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Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria

Received: 6 December 2020     Accepted: 14 December 2020     Published: 15 January 2021
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Abstract

World Health Organization recognizes depression as one of the leading mental illnesses of public health concern, with estimated 300 million people affected. This study assessed the prevalence, pattern and risk factors associated with depression among women in rural areas of Sokoto state. A comparative cross-sectional study was carried out and using a multistage sampling technique, 383 respondents (monogamous 193, polygamous 185) were recruited into the study. A set of structured questionnaire was used to collect data which was analyzed using the Statistical Package for Social sciences (SPSS) version 23. The mean age of the respondents was 33.91±6.8 years in monogamous setting and 35.27±8.3 years in polygamous setting (t=1.189, p=0.235). In both settings, majority of the women were married (monogamous 92.2%, polygamous 89.2%, P>0.05) and all were Muslims. The overall prevalence of depression in both groups was 51.2% (n=197). With respect to family type, prevalence was higher among women in monogamous setting (54.2%) as compared to those from polygamous setting (49.7%) (P=0.578). In both groups, mild depression was the most common type of depression (43.1% among monogamous vs 54.3% among polygamous). Depressive symptoms experienced nearly everyday by respondents in both groups include feeling hopeless and down, having difficulty falling asleep and feeling tired. Significant predictors of depression were marital status and feeling sad for a long time. In conclusion, the overall prevalence of depression was high in this study and the prevalence was slightly higher in monogamous group than polygamous; most respondents in both groups had mild depression. Significant predictors of depression include marital status and being sad for long time. There is need for government health agencies and other partners to strengthen mental health services at community levels to enable early detection and proper management of depression among couples.

Published in Central African Journal of Public Health (Volume 7, Issue 1)
DOI 10.11648/j.cajph.20210701.12
Page(s) 11-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Depression, Prevalence, Pattern, Polygamy, Monogamy, Rural Areas

References
[1] Jack-Ide I. A Retrospective study of the prevalence of depression among women attending a mental health clinic in the Niger Delta Region of Nigeria. Annals of Behavioral Science 2016; 2 (1): 12.
[2] American Psychiatric Association. Depression. Available at: https://www.psychiatry.org.
[3] World Health Organization. Depression: Facts and figures. 2018 (cited 25 Sept 2019) Available at: https://www.who.int/newsroom/fact/detail/depression.
[4] Shittu RO, Odeigah LO, Issa BA, Olanrewaju GT. Association between depression and social demographic factors in a Nigerian family practice setting. Open Journal of Depression 2014; 3 (1): 18-23.
[5] Bautista CF, Velázquez JV, Icaza MEMM, López MM, Gutiérrez López Mde L, et al. Socio-demographic and personal factors related to depressive symptomatology in the mexican population aged 12 to 65. Rev Bras Psiquiatr 2012; 34 (4): 395-404.
[6] Ozkan M, Altindag A, Oto R, Sentunali E. Mental health aspects of Turkish women from polygamous versus monogamous families. International Journal of Social Psychiatry 2006; 52 (3): 214-20.
[7] Rondet C, Cornet P, Kaoutar B, Lebas J, Chauvin P. Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey. BMC Fam Pract 2013; 14 (1): 151-159.
[8] Al Krenawi A, Graham J. A comparison of Family Functioning, Life and Marital Satisfaction and Mental health of Women in Polygamous and Monogamous Marriage. International Journal on Social Psychiatry 2006; 52 (1): 5-17. Available from: (https://www.ncbi.nlm.nih.gov).
[9] Al-Krenawi A. Women from polygamous and monogamous marriages in an outpatient clinic in Negev. Transcultural Psychiatry 2001; 38 (2): 187-199 (cited Sept 2019) Available at: (https://www.tps.sage.pvb.com).
[10] Al-Sherbiny LAM. The case of first wife in polygamy: Description of an Arab culture-specific tradition. Arabpsynet 2005; 8: 9–26.
[11] Kam K. Depression and Risky behavior. Web MD June 2011 (cited 25 Sept 2019) Available at: (https://www.webmd. com).
[12] Bodinga Local Government Area Nigeria. Available at: https://citypopulation.de/php/nigeria-admin.php?adm2id=NGA034002.
[13] Ibrahim T. Research methodology and Dissertation writing; Abuja, Crest Global Links LTD 2009: 118.
[14] Agarwal P, Halle Z, Sambarmoorthi U. Prevalence of Depression in a West African Country: Evidence from World Health Survey. 2013. Elsevier (cited 25 Sept 2019). Available at: (https://www.valueinhealthjournal.com).
[15] Halverson JL, Bienenfeld D. What are the DSMS criteria for diagnosis of major depressive disorder? 2019 Available at: https://www.medscape.com/answers/286759-14692/what-are-the-dsm-5-criteria-for-diagnosis-of-major-depressive-disorder-clinical-depression.
[16] National Population Commission (NPC) [Nigeria] and ICF. 2019. Nigeria Demographic and Health Survey 2018 Key Indicators Report. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF.
[17] Afolabi M, Abioye-Kuteyi E, Faloye F, Bello I, Adewuye A. Pattern of depression among patients in a Nigerian family practice population. SA Fam Pract 2008; 50 (2); 63.
[18] Ogunsemi OO, Oluwole FA, Abasiubong F, Erinfolami AR, Amoran OE, Ariba AJ et al. Detection of mental disorders with the patient health questionnaire in primary care settings in Nigeria. Ment Illn 2010; 2: 46-50.
[19] Park K. Park’s textbook of preventive and social medicine, 21st Edition: Banarsidas Bhanot, India 2011.
[20] Sanni O, Onuoha F, Alabi A, Ayinmode A, Buhari O. Epidemiology of Depression in a Primary Care Setting in North Central Nigeria. Global Journal of Endocrinological Metabolism 2018; 2 (4). DOI: 10.31031/GJEM.2018.02.000542. Available at https://crimsonpublishers.com/gjem/fulltext/GJEM.000542.php.
[21] National Bureau of Statistics (NBS) and United Nations Children’s Fund (UNICEF). 2018 Multiple Indicator Cluster Survey 2016-17, Final Report. Abuja, Nigeria: National Bureau of Statistics and United Nations Children’s Fund.
[22] Ekerbiçer HC, Resim S, Efe E, Bahar MR, Altunören Ozlem, Küçükdurmaz F et al. A Comparison of Sexual Function, Psychological Status, and Sociodemographic Characteristics of Turkish Men within Polygamous and Monogamous Marriages. Balkan Med J. 2016 Jul; 33 (4): 383–389.
[23] Dolittle R, Farrell M. The association between spirituality and depression in an urban clinic. J Clin Psych 2004; 6: 114-8.
[24] Judd FK, Jackson HJ, Komiti A, Murray G, Hodgins G, Fraser C. High prevalence disorders in urban and rural communities. Aust N Z J Psychiatry 2002; 36 (1): 104-7.
[25] Zalar B, Blatnik A, Maver A, Klemenc-Ketiš Z, and Peterlin B. Family History As an Important Factor for Stratifying Participants in Genetic Studies of Major Depression. Balkan J Med Genet. 2018; 21 (1): 5–12.
[26] Rich JL, Byre JM, Curryer C, Byles JE and Loxton D. Prevalence and correlates of depression among Australian women: a systematic literature review from Jan 1999-Jan 2010. BMC Research Notes. 2013; 6: 424. Available at http://www.biomedcentral.com/1756-0500/6/424.
[27] Cohen-Woods S, Craig IW, McGuffin P. The current state of play on the molecular genetics of depression. Psychol Med. 2013; 43 (4): 673 [PubMed] [Google Scholar].
[28] Bosker FJ, Hartman CA, Nolte IM, Prins BP, Terpstra P, Posthuma D. et al. Poor replication of candidate genes for major depressive disorder using genome-wide association data. Mol Psychiatry. 2011; 16 (5): 516.
Cite This Article
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    Habibullah Adamu, Oche Mansur Oche, Iye Ruth Abel, Kasimu Alhaji Garba, Bashar Bala Zubairu. (2021). Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria. Central African Journal of Public Health, 7(1), 11-22. https://doi.org/10.11648/j.cajph.20210701.12

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    ACS Style

    Habibullah Adamu; Oche Mansur Oche; Iye Ruth Abel; Kasimu Alhaji Garba; Bashar Bala Zubairu. Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria. Cent. Afr. J. Public Health 2021, 7(1), 11-22. doi: 10.11648/j.cajph.20210701.12

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    AMA Style

    Habibullah Adamu, Oche Mansur Oche, Iye Ruth Abel, Kasimu Alhaji Garba, Bashar Bala Zubairu. Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria. Cent Afr J Public Health. 2021;7(1):11-22. doi: 10.11648/j.cajph.20210701.12

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  • @article{10.11648/j.cajph.20210701.12,
      author = {Habibullah Adamu and Oche Mansur Oche and Iye Ruth Abel and Kasimu Alhaji Garba and Bashar Bala Zubairu},
      title = {Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria},
      journal = {Central African Journal of Public Health},
      volume = {7},
      number = {1},
      pages = {11-22},
      doi = {10.11648/j.cajph.20210701.12},
      url = {https://doi.org/10.11648/j.cajph.20210701.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20210701.12},
      abstract = {World Health Organization recognizes depression as one of the leading mental illnesses of public health concern, with estimated 300 million people affected. This study assessed the prevalence, pattern and risk factors associated with depression among women in rural areas of Sokoto state. A comparative cross-sectional study was carried out and using a multistage sampling technique, 383 respondents (monogamous 193, polygamous 185) were recruited into the study. A set of structured questionnaire was used to collect data which was analyzed using the Statistical Package for Social sciences (SPSS) version 23. The mean age of the respondents was 33.91±6.8 years in monogamous setting and 35.27±8.3 years in polygamous setting (t=1.189, p=0.235). In both settings, majority of the women were married (monogamous 92.2%, polygamous 89.2%, P>0.05) and all were Muslims. The overall prevalence of depression in both groups was 51.2% (n=197). With respect to family type, prevalence was higher among women in monogamous setting (54.2%) as compared to those from polygamous setting (49.7%) (P=0.578). In both groups, mild depression was the most common type of depression (43.1% among monogamous vs 54.3% among polygamous). Depressive symptoms experienced nearly everyday by respondents in both groups include feeling hopeless and down, having difficulty falling asleep and feeling tired. Significant predictors of depression were marital status and feeling sad for a long time. In conclusion, the overall prevalence of depression was high in this study and the prevalence was slightly higher in monogamous group than polygamous; most respondents in both groups had mild depression. Significant predictors of depression include marital status and being sad for long time. There is need for government health agencies and other partners to strengthen mental health services at community levels to enable early detection and proper management of depression among couples.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Prevalence and Pattern of Depression among Women of Polygamous and Monogamous Family Settings in Rural Areas of Sokoto State, Nigeria
    AU  - Habibullah Adamu
    AU  - Oche Mansur Oche
    AU  - Iye Ruth Abel
    AU  - Kasimu Alhaji Garba
    AU  - Bashar Bala Zubairu
    Y1  - 2021/01/15
    PY  - 2021
    N1  - https://doi.org/10.11648/j.cajph.20210701.12
    DO  - 10.11648/j.cajph.20210701.12
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 11
    EP  - 22
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20210701.12
    AB  - World Health Organization recognizes depression as one of the leading mental illnesses of public health concern, with estimated 300 million people affected. This study assessed the prevalence, pattern and risk factors associated with depression among women in rural areas of Sokoto state. A comparative cross-sectional study was carried out and using a multistage sampling technique, 383 respondents (monogamous 193, polygamous 185) were recruited into the study. A set of structured questionnaire was used to collect data which was analyzed using the Statistical Package for Social sciences (SPSS) version 23. The mean age of the respondents was 33.91±6.8 years in monogamous setting and 35.27±8.3 years in polygamous setting (t=1.189, p=0.235). In both settings, majority of the women were married (monogamous 92.2%, polygamous 89.2%, P>0.05) and all were Muslims. The overall prevalence of depression in both groups was 51.2% (n=197). With respect to family type, prevalence was higher among women in monogamous setting (54.2%) as compared to those from polygamous setting (49.7%) (P=0.578). In both groups, mild depression was the most common type of depression (43.1% among monogamous vs 54.3% among polygamous). Depressive symptoms experienced nearly everyday by respondents in both groups include feeling hopeless and down, having difficulty falling asleep and feeling tired. Significant predictors of depression were marital status and feeling sad for a long time. In conclusion, the overall prevalence of depression was high in this study and the prevalence was slightly higher in monogamous group than polygamous; most respondents in both groups had mild depression. Significant predictors of depression include marital status and being sad for long time. There is need for government health agencies and other partners to strengthen mental health services at community levels to enable early detection and proper management of depression among couples.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria

  • Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria

  • Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria

  • Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria

  • Department of Community Health, Usmanu Danfodiyo University, Sokoto, Nigeria

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