RESUMO
BACKGROUND: Depression is a significant contributor to the global burden of disease. Several studies have shown that depression in resident doctors is more common than that in the general population. However, data on the prevalence of depression among resident doctors in Nigeria is limited. OBJECTIVES: The aim of this study is to determine the prevalence of depression as well as factors associated with depression among resident doctors. METHODS: A cross-sectional study design was employed with semi-structured questionnaires on socio-demographic and other factors associated with depression in resident doctors. The proportionate sample size in hospitals across the six geopolitical zones with multi-stage sampling and systematic random sampling technique was used to recruit resident doctors. The Beck's Depression Inventory was employed. The data was analyzed using Epi info version 3.5.3 (2011) and Stata 14. A p-value of less than 0.05 was statistically significant. RESULTS: The prevalence of depression was 18.9% among the resident doctors. Negative binomial regression used showed that depression in resident doctors was significantly associated with age (IRR=1.07, 95%CI:1.01-1.13, p=0.017), female gender ((IRR=1.75, 95%CI: 1.00-3.05, p=0.049) and being a resident in the surgical specialties (IRR=2.31, 95%CI: 1.35-3.94, p=0.002), respectively. CONCLUSION: The prevalence of depression among resident doctors showed that older age, female gender, and surgical specialties were determinants of depression.
CONTEXTE: La dépression contribue de façon importante à la charge mondiale de morbidité. Plusieurs études ont montré que la dépression chez les médecins résidents est plus fréquente que dans la population générale. Cependant, les données sur la prévalence de la dépression chez les médecins résidents au Nigéria sont limitées. OBJECTIFS: Le but de cette étude est de déterminer la prévalence de la dépression ainsi que les facteurs associés à la dépression chez les médecins résidents. MÉTHODES: Un plan d'étude transversal a été utilisé avec des questionnaires semi-structurés sur les facteurs sociodémographiques et autres associés à la dépression chez les médecins résidents. La taille proportionnelle de l'échantillon dans les hôpitaux des six zones géopolitiques avec un échantillonnage en plusieurs étapes et une technique d'échantillonnage aléatoire systématique a été utilisée pour recruter des médecins résidents. L'inventaire de la dépression de Beck a été utilisé. Les données ont été analysées à l'aide d'Epi info version 3.5.3 (2011) et stata 14. Une valeur de p inférieure à 0,05 était statistiquement significative. RÉSULTATS: La prévalence de la dépression était de 18,9 % chez les médecins résidents. La régression binomiale négative utilisée a montré que la dépression chez les médecins résidents était significativement associée à l'âge (TRI = 1,07, IC à 95 %: 1,01-1,13, p = 0,017), au sexe féminin (IRR = 1,75, IC à 95%: 1,00-3,05, p = 0,049) et au fait d'être résident dans les spécialités chirurgicales (TRI = 2,31, IC à 95%: 1,35-3,94, p = 0,002), respectivement. CONCLUSION: La prévalence de la dépression chez les médecins résidents a montré que l'âge avancé, le sexe féminin et les spécialités chirurgicales étaient des déterminants de la dépression. Mots-clés: Dépression, Médecins, Géopolitique, Beck.
Assuntos
Depressão , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Nigéria/epidemiologia , Prevalência , Inquéritos e QuestionáriosRESUMO
INTRODUCTION: This study was undertaken to assess the prevalence and predominant causes of low back pain (LBP) among peasant farmers in Ebubu community in South-south Nigeria. METHODS: This was a community based cross-sectional study of 310 consenting, adult, full-time farmers, recruited using a two-stage cluster sampling scheme developed by WHO. Specially trained community health extension workers interviewed participants using a pre-tested questionnaire designed by the authors to solicit information on defined LBP. Socio-demographic characteristics were also obtained. A clinical history was recorded, including: duration of LBP and mode of onset, pain severity, knowledge of LBP causes and care-seeking practices. Participants' BMI were calculated. Data were entered into Microsoft Excel and analyzed using the Statistical Package for Social Sciences v15 (www.spss.com). RESULTS: Of the 310 apparently healthy farmers (age range 18-58 years [mean 36.71±8.98]; 132 males) sampled, 208 had LBP (67.10%). Low back pain was more prevalent in the 31-40 years age group (49.04%), females (50.96%), those who were non-obese (68.95%) or tall (73.2%) and those who had practiced farming for a long duration. Severe LBP was significantly (p<0.05) linked to aging (51-60 years group), low BMI and those above average height (1.60 m). CONCLUSION: This study indicates that LBP is a prevalent health problem among rural peasant farmers. It was more prevalent in the middle-aged groups, and among females, the non-obese and tall individuals, and those who had been farming for a long duration. Severe LBP was linked to aging, high BMI and those above average height.
