Prevalence and correlates of depression and substance use disorders in emergency department populations: A cross-sectional study at East Africa's largest public hospital
African journal of emergency medicine (Print)
; 12(4): 307-314, 2022. tables
Artigo
em Inglês
| AIM
| ID: biblio-1401818
Biblioteca responsável:
CG1.1
ABSTRACT
Introduction There are persistent gaps in screening, identification, and access to care for common mental disorders in Low- and Middle-Income Countries. An initial step towards reducing this gap is identifying the prevalence, co-morbidities, and context of these disorders in different clinical settings and exploring opportunities for intervention. This study evaluates the prevalence and correlates of depression and substance use disorders among adults presenting to the Emergency Department (ED) of a major national hospital in East Africa. Methods This study utilized the World Health Organization's STEPwise Approach to Surveillance (WHO-STEPS) tool and the Patient Health Questionnaire (PHQ-9) to conduct a cross-sectional survey capturing socio-demographic data, tobacco, and alcohol use and rates of depression in a sample of adults presenting to the ED. Bivariate and multivariate analyses were conducted for each outcome of interest and socio-demographics. Results Of 734 respondents, 298 (40.6%) had a PHQ-9 score in the "moderate" to "severe" range indicative of major depressive disorder. About 17% of respondents endorsed current tobacco use while about 30% reported being daily alcohol users. Those with high PHQ-9 score had higher odds of reporting current tobacco use ("severe range" = adjusted odds ratio (aOR) 1.85, 95% CI 1.05, 3.26). Those with a "severe" PHQ-9 scores were 9 times (aOR 2.3-35.3) more likely to be daily drinkers. Conclusions Screening and identification of people with depression and substance use disorders in the ED of a large national hospital in Kenya is feasible. This offers an opportunity for brief intervention and referral to further treatment
Texto completo
- https://www.sciencedirect.com/science/article/pii/S2211419X2200043X/pdfft?md5=c6c6c8b13ccfe0cc1a1eacfaa7a9b5bb&pid=1-s2.0-S2211419X2200043X-main.pdf
- https://indexmedicus.afro.who.int/iah/fulltext/Factors influencing willingness to intervene as bystanders among adult residents living in crash-prone areas in the Ashanti region of Ghana.pdf
- https://fi-admin.bvsalud.org/document/view/vvzqg
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Nicotiana
/
Saúde Mental
Tipo de estudo:
Estudo observacional
/
Estudo de prevalência
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
African journal of emergency medicine (Print)
Ano de publicação:
2022
Tipo de documento:
Artigo
Instituição/País de afiliação:
Department of Emergency Medicine, Mayo Clinic, Rochester/US
/
Department of Emergency Medicine, Yale University School of Medicine, New Haven/US
/
Department of History of Science, Medicine and Public Health, Yale College, New Haven/US
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Department of Psychiatry, Yale University School of Medicine, New Haven/US
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Dornsife School of Public Health, Drexel University, Philadelphia, PA/US
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Yale Center for Analytical Sciences, Yale University School of Public Health, New Haven/US
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Yale University School of Nursing, New Haven/US
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