埃塞俄比亚东部囚犯中抑郁症的流行程度及相关因素，监狱委员会

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100865

Jerman Dereje , Magarsa Lami , Shimelis Tilahun , Dawit Abdi , Abera Cheru , Kidist Mehari Azene , Bethelem Fekadeselassie Lemma , Olifan Getachew Wakjira

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引用次数: 0

摘要

抑郁症影响着全世界的每一个人群，在世界范围内的疾病负担中起着重要作用。被监禁的人特别容易患抑郁症。目的：本研究旨在评估埃塞俄比亚东部监狱委员会囚犯中抑郁症的患病率，确定抑郁症的危险因素，并描述抑郁症的症状和体征。方法：研究于2022年5月至6月在埃塞俄比亚东部监狱委员会进行。采用简单的随机选择方法选择了210名囚犯。贝克抑郁量表II （BDI II）共有21个条目，截断点为11或更高，用于测量抑郁。通过有组织的问卷调查，收集了有关行为方面、感知总体幸福感、人口统计学特征和监狱环境变量的信息。使用社会科学统计软件包（SPSS）第25版分析数据。为了找到抑郁症的决定因素，采用了多变量逻辑回归。结果61.9%的人患有抑郁症（95% CI: 55.2%, 68.6%）。抑郁症与患有慢性疾病（AOR = 2.73, 95% CI:1.31, 5.23）、有自杀念头（AOR = 2.13, 95% CI:1.03, 4.86）、社会支持不足（AOR = 2.91, 95% CI:1.03, 6.24）、年龄在18 - 25岁之间（AOR = 7.72, 95% CI:1.64, 8.45）、年龄在26 - 36岁之间（AOR = 5.28, 95% CI:1.08, 6.81）显著相关。结论刑满释放人员中存在明显的抑郁患病率。在所有囚犯中，轻度抑郁症患者占27.1%，中度抑郁症患者占25.7%，重度抑郁症患者占8.1%，重度抑郁症患者仅占1%。患有慢性疾病、缺乏社会支持、在监狱中有自杀念头以及年龄在18-25岁至26-33岁之间的人被发现与抑郁症有关。因此，对于有自杀企图史、缺乏社会支持或在监禁期间患有慢性疾病的囚犯，哈拉里地区监狱委员会管理部门必须与负责任的政府和非政府组织合作，对抑郁症进行更好的早期筛查和治疗。

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Prevalence of depression and associated factors among prisoners at the eastern Ethiopia, Prison Commission

Background

Depression affects every population worldwide and plays a major role in the burden of diseases worldwide. People who are imprisonedare especially susceptible to depression.

Objectives

This study was aimed to assess the prevalence of depression, identify risk factors for depression, and characterize the signs and symptoms of depression among inmates at the eastern Ethiopia, Prison Commission.

Methods

The study was carried out between May and June of 2022 in eastern Ethiopia, Prison Commission. A simple random selection method was employed to choose 210 inmates. The 21-item Beck Depression Inventory II (BDI II), with a cut point of eleven or higher, was used to measure depression. Information on behavioral aspects, perceived general well-being, demographic characteristics, and jail context variables was gathered using an organized questionnaire trained interviewers gathered the information. The data was analyzed using version 25 of the Statistical Package of Social Science (SPSS). To find determinants of depression, multivariable logistic regression was employed.

Results

According to the study, 61.9 % of people had depression (95 % CI: 55.2, 68.6 %). Depression was significantly correlated with having a chronic medical condition (AOR = 2.73 95 % CI:1.31, 5.23), having suicidal thoughts (AOR = 2.13, 95 %CI:1.03, 4.86), having inadequate social support (AOR = 2.91, 95 %CI:1.03, 6.24), being between the ages of 18 and 25 (AOR = 7.72, 95 %CI:1.64, 8.45), and being between the ages of 26 and 36 (AOR = 5.28, 95 %CI:1.08, 6.81).

Conclusion

This study indicates that there is a notably high prevalence of depression among convicts. Among all inmates, mild depression affected 27.1 %, moderate depression affected 25.7 %, which severe depression affected 8.1 %, and extreme depression affected just 1 %.Having chronic medical illness, poor social support, suicidal ideation in prison, and being between the ages of 18–25 and 26–33 years were found to be associated with depression. Therefore, inmates who have a history of suicide attempts, lack social support, or have a chronic medical condition that coexists with their imprisonment must have better early screening and treatment for depression by the Harari Regional Prison Commission’s administration in partnership with responsible governmental and non-governmental organizations.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.