Prevalence of depression and associated factors among adult patients admitted at mizan tepi university teaching hospital, benchi-maji zoni, snnpr, Ethiopia, 2019

Abstract

Background: Depression is a type of mental disorder which is characterized by an excessive and persistent feeling of sadness or despair and/or a loss of interest in things. It is mainly co-morbid with chronic illnesses and is associated with a range of adverse clinical outcomes. Objective: To assess prevalence of depression and associated factors among adult patients admitted at Mizan Tepi University Teaching Hospital, Mizan-Aman, Ethiopia, 2019. Methodology: Institution based cross sectional study design was conducted from April 10 to May 20 at Mizan Tepi University Teaching Hospital among adult patients admitted with sample size of 374. Systematic sampling method was used to select the sample involved in the study every 2 interval. The prevalence of depression was assessed using Patient Health Qurstionnaire9. Data was entered into Epi data version 3.1 and exported to SPSS version 23 for data analysis. Descriptive statistics was used to identify the distribution of socio demographic, clinical and behavioral characteristics of the study participants. It was processed by using descriptive analysis, including frequency distribution, cross tabulation and summary measures. Bivariate and multivariate logistic regression and odds ratio with 95% confidence interval was used to identify the associated factors with Depression. A p- value of less than 0.05 was considered statistically significant in the final model. Results: The prevalence of depression among adult patients admitted to Mizan Tepi University Teaching hospital was 58.4 %. Depression has statistically significant association with having previous hospital admission [AOR=3.18, 95 % CI: (1.69, 5.97)], being diagnosed with chronic disease [AOR=2.07, 95% CI :( 1.19, 3.61)], ward type [AOR=.44, 95% CI: (.22, .87)], being user of cigarette [AOR = 2.16, 95% CI: (1.02, 4.61)] and social support [AOR=.40, 95% CI: (.24, .65)]. Conclusion and recommendation: Prevalence of depression among adult patients admitted at Mizan Tepi University Teaching Hospital was high. Those who are smoking, suffering from a chronic illness, ward type, poor social support and previous history of hospital admission were more likely to be depressed. Health care professionals working with admitted patients need to be trained additionally on screening for depression.