Depression, Anxiety, Stress, and Associated Factors among Khat Chewers in Amhara Region, Northwest Ethiopia

Individuals with substance use disorder are prone to develop different psychiatric disorders. Substance abuse and associated problems are of current global concern that leads to mental health disorders which contributed about 14% of the global burden of the disease. It has become an epidemic in some parts of the African region with adolescents being the main victims of the ill health and social effects of substance use. This study is aimed at assessing the prevalence of depression, anxiety, and stress and associated factors among khat chewers in the Amhara region, 2019. A community-based cross-sectional study was done from February 14 to April 15, 2019. A purposive sampling technique was used to enroll the subjects. Data was collected using the face-to-face interview technique using the Depression Anxiety Stress Scale 21 (DASS-21) questionnaire. Descriptive statistics and bivariate and multivariate logistic regression were used to summarize the results. p value < 0.05 was considered statistically significant. A total of 478 participants were enrolled in the study with a response rate of 94.1%. The overall prevalence of depression, anxiety, and stress was 27.4%, 40.6%, and 18.8%, respectively. Around 43% of the respondents develop dependency from khat chewing. Working in a private sector, being self-employed, being jobless, spending 90 to 180 minutes and more, chewing 51-100 g and more, and chewing khat more than once per week were positively associated with stress. On the other hand, being a private sector worker, being jobless, completing secondary education, earning 1001-5000 ETB per month, chewing khat more than once per week, being khat dependent, and the presence of chronic illness were positively associated with anxiety. History of chronic illness and being khat dependent were positively associated with depression. The prevalence of depression, anxiety, and stress was high among khat chewers in the Amhara region. Special attention has to be given to khat chewers since khat chewing will double the burden of mental illness. Proper awareness and evaluation activities will reduce the impact of the problem.

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Khat chewing practice and associated factors among medical students in university of Gondar, Ethiopia, 2019: a cross-sectional study

10.21203/rs.3.rs-19242/v1 ◽

2020 ◽

Author(s):

Tsegaye Adane Birhan ◽

Walelegn Worku ◽

Jember Azanaw ◽

Lamrot Yohannes

Keyword(s):

Medical Students ◽

Associated Factors ◽

Significant Proportion ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Khat Chewing ◽

The Impact

Abstract Background: Globally, khat chewing practice becoming an alarming and common among the youth generation especially in higher educational institutions. It may also leads to frequent misbehavior, poor academic performance and memory impairment among students. This study aimed to determine the prevalence of khat chewing and associated factors among medical students in University of Gondar, Northwest Ethiopia, 2019.Method: An institution-based cross-sectional study was employed on 422 medical students. Data were collected using a self-administered questionnaire and analyzed using SPSS 20 software. Stratified followed by random sampling was employed to select the samples. Multivariable logistic regression model was fitted to identify the predictors. P ≤ 0.05 was used to select statistically significant factors.Result: The current prevalence of khat chewing among medical students was 21.5%. The odds of khat chewing was higher among males [AOR=3.353; 95%CI (1.460-7.701)], Muslims [AOR=6.390; 95%CI (1.903-21.460)], fifth and six year students [AOR= 3.391; 95%CI (1.354-8.488)], smokers [AOR=5.081; 95%CI (1.898-13.601)], alcohol users [AOR=4.872; 95%CI (2.094-11.332)], students who had khat chewer close friends [AOR=30.645; 95%CI (12.261-76.589)].Conclusion: Since a significant proportion of students chew khat, continuous awareness creation on the impact of khat chewing and counseling services are recommended.

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Khat Chewing Practice and Associated Factors among Medical Students in Gondar Town, Ethiopia, 2019

Substance Abuse Research and Treatment ◽

10.1177/1178221821999079 ◽

2021 ◽

Vol 15 ◽

pp. 117822182199907

Author(s):

Tsegaye Adane ◽

Walelegn Worku ◽

Jember Azanaw ◽

Lamrot Yohannes

Keyword(s):

Medical Students ◽

Associated Factors ◽

Significant Proportion ◽

Cross Sectional Study ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Khat Chewing ◽

Current Prevalence ◽

Gondar Town ◽

The Impact

Background: Globally, khat chewing practice becoming an alarming and common among the youth generation, especially in higher educational institutions. It may also lead to frequent misbehavior, poor academic performance, and memory impairment among students. This study aimed to determine the prevalence of khat chewing practice and associated factors among medical students in Gondar town, Ethiopia, 2019. Method: A cross-sectional study was employed on 422 medical students. Data were collected using a self-administered questionnaire and analyzed using SPSS 20 software. Stratified followed by random sampling was employed to select the samples. A multivariable logistic regression model was fitted to identify the predictors. P ⩽ .05 was used to select statistically significant factors. Result: The current prevalence of khat chewing practice among medical students was 21.5%. The odds of khat chewing practice was higher among males (AOR = 3.353; 95%CI [1.460-7.701]), Muslims (AOR = 6.390; 95%CI [1.903-21.460]), fifth and 6 year students (AOR = 3.391; 95%CI [1.354-8.488]), smokers (AOR = 5.081; 95%CI [1.898-13.601]), alcohol users (AOR = 4.872; 95%CI [2.094-11.332]), students who had khat chewer close friends (AOR = 30.645; 95%CI [12.261-76.589]). Conclusion: Since a significant proportion of students were found to be khat chewers, continuous awareness creation on the impact of khat chewing and counseling services are recommended.

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Prevalence and Associated Factors of Depressive Disorder among Prisoners in Mekelle General Prison Center, Tigray, Ethiopia: A Cross-Sectional Study Design

Depression Research and Treatment ◽

10.1155/2021/1942674 ◽

2021 ◽

Vol 2021 ◽

pp. 1-11

Author(s):

Solomon Gidey Welu ◽

Desta Hailu Aregawi ◽

Hagos Tsegabrhan Gebreslassie ◽

Kokob Gebru Kidanu

Keyword(s):

Social Support ◽

Weight Loss ◽

Substance Use ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

History Of

Background. Depression is the most prevalent mental disorder among prisoners and is the second leading cause of disability worldwide. Depression affects more for those who are less educated, female, single, and young prisoners, and worldwide prevalence of depression among prisoners is 10.2% and 14% for male and female prisoners, respectively. However, a study conducted on prevalence of depression and associated factors is scarce in Ethiopia (Tigray) despite there is high magnitude. Methodology. An institution-based cross-sectional study was conducted among randomly selected 414 prisoners in Mekelle General Prison Center. Data were collected from April to May 2019. A structured and standardized data collection tool (PHQ-9) was used. Bivariate and multivariable logistic regression analysis was carried out by SPSS version 20. Statistical significance was determined at P value < 0.05. Result. In this study, 408 prisoners had participated. The prevalence of depression among prisoners was found to be 228 (55.9%; 95% CI: 51.2%, 61%). Being unemployed and student, lifetime substance use, history of child abuse, weight loss in prison, quality of meal in prison, being not happy inside prison, being sentenced for more than six years, and poor and moderate social support were significantly associated with depression. Conclusion. Prevalence of depression among prisoners was found to be high (55.9%). Prisoners who had lifetime substance use, being unemployed and student, history of childhood abuse, weight loss inside prison, being sentenced for more than six years, not happy inside prison, lack of social support, and poor quality of prison meal were more likely to have depression. Thus, giving training to strengthen social support, giving training on how to cope up with prison environment, giving training to scale up a happy life, and improving quality of prison meal as well as mental health service will help to reduce the problem. Conducting interventional study is relevant.

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Prevalence of Depression and Associated Factors among Medical Students in a Southern Nigerian University

Global Journal of Health Science ◽

10.5539/gjhs.v13n12p12 ◽

2021 ◽

Vol 13 (12) ◽

pp. 12

Author(s):

Uzoechi Eze Chikezie ◽

Tamaraemumoemi Emmanuella Okoro

Keyword(s):

Medical Students ◽

Alcohol Use ◽

Associated Factors ◽

Living Arrangement ◽

Psychiatric Morbidity ◽

Female Gender ◽

Depression Anxiety Stress Scale ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Different Levels

INTRODUCTION: Medical students may be vulnerable to depression and other psychiatric morbidity. This study sought to assess the prevalence of depression and associated factors among medical students in Niger Delta University, Bayelsa State, Nigeria. METHODS: Using a self-administered, author-developed questionnaire with adaptations from the Patient-rated version of Mini-International Neuropsychiatric Interview (MINI-PR) and the Depression Anxiety Stress Scale (DASS), data including socio-demographic characteristics, alcohol use/abuse, cigarette smoking, features of depression and anxiety were collected from 243 medical students in this descriptive cross-sectional study over a period of 4months. RESULTS: Of the 243 participants, 52.7% were male, mostly aged 18 to 24 years (67.1%). The incidence of depression, suicidal ideation, alcohol use, and psychoactive substance use as defined by the MINI questionnaire was 30.5%, 14.8%, 14.8%, and 9.9%, respectively. As defined by DASS 21, almost a third suffered different levels of anxiety (29.6%), and less than one-fifth reported different levels of stress (17.7%). Female gender and year of study showed a significant association with the diagnosis of depression (X2=15.75;p–0.008). Living arrangement (X2=11.43;p–0.022), perception of accommodation condition (X2=16.35;p–0.001), academic performance (X2=18.02;p–0.001), and experience of academic failure (X2=5.13;p–0.023) all had a significant relationship with depression among the study population. CONCLUSION: Prevalence of depression among medical students is high; its diagnosis showed a significant association with female gender, year of study, and perception of social and academic factors. Several comorbid psychiatric conditions may coexist with depression among medical students; therefore, the approach to their mental health should be holistic with attention paid to associated factors and psychiatric comorbidities.

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Factors Associated With Cannabis Use During the Reproductive Cycle: A Retrospective Cross-Sectional Study of Women in States With Recreational and Medical Cannabis Legalization

Maternal and Child Health Journal ◽

10.1007/s10995-021-03197-1 ◽

2021 ◽

Author(s):

Danica Loralyn Taylor ◽

Janice F. Bell ◽

Susan L. Adams ◽

Christiana Drake

Keyword(s):

Substance Use ◽

Prenatal Care ◽

Post Partum ◽

Cannabis Use ◽

Provider Education ◽

Substance Use Prevention ◽

Cross Sectional ◽

Factors Associated ◽

Adequacy Of Prenatal Care ◽

The Impact

Abstract Introduction Passage of cannabis laws may impact cannabis use and the use of other substances. The suggested association is of particular concern in pregnant women where exposure to substances can cause harm to both the pregnant woman and fetus. The present study contributes to the minimal literature on factors associated with cannabis use during the preconception, prenatal, and postpartum periods including state legalization status, concurrent use of tobacco and e-cigarettes and adequacy of prenatal care. Methods We conducted a cross-sectional analysis using combined survey data from the 2016–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) collected from 36,391 women. Logistic regression was used to estimate the impact of state-legalization, adequacy of prenatal care, and other substance use on cannabis use during the preconception, prenatal, and post-partum periods. Results In the preconception model, residence in a recreationally legal state (OR: 2.37; 95% CI, 2.04–2.75) or medically legal state (OR:3.32; 95% CI, 2.90–3.80) compared to a non-legal state was associated with higher odds of cannabis use. In the prenatal model, residence in a recreationally legal state was associated with higher odds of cannabis use (OR: 1.51; 95% CI, 1.29–1.79) whereas there was no association with residence in a medically legal state. Tobacco use including e-cigarettes and moderate prenatal alcohol use were also significantly associated with cannabis use. Conclusion Recreational cannabis legalization is associated with the use of cannabis prior to, during, and after pregnancy. Renewed clinical and policy efforts may be warranted to update prenatal substance use prevention programs, educational campaigns, and provider education as cannabis legalization evolves.

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Depression and its associated factors among pregnant women in central Vietnam

Health Psychology Open ◽

10.1177/2055102920988445 ◽

2021 ◽

Vol 8 (1) ◽

pp. 205510292098844

Author(s):

Bao-Yen Luong-Thanh ◽

Lan Hoang Nguyen ◽

Linda Murray ◽

Manuel Eisner ◽

Sara Valdebenito ◽

...

Keyword(s):

Pregnant Women ◽

Associated Factors ◽

Mental Health Problems ◽

Cross Sectional Study ◽

Cross Sectional ◽

Middle Income ◽

Middle Income Countries ◽

Prevalence Of Depression ◽

Patient Health ◽

Quota Sampling

To date, little attention has been given to prenatal depression, especially in low and middle-income countries. The aim of this research was to assess the prevalence of depression and its associated factors amongst pregnant women in a central Vietnamese city. This cross-sectional study included 150 pregnant women from 29 to 40 weeks of gestation, from eight wards of Hue city, via quota sampling from February to May 2019. We employed the Patient Health Questionnaire (PHQ-9) to assess depression. Findings suggest the need to provide routine screening of pregnant women in primary care for depressive symptoms and other mental health problems.

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Prevalence and factors associated to depression among Debrebirhan University students: a cross-sectional study

10.21203/rs.3.rs-776940/v1 ◽

2021 ◽

Author(s):

(MD

Keyword(s):

University Students ◽

Associated Factors ◽

Sampling Technique ◽

Cross Sectional Study ◽

Considerable Proportion ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Debre Birhan

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.

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The effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae: A cross-sectional study

Clinical Rehabilitation ◽

10.1177/02692155211050558 ◽

2021 ◽

pp. 026921552110505

Author(s):

Qi Lu ◽

Dongrui Wang ◽

Li Fu ◽

Xue Wang ◽

LiYa Li ◽

...

Keyword(s):

Chronic Illness ◽

Social Participation ◽

Community Dwelling ◽

Chinese Version ◽

Chinese Patients ◽

Cross Sectional ◽

Stigma Scale ◽

Enacted Stigma ◽

Pearson's Correlation ◽

The Impact

Objective To explore the effect of stigma on social participation in community-dwelling Chinese patients with stroke sequelae. Design A cross-sectional survey study. Setting The study was conducted in two community centres in Tianjin, China. Subjects Community-dwelling Chinese patients with stroke sequelae. Measures Chinese version of Stigma Scale for Chronic Illness, Chinese version of Impact on Participation and Autonomy, Modified Barthel index, Self-Rating Depression Scale, Social Support Rating Scale, Medical Coping Modes Questionnaire, background and disease-related questions. Pearson’s correlation coefficients were computed between stigma and social participation. The impact of stigma on social participation was estimated by hierarchical multiple regression analysis after controlling for demographic, physical and psychosocial characteristics. Results In total, 136 patients with stroke sequelae were included in this study, with a mean age of 67.8 years. The Chinese version of the Stigma Scale for Chronic Illness had a mean score of 48.4 (SD 16.9), and the Chinese version of the Impact on Participation and Autonomy was 67.1 (SD 21.1). Significant correlations were found between stigma and social participation. Pearson’s correlation coefficient ranged from 0.354 to 0.605 ( P < 0.01). Enacted stigma provided a significant explanation for the variance of social participation by 1.1% ( P < 0.05). Felt stigma provided a significant explanation for the variance of social participation by 2.9% ( P < 0.001). Conclusion Felt stigma and enacted stigma have independent associations with social participation. Patients with stroke sequelae who reported higher stigma experienced a lower level of social participation.

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