DEPRESSION AND ASSOCIATED FACTORS AMONG ADULT INPATIENTS AT PUBLIC HOSPITALS OF HARARI REGIONAL STATE, EASTERN ETHIOPIA

Abstract

Introduction: Globally, depression is one of the three leading causes of disease and it will be the second leading cause of world disability by 2030. The prevalence of depression in sub Saharan Africa, range from 15 to 30%. In Ethiopia, depression was found to be seventh leading cause of disease burden and prevalence of depression has been increased in hospital than community setting because hospital environment itself is stressful. However, in Eastern Ethiopia, where substance use like Khat is very rampant, study related to magnitude of depression and associated factors among adult inpatients is not studied yet. Objective: To assess Depression and associated factors among adult inpatients at public hospitals of Harari Regional State, Eastern Ethiopia from February 01 -28/2017. Methodology: Hospital based cross sectional study design was employed on 492 admitted adult patients in Harari region hospitals. Consecutive sampling method was used to include study population. The data were collected by six data collectors using structured interviewer administered questionnaire. After checking completeness the collected data were entered into Epi-data version 3.1 and exported to SPSS version 20.0 for analysis. Bivariate and multivariate Logistic regression analysis were employed. P value of 0.05 or less was considered to be statistically significance and interpretation. The result of analysis was presented by using frequencies, summary measures, texts, tables and graphs. A total of 489 patients were interviewed with response rate of 99.4%. Having duration of 1-2weeks in the hospital [(AOR=2.02, 95% CI: (1.28, 3.19)], being diagnosed with chronic conditions [(AOR=4.06, 95% CI: (2.23, 7.40)], being users of psychoactive drugs [(AOR=2.24, 95% CI: (1.18, 4.24)] and Patients those who admitted to surgical ward [(AOR=0.50, 95% CI: (0.31, 0.81)] were significantly associated with depression. Conclusion and recommendation: Prevalence of depression among admitted inpatients was high. Prolonged stay, diagnoses with chronic disease and use of psycho active drug were factors that caused patient to develop depression. Being admitted to surgical ward was related to low depression. Therefore increasing the awareness of benefits of early diagnosis of patients to prevent major form of depression and strengthening the clinical set up and establishing good referral linkage with mental health institutions was consideres to be costeffective method to reduce its prevalence.