Moledina Sibtain M, Bhimji Khadija M, Manji Karim P
Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Department of Pediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Psychiatry J. 2018 May 16;2018:9548471. doi: 10.1155/2018/9548471. eCollection 2018.
Depression is a common condition in developed countries and is a growing problem in developing countries like Tanzania. Various risk factors have been identified through different studies. This study aimed at finding the prevalence of depression in a predominantly migrant Asian community and the behavioral, familial, social, and medical factors influencing it. A cross-sectional study among adults in a closed Asian community was done. Interviews and self-administered questionnaires were used to obtain details of symptoms and factors related to depression. DSM-IV criteria were used to diagnose depression in the individuals. Factors were assessed for significance using Chi square test. A total 384 participants were interviewed. Depression was found in 6.5% of the population. Risk factors included psychological stress ( < 0.001, OR = 6.37, 95% CI = 2.42-16.69) and a family history of depression ( = 0.023, OR = 2.57, 95% CI = 1.02-6.42). A sufficient family income was associated with a lower risk of depression ( = 0.013, OR = 0.21, 95% CI = 0.06-0.77). The prevalence of depression is within the range of the worldwide prevalence. Past psychological trauma and a family history of depression were significant risk factors, while a sufficient income was protective.
抑郁症在发达国家是一种常见病症,在坦桑尼亚等发展中国家也是一个日益严重的问题。通过不同研究已确定了各种风险因素。本研究旨在查明在以亚洲移民为主的社区中抑郁症的患病率以及影响该病的行为、家庭、社会和医学因素。对一个封闭的亚洲社区中的成年人进行了一项横断面研究。采用访谈和自填问卷的方式获取与抑郁症相关的症状和因素的详细信息。使用《精神疾病诊断与统计手册》第四版(DSM-IV)标准对个体进行抑郁症诊断。采用卡方检验评估各因素的显著性。共访谈了384名参与者。发现6.5%的人口患有抑郁症。风险因素包括心理压力(<0.001,比值比[OR]=6.37,95%置信区间[CI]=2.42 - 16.69)和抑郁症家族史(=0.023,OR = 2.57,95% CI = 1.02 - 6.42)。家庭收入充足与较低的抑郁症风险相关(=0.013,OR = 0.21,95% CI = 0.06 - 0.77)。抑郁症患病率在全球患病率范围内。既往心理创伤和抑郁症家族史是显著的风险因素,而收入充足则具有保护作用。