappa Geddugol, Mahantash Naganuri, Hilina Befikadu, Eden Tesfaye

Published in: BMC Psychiatry | Issue 1/2019

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Abstract

Background

Depression among tuberculosis patients, especially in settings with low economic status is common. Screening for depression in all levels of health facilities can identify patients who need support and treatment for depression.

Objective

The aim of this study was to assess the prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia.

Methods

An institutional based cross-sectional study was conducted among 403 tuberculosis patients attending in eleven tuberculosis treatment centers in eastern Ethiopia from February to July 2017. Depression was measured using the Patient Health Questionnaire. Data was collected consecutively until the required sample size was obtained. Tuberclusis  patients who were under anti tuberculosis treatments for more than one month were included. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 20. Bivariate and multivariate logistic regression models were applied to identify independent factors for dependent variable depression and P-values < 0.05 considered statistically significant.

Results

A total of 403 tuberculosis patients were included in the study. The prevalence of depression among tuberculosis patients was 51.9% (95%CI = 42.7, 62.2%) with 34.2% were mild cases. In our logistic regression analysis, odds of developing depression among tuberculosis patients with age less than 25 years were 0.5(50% protective effect) [AOR = 0.5, 95% CI 0.26–0.99] where as patients with a monthly income within the 25thpercentile were four times higher odds to have depression [AOR = 3.98, 95% CI: 2.15–7.39].

Conclusion

The prevalence of depression was high in this study. Age, low monthly income, the category of patients as “new tuberculosis treatment” and the first 3 months of treatment was associated with depression among tuberculosis patients. Health facilities should integrating mental health services with tuberculosis clinics, especially assessing and treating TB patients for depression, is vital.
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Metadata
Title
Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia
Authors
Tamirat Tesfaye Dasa
Aklilu Abrham Roba
Fitsum Weldegebreal
Frehiwot Mesfin
Abiyot Asfaw
Habtamu Mitiku
Zelalem Teklemariam
Bahubali Jinnappa Geddugol
Mahantash Naganuri
Hilina Befikadu
Eden Tesfaye
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2019
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-019-2042-6

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