Abdu Zakir, Kabeta Teshome, Dube Lamessa, Tessema Workinesh, Abera Mubarek
Department of Psychiatry, Faculty of Public Health and Medical Sciences, Mettu University, Ethiopia.
Department of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Ethiopia.
Psychiatry J. 2018 Jun 19;2018:5762608. doi: 10.1155/2018/5762608. eCollection 2018.
Mental disorder is one of the greatest challenges that current and future generations will face. Currently among all people suffering from depression, 85% of them live in low- and middle-income countries. Previous studies reported the global burden/prevalence of depression to be five to ten times higher among prisoners than the general population. However, the prevalence of depression among prisoners in our study area is not known.
This study therefore aimed to assess the prevalence and associated factors of depression among prisoners in Jimma town in 2017.
A cross-sectional study design was employed on 332 prisoners selected by systematic random sampling method. Data was collected by a face to face interview using Beck Depression Inventory (BDI-II) scale. Data analysis was done using SPSS version 20.
The study revealed that 41.9% ( = 139) of participants among prisoners had depression. Having family history of mental illness (AOR = 6.05, 95% CI = 2.6, 13.8), having chronic physical illness (AOR = 2.87, 95% CI = 1.29, 6.41), having history of previous incarceration (AOR = 3.26, 95% CI = 1.02, 10.64), lack of job in the prison (AOR = 4.96, 95% CI = 2.09, 11.8), lifetime alcohol use (AOR = 3.61, 95% CI = 1.8, 7.26), thinking life to be a difficult one after release from prison (AOR = 2.07, 95% CI = 1.2, 3.6), having age between 21 and 25 years (AOR = 2.04, 95% CI = 1.06, 3.89), and having poor social support (AOR = 2.2, 95% CI = 1.27, 3.82) had significant association with depression in the fully adjusted final regression model.
This study has shown that the prevalence of depression among prisoners was very high. Having family history of mental illness, having chronic physical illness, having previous incarceration, lack of job in prison, lifetime alcohol use, thinking life to be difficult one after release from prison, having age between 21 and 25 years old, and having poor social support were found to have an impact on the prevalence of depression.
精神障碍是当代及后代将要面临的最大挑战之一。目前,在所有抑郁症患者中,85%生活在低收入和中等收入国家。此前的研究报告称,全球范围内,囚犯患抑郁症的负担/患病率比普通人群高五到十倍。然而,我们研究区域内囚犯的抑郁症患病率尚不清楚。
因此,本研究旨在评估2017年吉马镇囚犯中抑郁症的患病率及相关因素。
采用横断面研究设计,通过系统随机抽样方法选取332名囚犯。使用贝克抑郁量表(BDI-II)通过面对面访谈收集数据。数据分析使用SPSS 20版软件。
研究显示,囚犯中有41.9%(n = 139)的参与者患有抑郁症。在完全调整后的最终回归模型中,有精神疾病家族史(比值比[AOR]=6.05,95%置信区间[CI]=2.6,13.8)、患有慢性躯体疾病(AOR = 2.87, 95% CI = 1.29, 6.41)、有前科(AOR = 3.26, 95% CI = 1.02, 10.64)、在监狱无工作(AOR = 4.96, 95% CI = 2.09, 11.8)、有终生饮酒史(AOR = 3.61, 95% CI = 1.8, 7.26)、认为出狱后生活艰难(AOR = 2.07, 95% CI = 1.2, 3.6)、年龄在21至25岁之间(AOR = 2.04, 95% CI = 1.06, 3.89)以及社会支持差(AOR = 2.2, 95% CI = 1.27, 3.82)与抑郁症有显著关联。
本研究表明,囚犯中抑郁症的患病率非常高。有精神疾病家族史、患有慢性躯体疾病、有前科、在监狱无工作、有终生饮酒史、认为出狱后生活艰难、年龄在21至25岁之间以及社会支持差被发现对抑郁症患病率有影响。