Duresa Daditau B, Benti Tsegaye, Birhanu Adamu, Teshome Zenebe B, Mulugeta Wondwossen
Department of Public Health, Ambo University.
Department of Public Health, College of Medicine and Health Sciences, Ambo University.
Ann Med Surg (Lond). 2024 Jul 8;86(9):5072-5079. doi: 10.1097/MS9.0000000000002355. eCollection 2024 Sep.
Depression is a leading cause of major public health problems globally, and its frequency has been increasing, particularly in low-income and middle-income countries. The prevalence of depression in sub-Saharan Africa ranges from 15 to 30%. In Ethiopia, depression is found to be the seventh leading cause of disease burden, yet no study was done in West Shewa, Ethiopia. Therefore, this study aimed to assess the magnitude of depression and associated factors among adult orthopedic outpatients getting treatment at Ambo University Referral Hospital, West Shewa, Oromia, Ethiopia, in 2023.
An institution-based cross-sectional study was conducted among 391 adult orthopedic patients from January 1-30, 2023. A systematic random sampling technique was used to select the study subjects. The data were collected by using a structured questionnaire and checklist through face-to-face interviews and chart review techniques. The collected data were entered into Epi-data, version 4.6, and then exported to SPSS, version 26.0, for statistical analysis. The binary logistic regression model was fitted, and both bivariable and multivariable logistic regression analyses were employed.
The magnitude of depression was found to be 38.9% (95% CI: 34.5%, 43.9%), being female [adjusted odds ratio (AOR)=2.41; 95% confidence interval (CI): 1.45-4.00], chewing chat (AOR=2.39; 95% CI: 1.29-4.43), and no disorder on the lower limb (AOR=0.24; 95% CI: 0.07-0.85), had ligament injury (AOR=2.62; 95% CI: 1.23-5.59), had no complication (AOR=0.07; 95% CI: 0.01-0.52), and had amputation (AOR=3.83; 95% CI: 2.09-7.00) were significantly associated with depression.
The study found that the prevalence of depression among orthopedic patients was considerable; nearly half of the participants developed depression at Ambo University Referral Hospital, and being female, chewing chat, having no disorder on the lower limb, having a ligament injury, having a complication, and being amputated were significantly associated with depression. Therefore, due attention is needed from concerned bodies in order to tackle this problem.
抑郁症是全球主要公共卫生问题的主要成因，其发病率一直在上升，尤其是在低收入和中等收入国家。撒哈拉以南非洲地区抑郁症的患病率在15%至30%之间。在埃塞俄比亚，抑郁症被发现是疾病负担的第七大主要成因，但在埃塞俄比亚西谢瓦尚未开展相关研究。因此，本研究旨在评估2023年在埃塞俄比亚奥罗米亚州西谢瓦安博大学转诊医院接受治疗的成年骨科门诊患者中抑郁症的严重程度及相关因素。
2023年1月1日至30日，对391名成年骨科患者进行了一项基于机构的横断面研究。采用系统随机抽样技术选择研究对象。通过面对面访谈和病历审查技术，使用结构化问卷和清单收集数据。将收集到的数据录入Epi-data 4.6版本，然后导出到SPSS 26.0版本进行统计分析。拟合二元逻辑回归模型，并采用双变量和多变量逻辑回归分析。
抑郁症的严重程度为38.9%（95%置信区间：34.5%，43.9%），女性[调整优势比（AOR）=2.41；95%置信区间（CI）：1.45 - 4.00]、咀嚼恰特草（AOR = 2.39；95% CI：1.29 - 4.43）、下肢无疾病（AOR = 0.24；95% CI：0.07 - 0.85）、有韧带损伤（AOR = 2.62；95% CI：1.23 - 5.59）、无并发症（AOR = 0.07；95% CI：0.01 - 0.52）和截肢（AOR = 3.83；95% CI：2.09 - 7.00）与抑郁症显著相关。
研究发现骨科患者中抑郁症的患病率相当高；在安博大学转诊医院，近一半的参与者患有抑郁症，女性、咀嚼恰特草、下肢无疾病、有韧带损伤、有并发症和截肢与抑郁症显著相关。因此，相关机构需要给予充分关注以解决这一问题。
