Epidemiology of depression in primary care: Findings from the Mental Health in Primary Care (MeHPriC) project, Lagos, Nigeria
| Autor: | Olabanji Adesoji, Dapo Adegbaju, Adedayo Adegbokun, Olushola Olibamoyo, Tolu Ajomale, Tomilola Adewumi, Abiodun O. Adewuya, Olufisayo Momodu, Olabisi Oladipo |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Nigeria Primary care Young Adult 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Humans 030212 general & internal medicine Depression (differential diagnoses) Depressive Disorder Major Primary Health Care Depression business.industry Middle Aged Mental health 030227 psychiatry Psychiatry and Mental health Mental Health Family medicine Female business |
| Zdroj: | The International Journal of Psychiatry in Medicine. 57:6-20 |
| ISSN: | 1541-3527 0091-2174 |
| DOI: | 10.1177/0091217421996089 |
| Popis: | Objective To estimate the rate and correlates of depression in primary care using data from the Mental Health in Primary Care (MeHPriC) project, Lagos, Nigeria. Methods Adult attendees (n=44,238) of 57 primary care facilities were evaluated for depression using the Patient Health Questionnaire (PHQ-9). Apart from the socio-demographic details, information was also collected regarding the use of alcohol and other psychoactive substances, presence of chronic medical problems, level of functionality, and perceived social support. Anthropometrics measures (weight and height) and blood pressure were also recorded. Results A total of 27,212 (61.5%) of the participants were females. There were 32,037 (72.4%) participants in the age group 25-60 years. The rate of major depression (PHQ-9 score 10 and above) was 15.0% (95% CI 14.6–15.3). The variables independently associated with depression include age 18–24 years (OR 1.69), female sex (OR 2.39), poor social support (OR 1.14), having at least one metabolic syndrome component (OR 1.57), significant alcohol use (OR 1.13) and functional disability (OR 1.38). Conclusion Our study showed that the rate of depression in primary care in Nigeria is high. Screening for all primary care attendees for depression will be an important step towards scaling up mental health services in Nigeria and other developing countries. |
| Databáze: | OpenAIRE |
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