Poverty, life events and the risk for depression in Uganda


Kinyanda, E; Woodburn, P; Tugumisirize, J; Kagugube, J; Ndyanabangi, S; Patel, V; (2011) Poverty, life events and the risk for depression in Uganda. Social psychiatry and psychiatric epidemiology, 46 (1). pp. 35-44. ISSN 0933-7954 DOI: https://doi.org/10.1007/s00127-009-0164-8

Full text not available from this repository. (Request a copy)

Abstract

Understanding the determinants of major depression in sub-Saharan Africa is important for planning effective intervention strategies. To investigate the social and life-event determinants of major depressive disorder in the African sociocultural context of rural Uganda. A cross-section survey was carried out in 14 districts in Uganda from 1 June 2003 to 30 October 2004. 4,660 randomly selected respondents (15 years and above) were interviewed. The primary outcome was the presence of 'probable major depressive disorder' (PMDD) as assessed by the Hopkins symptom checklist. The prevalence of PMDD was 29.3% (95% confidence interval, 28.0-30.6%). Factors independently associated with depression in both genders included: the ecological factor, district; age (increase with each age category after 35 years); indices of poverty and deprivation (no formal education, having no employment, broken family, and socioeconomic classes III-V). Only a few adverse life events, notably those suggestive of a disrupted family background (death of a father in females and death of a mother in males) were associated with increased risk. Socioeconomic and sociodemographic factors, operating at both ecological and the individual level are the strongest independent determinants of depression. Adverse life events were less strongly associated with depression in this sample.

Item Type: Article
Keywords: Major depressive disorder, Africa, Prevalence, Risk factors, Ecological, factors, COMMON MENTAL-DISORDERS, DELIBERATE SELF-HARM, MAJOR DEPRESSION, AFFECTIONLESS CONTROL, ADULT DEPRESSION, RURAL UGANDA, PREVALENCE, WOMEN, DISADVANTAGE, POPULATION
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Global Mental Health
Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 19916062
Web of Science ID: 286607900005
URI: http://researchonline.lshtm.ac.uk/id/eprint/1148

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
346Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item