Abstract:
Background- Globally, neuropsychiatric disorders account for 13% of disability adjusted life years.
Most of mental health problems are anxiety and depression. Currently about 450 million people suffer
from mental disorders in the world, from this 150 million is attributed by depression
Objective-The aim of this study was to assess the magnitude of depression, anxiety and stress and their
association with substance use among Jimma University staff.
Methods-A cross-sectional study was conducted on a sample of 354 respondents in Jimma University
and JUSH in April 2016. Stratified simple random sampling method was used. Depression, Anxiety
and Stress Scale (DASS-21) and pre tested, structured interviewer administered questionnaire were
used to collect sociodemographic, substance use, work related and history of chronic disease data.
Data analysis was done using the SPSS Version 20.0 for Windows. Bivariate and multivariate logistic
regression analyses were done to determine the association between dependent and independent
variables. P < 0.05 at multivariate logistic regression analyses was employed to declare the statically
significant of the variables.
Results-The prevalence of depression, anxiety and stress was found to be 22.9%, 19.2% and 28.2%
respectively. Being female [AOR=2.43, 95% CI (1.215-4.867)], no job satisfaction [AOR=10.59,
95%CI (4.884-22.979)], presence of conflict with colleagues [AOR=2.33, 95%CI (1.209-4.490] and
khat chewing [AOR=4.986, 95%CI (2.567-9.686)] were significantly associated with depression.
Similarly presence of conflict with colleagues [AOR=2.46, 95% CI (1.251-4.848)], no job satisfaction
[AOR=7.12, 95%CI (3.286-15.445)] and khat chewing [AOR=2.94, 95% CI (1.524-5.660)] were
significantly associated with anxiety. Being widowed [AOR=7.46, 95% CI (1.110-50.147)], female
[AOR=2.72, 95%CI (1.397-5.283), no job satisfaction [AOR=6.69, 95%CI (3.455-12.970)], khat
chewing [AOR=2.78, 95%CI (1.487-5.211)] and presence of conflict with colleagues [AOR=2.93,
95%CI (1.570-5.463)] were significantly associated with stress.
Conclusion-The finding of this study demonstrated that depression, anxiety and stress were moderate
health problems of University and hospital staff. Being female, widowed, khat chewing, conflict with
colleagues, low job satisfaction could be the potential risk factors for those problems. Avoiding of risk
factors and improving depression, anxiety and stress screening practice is recommended
