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Factors Associated with Depression in Tuberculosis Patients in Senegal

Received: 16 October 2022     Accepted: 31 October 2022     Published: 10 November 2022
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Abstract

Background: Depression is a psychiatric pathology. This study aims to determine the prevalence and depression-associated factors in patients with tuberculosis. Methodology: A descriptive and analytical cross-sectional study was conducted from April 30th, 2021 to October 30th, 2021. A questionnaire including sociodemographic and clinical characteristics, illness experience and the PHQ-9 scale was used to collect the data. A multivariate analysis was carried out using the R software. All the variables whose p values were less than 0.25 were taken into account. Then, by a top-down procedure, the least significant variables were removed one by one, and the comparison was the likelihood ratio test. Results: A total of 109 patients were surveyed. The average age of the respondents was 33.6 ± 12.6 years. The majority, 61.5% of the patients, was single. In our study, 37% of individuals had a PHQ-9 score between 5 and 9, which classified them as mild depression. A 6.10 times higher risk (ORaj= 6.10 [1.55-29.0]) of developing mild depression was found in patients with a chronic pathology (diabetes, HBP). Patients with a number of crosses higher than or equal to 3 had a 13.1 times greater risk of being depressed (ORaj= 13.1 [3.90-63.5]). Conclusion: Tuberculosis remains a major public health problem. This study allowed us to highlight the occurrence of depression in people with tuberculosis and the need to integrate a systematically psychological assessment in these people.

Published in Central African Journal of Public Health (Volume 8, Issue 6)
DOI 10.11648/j.cajph.20220806.11
Page(s) 217-222
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), 2022. Published by Science Publishing Group

Keywords

Tuberculosis, Depression, Senegal

References
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[2] WHO, World Health Organization. Global Tuberculosis Report 2021. 2021 [Cited 2022 Mar 10]. Available from: https://www.who.int/publications/digital/global-tuberculosis-report-2021.
[3] WHO. Tuberculosis incidence (per 100 000 people) - Senegal | Data [Internet]. [cited 2022 Mar 18]. Available from: https://donnees.banquemondiale.org/indicateur/SH.TBS.INCD?locations=SN
[4] WHO. WHO «Dépression: parlons-en» declares WHO, while this condition is the leading cause of morbidity. WHO [Internet]. 2017 [cited 2022 Mar 22]; Available from: http://www.who.int/mediacentre /news/releases/2017/world-health-day/fr/
[5] WHO. Depression [Internet]. [cited 2022 Mar 22]. Available from: https://www.who.int/fr/news-room/fact-sheets/detail/depression
[6] Ministry of Health and Social Action. Volume 5 of the health map Inventory of health care and overall needs supply. 2019;398. Available from: https://www.sante.gouv.sn/sites/default/files/ Health map Volume 5 Inventory and projected needs.pdf
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[8] Molla A, Mekuriaw B, Kerebih H. Depression and associated factors among patients with tuberculosis in Ethiopia: a cross-sectional study. Neuropsychiatr Dis Treat. 2019; 15: 1887–93.
[9] Sow K, Yanogo P, Ndiaye M, Kane M, Sawadogo B, Otshudiandjeka J, et al. Epidemiological Profile of Tuberculosis, Senegal, 2009-2018. JIEPH. 2021 Dec 16; 4 (3): 12.
[10] Kehbila J, Jabea Ekabe C, Ndemnge Aminde L, Jacques Noubiap JN, Nde Fon P, Lobe Monekosso G. Prevalence and correlates of depressive symptoms in adult patients with pulmonary tuberculosis in the Southwest Region of Cameroon. 2016; 5 (1): 51.
[11] Koyanagi A, Vancampfort D, Carvalho AF, Devylder JE, Haro JM, Pizzol D, et al. Depression comorbid with tuberculosis and its impact on health status: cross-sectional analysis of community-based data from 48 low-and middle-income countries. BMC Med. 2017; 15 (1): 209.
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[13] Habibech S, Bacha S, Moussa I, Agrebi S, Racil H, Chabbou A, et al. Assessment of depression in patients with pulmonary tuberculosis. Rev Mal Respir. 2018 Jan; 35: A169–70.
[14] Dasa TT, Roba AA, Weldegebreal F, Mesfin F, Asfaw A, Mitiku H, et al. Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia. BMC Psychiatry [Internet]. 2019; 19 (1): 1–7.
[15] Duko B, Gebeyehu A, Ayano G. Prevalence and correlates of depression and anxiety among patients with tuberculosis at WolaitaSodo University Hospital and Sodo Health Center, WolaitaSodo, South Ethiopia, Cross sectional study. BMC Psychiatry. 2015; 15 (1): 1–7.
[16] Ambaw F, Mayston R, Hanlon C, Alem A. Burden and presentation of depression among newly diagnosed individuals with TB in primary care settings in Ethiopia. BMC Psychiatry. 2017; 17 (1): 1–10.
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Cite This Article
  • APA Style

    Mbayang Ndiaye, Aurelie Zohra Betty Tessy, Mamadou Makhtar Mbacke Leye, Ibrahima Seck. (2022). Factors Associated with Depression in Tuberculosis Patients in Senegal. Central African Journal of Public Health, 8(6), 217-222. https://doi.org/10.11648/j.cajph.20220806.11

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    ACS Style

    Mbayang Ndiaye; Aurelie Zohra Betty Tessy; Mamadou Makhtar Mbacke Leye; Ibrahima Seck. Factors Associated with Depression in Tuberculosis Patients in Senegal. Cent. Afr. J. Public Health 2022, 8(6), 217-222. doi: 10.11648/j.cajph.20220806.11

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    AMA Style

    Mbayang Ndiaye, Aurelie Zohra Betty Tessy, Mamadou Makhtar Mbacke Leye, Ibrahima Seck. Factors Associated with Depression in Tuberculosis Patients in Senegal. Cent Afr J Public Health. 2022;8(6):217-222. doi: 10.11648/j.cajph.20220806.11

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  • @article{10.11648/j.cajph.20220806.11,
      author = {Mbayang Ndiaye and Aurelie Zohra Betty Tessy and Mamadou Makhtar Mbacke Leye and Ibrahima Seck},
      title = {Factors Associated with Depression in Tuberculosis Patients in Senegal},
      journal = {Central African Journal of Public Health},
      volume = {8},
      number = {6},
      pages = {217-222},
      doi = {10.11648/j.cajph.20220806.11},
      url = {https://doi.org/10.11648/j.cajph.20220806.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20220806.11},
      abstract = {Background: Depression is a psychiatric pathology. This study aims to determine the prevalence and depression-associated factors in patients with tuberculosis. Methodology: A descriptive and analytical cross-sectional study was conducted from April 30th, 2021 to October 30th, 2021. A questionnaire including sociodemographic and clinical characteristics, illness experience and the PHQ-9 scale was used to collect the data. A multivariate analysis was carried out using the R software. All the variables whose p values were less than 0.25 were taken into account. Then, by a top-down procedure, the least significant variables were removed one by one, and the comparison was the likelihood ratio test. Results: A total of 109 patients were surveyed. The average age of the respondents was 33.6 ± 12.6 years. The majority, 61.5% of the patients, was single. In our study, 37% of individuals had a PHQ-9 score between 5 and 9, which classified them as mild depression. A 6.10 times higher risk (ORaj= 6.10 [1.55-29.0]) of developing mild depression was found in patients with a chronic pathology (diabetes, HBP). Patients with a number of crosses higher than or equal to 3 had a 13.1 times greater risk of being depressed (ORaj= 13.1 [3.90-63.5]). Conclusion: Tuberculosis remains a major public health problem. This study allowed us to highlight the occurrence of depression in people with tuberculosis and the need to integrate a systematically psychological assessment in these people.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Factors Associated with Depression in Tuberculosis Patients in Senegal
    AU  - Mbayang Ndiaye
    AU  - Aurelie Zohra Betty Tessy
    AU  - Mamadou Makhtar Mbacke Leye
    AU  - Ibrahima Seck
    Y1  - 2022/11/10
    PY  - 2022
    N1  - https://doi.org/10.11648/j.cajph.20220806.11
    DO  - 10.11648/j.cajph.20220806.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 217
    EP  - 222
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20220806.11
    AB  - Background: Depression is a psychiatric pathology. This study aims to determine the prevalence and depression-associated factors in patients with tuberculosis. Methodology: A descriptive and analytical cross-sectional study was conducted from April 30th, 2021 to October 30th, 2021. A questionnaire including sociodemographic and clinical characteristics, illness experience and the PHQ-9 scale was used to collect the data. A multivariate analysis was carried out using the R software. All the variables whose p values were less than 0.25 were taken into account. Then, by a top-down procedure, the least significant variables were removed one by one, and the comparison was the likelihood ratio test. Results: A total of 109 patients were surveyed. The average age of the respondents was 33.6 ± 12.6 years. The majority, 61.5% of the patients, was single. In our study, 37% of individuals had a PHQ-9 score between 5 and 9, which classified them as mild depression. A 6.10 times higher risk (ORaj= 6.10 [1.55-29.0]) of developing mild depression was found in patients with a chronic pathology (diabetes, HBP). Patients with a number of crosses higher than or equal to 3 had a 13.1 times greater risk of being depressed (ORaj= 13.1 [3.90-63.5]). Conclusion: Tuberculosis remains a major public health problem. This study allowed us to highlight the occurrence of depression in people with tuberculosis and the need to integrate a systematically psychological assessment in these people.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Psychiatry Department, Ouakam Military Hospital, Dakar, Senegal

  • Department of Preventive Medicine and Public Health, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Preventive Medicine and Public Health, Cheikh Anta Diop University, Dakar, Senegal

  • Department of Preventive Medicine and Public Health, Cheikh Anta Diop University, Dakar, Senegal

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