PDF(Pubmed)
Abstract：
BACKGROUND: Depression is the most common mental health outcome of exposure to war-related traumatic stressors. Due to inter-communal conflict, Dessie City residents have experienced prolonged armed conflict in 2021. This conflict leads to widespread violence, negative impact on mental health, and large-scale forced migration. However, the problem is not properly addressed in Ethiopia. Therefore, this study aimed to assess the prevalence and risk factors of depression in the war-affected area in Dessie City, Ethiopia.
METHODS: A cross-sectional study design was conducted among 785 participants in 2022. The study subjects were selected using a multi-stage cluster sampling technique. The outcome measures used in the study were validated with the Patient Health Questionnaire (PHQ-9). Data was entered using Epi-data version 3.1 and SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to depression. In multivariable logistic regression variables with a p-value less than 0.05 were considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association.
RESULTS: The prevalence of depression among participants was found to be 24.5% (95% CI,21.7, 27.5). In multivariable analysis, post-traumatic stress disorder (AOR = 2.79, 95% CI 1.76-4.43), middle-perceived life threats (AOR = 8.25, 95% CI 2.47-17.49), low social support (AOR = 1.90, 95% CI 1.23-2.96) were variables significantly associated with depression.
CONCLUSIONS: This study found a high prevalence of depression among Dessie City residents. post-traumatic stress disorder, middle-perceived life threats, and low social support were associated with depression. Interventional strategies should be implemented to promote healing, resilience, and the overall well-being of individuals and communities. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict populations.
METHODS: A cross-sectional study design was conducted among 785 participants in 2022. The study subjects were selected using a multi-stage cluster sampling technique. The outcome measures used in the study were validated with the Patient Health Questionnaire (PHQ-9). Data was entered using Epi-data version 3.1 and SPSS version 25 was used to analyze data. Bivariate and multivariable logistic regressions were done to identify factors related to depression. In multivariable logistic regression variables with a p-value less than 0.05 were considered significant and, adjusted OR (AOR) with 95% CI was used to present the strength of the association.
RESULTS: The prevalence of depression among participants was found to be 24.5% (95% CI,21.7, 27.5). In multivariable analysis, post-traumatic stress disorder (AOR = 2.79, 95% CI 1.76-4.43), middle-perceived life threats (AOR = 8.25, 95% CI 2.47-17.49), low social support (AOR = 1.90, 95% CI 1.23-2.96) were variables significantly associated with depression.
CONCLUSIONS: This study found a high prevalence of depression among Dessie City residents. post-traumatic stress disorder, middle-perceived life threats, and low social support were associated with depression. Interventional strategies should be implemented to promote healing, resilience, and the overall well-being of individuals and communities. However, the findings underscore the need to address the current lack of mental health care resources in post-conflict populations.
摘要：
背景：抑郁症是暴露于与战争相关的创伤应激源的最常见的心理健康结果。由于社区间的冲突，德西市居民在2021年经历了长期的武装冲突。这场冲突导致了广泛的暴力，对心理健康的负面影响，以及大规模的强制迁移。然而,这个问题在埃塞俄比亚没有得到妥善解决。因此,本研究旨在评估德西市受战争影响地区抑郁症的患病率和危险因素，埃塞俄比亚。
方法：2022年对785名参与者进行了横断面研究设计。使用多阶段整群抽样技术选择研究对象。研究中使用的结局指标通过患者健康问卷（PHQ-9）进行验证。使用Epi-data版本3.1和SPSS版本25输入数据用于分析数据。进行双变量和多变量逻辑回归以确定与抑郁相关的因素。在多变量逻辑回归中，p值小于0.05的变量被认为是显著的，使用具有95%CI的校正OR(AOR)来表示关联的强度。
结果：参与者的抑郁症患病率为24.5%（95%CI，21.7，27.5）。在多变量分析中，创伤后应激障碍（AOR=2.79，95%CI1.76-4.43），中等感知的生命威胁(AOR=8.25，95%CI2.47-17.49)，低社会支持(AOR=1.90,95%CI1.23-2.96)是与抑郁显著相关的变量。
结论：本研究发现德西市居民的抑郁症患病率很高。创伤后应激障碍,中等感知的生命威胁，低社会支持与抑郁症有关。应实施干预策略以促进愈合，弹性，以及个人和社区的整体福祉。然而,研究结果强调,有必要解决冲突后人群中目前缺乏精神卫生保健资源的问题.
方法：2022年对785名参与者进行了横断面研究设计。使用多阶段整群抽样技术选择研究对象。研究中使用的结局指标通过患者健康问卷（PHQ-9）进行验证。使用Epi-data版本3.1和SPSS版本25输入数据用于分析数据。进行双变量和多变量逻辑回归以确定与抑郁相关的因素。在多变量逻辑回归中，p值小于0.05的变量被认为是显著的，使用具有95%CI的校正OR(AOR)来表示关联的强度。
结果：参与者的抑郁症患病率为24.5%（95%CI，21.7，27.5）。在多变量分析中，创伤后应激障碍（AOR=2.79，95%CI1.76-4.43），中等感知的生命威胁(AOR=8.25，95%CI2.47-17.49)，低社会支持(AOR=1.90,95%CI1.23-2.96)是与抑郁显著相关的变量。
结论：本研究发现德西市居民的抑郁症患病率很高。创伤后应激障碍,中等感知的生命威胁，低社会支持与抑郁症有关。应实施干预策略以促进愈合，弹性，以及个人和社区的整体福祉。然而,研究结果强调,有必要解决冲突后人群中目前缺乏精神卫生保健资源的问题.
