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PREVALENCE AND CORRELATES OF DEPRESSION AMONG EVER – MARRIED WOMEN IN A COASTAL PANCHAYAT OF RURAL THIRUVANANTHAPURAM
Background: Depression results in much disability, causes premature mortality either from physical disorders or from suicide and is twice more common among women than men. Kerala has one of the highest suicide rates in India. Studies on depression are very limited among young adult women, especially...
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| Format: | Printed Book |
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THIRUVANANTHAPURAM,
ACHUTHA MENON CENTRE FOR HEALTH SCIENCE STUDIES SREE CHITRA TIRUNAL INSTITUTE FOR MEDICAL SCIENCES AND TECHNOLOGY,
2012
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| Online Access: | http://10.26.1.76/ks/005446.pdf |
| Summary: | Background: Depression results in much disability, causes premature mortality either
from physical disorders or from suicide and is twice more common among women than
men. Kerala has one of the highest suicide rates in India. Studies on depression are very
limited among young adult women, especially in coastal regions of Kerala which are
frequented by floods with dislocation of households. Therefore this study was conducted
with an objective to find the prevalence of depression and its associated factors among
ever – married women of a coastal grama panchayat in rural Thiruvananthapuram.
Methods: A cross sectional survey was carried out among 450 ever – married women (18
– 45 years) selected using multistage cluster sampling. Information on socio-demographic
variables, health and reproduction related factors were collected using a pre-tested
structured interview schedule. Patient Health Questionnaire 9 depression scale was used
to screen for depression and those screened were classified as depressed and not
depressed using the score of ten as the cut off. Stepwise backward multiple logistic
regression analysis was done to find the predictors of depression.
Results: The point prevalence of depression was 24.9 percent. Odds to have screened
positive for depression of women aged 30 years and above was more than two times
[Odds ratio (OR) 2.61;95 percent Confidence Interval (CI)1.39 – 4.92], those who
received education above primary level was half (OR 0.57;CI 0.33 – 0.97), those having
gynaecological morbidity was almost three times (OR 2.76;CI 1.68 – 4.52), those who
experienced violence from partner in the past one month was almost two times (OR
1.81;CI 1.06 – 3.10) and those whose partners had substance abuse, more than two times
(OR 2.62;CI 1.34 – 5.12) compared to their counterparts.
Conclusion: Nearly one fourth of the women screened positive for depression which is at
a high magnitude keeping in view the prevalence rate of the country and the global estimates. Having any reproductive morbidity, recent experience of domestic violence
and substance abuse by husband are found to be associated with depression. Social
support at times of need and education above primary level are found to be protective.
Efforts to combat the negative factors, measures to encourage education of girls beyond
secondary school level and to nurture and enhance community and caregiver support
groups may help reduce the prevalence of depression among women in this region. |
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| Item Description: | DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF THE DEGREE OF MASTER OF PUBLIC HEALTH |