关键词: HC Somali women cross-sectional study depression hormonal contraceptives reproductive health

来  源:   DOI:10.2147/OAJC.S444545   PDF(Pubmed)

Abstract:
UNASSIGNED: Depression is a global health concern with significant consequences, especially for women. Hormonal changes and gender disparities contribute to its prevalence. Hormonal contraceptives are widely used among women of reproductive age, but some users report mood-related side effects.
UNASSIGNED: This study aims to investigate the relationship between hormonal contraceptive use and depression among women in Mogadishu, Somalia.
UNASSIGNED: An analytical cross-sectional study was conducted at two hospitals in Mogadishu, targeting married women aged 15-49 using hormonal contraceptives. A sample size of 227 participants was determined, and data was collected using semi-structured questionnaires, including the Patient Health Questionnaire-9 (PHQ-9) to assess depression. The data were analyzed using SPSS version 25, including multivariate logistic regression.
UNASSIGNED: The prevalence of depression among participants was 33.5%, with significant associations observed between depression and occupation, income level, type of hormonal contraceptive used, and duration of contraceptive use. Housewives, individuals with lower income, users of oral pills and implant methods, as well as those with shorter durations of contraceptive use, constituted the high-risk groups for depression.
UNASSIGNED: Depression poses a concern among women using hormonal contraceptives in Mogadishu, Somalia. Healthcare providers should educate women about potential side effects and consider individualized contraceptive recommendations. Mental health support initiatives and awareness campaigns should be introduced. Future research is recommended to further understand and address depression in this context.
摘要:
抑郁症是一个全球性的健康问题,具有重大的后果,尤其是对于女性。荷尔蒙变化和性别差异导致其流行。激素避孕药在育龄妇女中广泛使用,但是一些用户报告了情绪相关的副作用。
这项研究旨在调查摩加迪沙妇女使用激素避孕药与抑郁之间的关系,索马里。
在摩加迪沙的两家医院进行了分析性横断面研究,针对15-49岁的已婚妇女使用激素避孕药。确定了227名参与者的样本量,数据是使用半结构化问卷收集的,包括患者健康问卷-9(PHQ-9)来评估抑郁症。使用SPSS版本25对数据进行分析,包括多变量逻辑回归。
参与者的抑郁症患病率为33.5%,观察到抑郁和职业之间存在显著关联,收入水平,使用的荷尔蒙避孕药的类型,和使用避孕药具的持续时间。家庭主妇,收入较低的人,口服药丸和植入方法的使用者,以及那些使用避孕药具持续时间较短的人,构成了抑郁症的高危人群。
抑郁症在摩加迪沙使用激素避孕药的妇女中引起关注,索马里。医疗保健提供者应教育女性潜在的副作用,并考虑个性化避孕建议。应采取精神卫生支持举措和提高认识运动。建议未来的研究在这种情况下进一步理解和解决抑郁症。
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