Background
Help seeking tendency
Methods and materials
Study area and period
Participants
Measurements
Data collection procedures and instruments
Data collectors’ selection and training
Data quality management
Data processing and analysis
Ethical considerations
Results
Socio-demographic characteristics of study subjects
Factors | Frequency | |
---|---|---|
Number (n = 339) | Percent | |
Sex | ||
Male | 159 | 46.9 |
Female | 180 | 53.1 |
Age of the respondent | ||
18–27 | 45 | 13.3 |
28–37 | 48 | 14.2 |
38–47 | 55 | 16.2 |
48–57 | 55 | 16.2 |
58–67 | 81 | 23.9 |
≥ 68 | 55 | 16.2 |
Occupation | ||
Farmer | 172 | 50.7 |
Unemployed | 67 | 19.8 |
Housewife | 29 | 8.6 |
Merchant | 23 | 6.8 |
Employed | 18 | 5.3 |
Daily laborer | 8 | 2.4 |
Retired | 13 | 3.8 |
Othersa | 9 | 2.7 |
Income of the respondent (Birr) | ||
< 900 | 84 | 24.8 |
900–2999 | 75 | 22.1 |
3000–9999 | 85 | 25.1 |
≥ 10,000 | 95 | 28.0 |
Marital status | ||
Married | 259 | 76.4 |
Othersb | 80 | 23.6 |
Oromo | 262 | 77.3 |
Ethnicity | ||
Amhara | 37 | 10.9 |
Yem | 16 | 4.7 |
Gurage | 8 | 2.4 |
Othersc | 16 | 4.8 |
Religion | ||
Muslim | 255 | 75.2 |
Orthodox | 71 | 20.9 |
Protestant | 13 | 3.8 |
Attending place of worship | ||
Daily | 119 | 35.1 |
2–3 times per week | 45 | 13.3 |
Once per week | 150 | 44.2 |
Less than a week | 25 | 7.3 |
Illiterate | 180 | 53.1 |
Educational level | ||
Able to read and write only | 68 | 20.1 |
Formal education | 91 | 26.8 |
Illness related characteristic of cardiovascular patient outpatient cardiac clinic
Factors | Frequency (n = 33 9) | Percent |
---|---|---|
History of suicidal thought | ||
Yes | 24 | 7.1 |
No | 315 | 92.9 |
Suicidal ideation | ||
Yes | 41 | 12.1 |
No | 298 | 87.9 |
Comorbidity other than heart disease | ||
Yes | 168 | 49.6 |
No | 174 | 50.4 |
Diagnosis | ||
HHD | 118 | 34.8 |
IHDa | 95 | 28.0 |
Cardiomyopathy | 48 | 14.2 |
VHD/RF | 34 | 10.0 |
DHD | 29 | 8.6 |
Cor-plumonary | 10 | 2.9 |
Othersb | 5 | 1.5 |
Duration of CVD disease | ||
< 1 year | 82 | 24.2 |
1–3 years | 90 | 26.5 |
4–5 years | 70 | 20.6 |
6–7 years | 44 | 13.0 |
≥ 7 years | 53 | 15.6 |
Psycho-social and behavioral factors
Factors | Frequency (n = 339) | Percent |
---|---|---|
Living condition | ||
With family | 304 | 89.7 |
Live alone | 24 | 7.1 |
Othera | 11 | 3.3 |
Social support | ||
Poor | 132 | 38.9 |
Moderate | 130 | 38.3 |
Good | 77 | 22.7 |
Information about MI | ||
Yes | 216 | 63.7 |
No | 123 | 36.3 |
Neighborhood | 92 | 42.6 |
MI information source | ||
From religious leaders | 33 | 15.3 |
From mass media | 91 | 42.1 |
Presence of other mental illness in the family | ||
Yes | 65 | 19.2 |
No | 274 | 80.8 |
Awareness of MH service availability Hospital | ||
Yes | 204 | 60.2 |
No | 135 | 39.8 |
Cause of MI | ||
Evil or bad sprit | 37 | 10.90% |
Stress life events | 152 | 44.80% |
Genetic predisposition | 42 | 10.90% |
More than one of the above | 108 | 31.90% |
Fear stigma from the public | ||
Yes | 22 | 11.3 |
No | 173 | 88.7 |
Life time cigrate use | ||
Yes | 30 | 8.8 |
No | 309 | 91.2 |
Current cigrate use | ||
No | 325 | 95.9 |
Yes | 14 | 4.1 |
Life time alcohol use | ||
Yes | 41 | 12.1 |
No | 298 | 87.9 |
Current alcohol use | ||
No | 320 | 94.4 |
Yes | 19 | 5.6 |
Prevalence of help seeking behavior for depression among cardiovascular patients
Help seeking behavior associated with socio-demographic factors
Factors | Help seeking | COR (95%CI) | P-value | |
---|---|---|---|---|
Yes | No | |||
Sex | ||||
Male | 42 (44.7%) | 52 (55.3%) | 2.74 (1.47–5.08) | 0.001 |
Female | 23 (22.8%) | 78 (77.2%) | Ref | |
Age of respondent | ||||
18–27 | 5 (20.8%) | 19 (79.2%) | 0.32 (0.1–0.99) | 0.49 |
28–37 | 7 (20.6%) | 27 (79.4%) | 0.31 (0.11–0.86) | 0.025 |
38–47 | 10 (40.0%) | 15 (60.0%) | 0.8 (0.0.29–2.16) | 0.66 |
48–57 | 9 (27.3%) | 24 (72.2%) | 0.45 (0.17–1.18) | 0.1 |
58–67 | 20 (45.5%) | 24 (54.5%) | Ref | |
≥ 68 | 14 (40.0%) | 21 (60.0%) | 0.8 (0.32–1.96) | 0.63 |
Marital status | ||||
Married | 53 (36.3%) | 93 (63.7%) | Ref | |
Othersa | 12 (24.5%) | 37 (75.5%) | 0.57 (0.27–1.18) | 0.13 |
Ethnicity | ||||
Oromo | 53 (34.6%) | 100 (65.4%) | Ref | |
Amhara | 5 (26.3%) | 14 (73.7%) | 0.67 (0.23–1.97) | 0.47 |
Othersb | 7 (30.4%) | 16 (69.6%) | 0.82 (0.32–2.13) | 0.69 |
Religion | ||||
Muslim | 53 (34.6%) | 100 (65.4%) | Ref | |
Christian | 12 (28.6%) | 30 (71.4%) | 0.75 (0.36–1.59) | 0.46 |
Attending place of worship | ||||
Daily | 24 (33.8%) | 47 (66.2%) | 1.33 (0.67–2.65) | 0.41 |
2–3 times per week | 11 (42.3%) | 15 (57.7%) | 1.91 (0.77–4.77) | 0.16 |
Once per week | 23 (27.7%) | 60 (72.3%) | Ref | |
Less than per week | 7 (46.7%) | 8 (53.3%) | 2.28 (0.74–7.01) | 0.15 |
Educational level | ||||
Illiterate | 35 (32.7%) | 72 (67.3%) | 1.55 (0.70–3.40) | 0.27 |
Able to read and write only | 11 (23.9%) | 35 (76.1%) | Ref | |
Formal education | 19 (45.2%) | 23 (54.8%) | 2.63 (1.10–6.53) | 0.037 |
Annual income of respondent (Birr) | ||||
Less than 900 | 14 (27.5%) | 37 (72.5%) | Ref | |
900–2999 | 12 (27.9%) | 31 (72.1%) | 1.02 (0.413–2.53) | 0.96 |
3000–9999 | 16 (32.0%) | 34 (68.0%) | 1.24 (0.53–2.93) | 0.61 |
≥ 10,000 | 23 (45.1%) | 28 (54.9%) | 2.17 (0.95–4.96) | 0.06 |
Occupation | ||||
Unemployed | 10 (18.2%) | 45 (81.8%) | Ref | |
Employed | 7 (38.9%) | 11 (61.1%) | 2.86 (0.89–9.22) | 0.07 |
Farmer | 41 (42.7%) | 55 (57.3%) | 3.35 (1.51–7.43) | 0.003 |
Othersc | 7 (26.9%) | 19 (73.1%) | 1.66 (0.55–5.00) | 0.37 |
Residence | ||||
Rural | 40 (32.2% | 84 (67.7%) | Ref | 0.67 |
Urban | 25 (35.2%) | 46 (64.8%) | 1.14 (0.62–2.11) |
Help sought for depression associated with illness-related, psycho-social and behavioral factors
Illness related factors
Factors | Help seeking | COR (95%CI) | p-value | |
---|---|---|---|---|
Yes | No | |||
History of suicidal attempt | ||||
Yes | 8 (42.1%) | 11 (57.9%) | Ref | |
No | 57 (32.4%) | 119 (67.6%) | 0.66 (0.25–1.73) | 0.34 |
Suicidal ideation | ||||
Yes | 19 (51.4%) | 18 (48.6%) | 2.57 (1.24–5.33) | |
No | 46 (29.1%) | 112 (70.9%) | Ref | 0.01 |
Co morbidity medical illness other than heart disease | ||||
Yes | 31 (31.9%) | 66 (68.1%) | Ref | |
No | 34 (34.7%) | 64 (65.3%) | 1.13 (0.62–2.05) | 0.68 |
Duration of CVD illness | ||||
< 1 year | 12 (27.9%) | 31 (72.1%) | 0.57 (0.24–1.35) | 0.20 |
1–3 years | 21 (40.4%) | 31 (59.4%) | Ref | |
3–5 years | 16 (39.0%) | 25 (61.0%) | 0.94 (0.41–2.18) | 0.89 |
5–7 years | 9 (32.1%) | 19 (67.9%) | 0.47 (0.26–1.84) | 0.47 |
> 7 years | 7 (22.6%) | 24 (77.4%) | 0.43 (0.16–1.18) | 0.10 |
Severity of depression | ||||
Mild | 29 (27.9%) | 75 (72.1%) | Ref | |
Moderate | 25 (36.8%) | 43 (63.2%) | 1.50 (0.78–2.89) | 0.22 |
Sever | 11 (47.8%) | 12 (52.2%) | 0.06 (2.37–0.94) | 0.06 |
Functionality impairment | ||||
No difficulty | 18 (25.0%) | 54 (75.0%) | Ref | |
Somewhat difficult | 20 (29.0%) | 49 (71.0%) | 1.22 (0.58–2.58) | 0.6 |
Very difficult | 21 (48.8%) | 22 (51.2%) | 2.86 (1.28–6.38) | 0.01 |
Extremely difficult | 6 (54.5%) | 5 (45.5%) | 3.6 (0.98–13.22) | 0.05 |
Previous consultation | ||||
Yes | 30 (66.7%) | 15 (33.3%) | Ref | |
No | 35 (23.3%) | 115 (76.7%) | 0.15 (0.07–0.32) | 0.001 |
Psycho-social and behavioral factors
Factors | Help seeking | COR (95%CI) | p-value | |
---|---|---|---|---|
Yes | No | |||
Living condition | ||||
With family | 60 (34.5%) | 114 (65.5%) | Ref | |
Othersa | 5 (23.8%) | 16 (76.2%) | 1.68 (0.59–4.80) | 0.33 |
Social support | ||||
Poor | 23 (26.4%) | 64 (73.6%) | 2.45 (1.16–5.16) | 0.019 |
Moderate | 20 (32.8%) | 41 (67.2%) | 1.80 (0.82–3.95) | 0.14 |
Strong | 22 (46.8%) | 25 (53.2%) | Ref | |
Information mental illness | ||||
Yes | 45 (38.8%) | 71 (61.2%) | Ref | |
No | 20 (25.3%) | 59 (74.7%) | 1.87 (1.02–3.51) | 0.051 |
Source of information about mental illness | ||||
Neighborhood | 22 (38.6%) | 35 (61.4%) | 0.88 (0.32–1.97) | 0.75 |
Religious leader | 7 (41.2%) | 10 (58.8%) | 0.79 (0.25–2.47) | 0.68 |
Mass media | 16 (35.6%) | 29 (64.4) | Ref | |
I did not hear information | 20 (26.3%) | 56 (73.7%) | 1.54 (0.69–3.42) | 0.28 |
Presence of mental illness in the family | ||||
Yes | 28 (65.1%) | 15 (34.9%) | Ref | 0.001 |
No | 37 (24.3%) | 115 (75.7%) | 5.8 (2.8–12.02) | |
Availability of MI service in this hospital | ||||
Yes | 43 (39.4%) | 66 (60.6%) | Ref | 0.04 |
No | 22 (25.6%) | 64 (74.4%) | 2.0 (1.02–3.52) | |
Believe of respondent about Case of MI | ||||
Bad/evil sprit | 6 (35.3%) | 11 (64.7%) | 1.10 (0.36–3.32) | 0.87 |
Stress | 27 (31.4%) | 59 (68.8%) | 1.31 (0.68–2.52) | 0.42 |
Genetic predisposition | 5 (25.0%) | 15 (75.0%) | 1.80 (0.58–5.51) | 0.3 |
More than one of the above | 27 (37.5%) | 45 (62.5%) | Ref | |
Life time cigarette use | ||||
Yes | 10 (47.6%) | 11 (52.4%) | 0.58 (0.20–1.27) | 0.15 |
No | 55 (31.6%) | 119 (68.4%) | Ref | |
Current cigarette use | ||||
No | 60 (32.8%) | 124 (67.2) | Ref | |
Yes | 5 (41.7%) | 6 (58.3%) | 0.58 (0.17–1.98) | 0.38 |
Life time alcohol use | ||||
Yes | 9 (47.4%) | 10 (52.6%) | 0.52 (0.20–2.34) | 0.48 |
No | 56 (31.8%) | 120 (66.7%) | Ref | |
Current alcohol use | ||||
No | 60 (32.8%) | 123 (67.2%) | Ref | |
Yes | 5 (41.7%) | 7 (58.3%) | 0.68 (0.21–2.24) | 0.53 |
Life time khat use | ||||
Yes | 24 (43.6%) | 31 (56.4%) | 0.54 (0.21–1.02) | 0.05 |
No | 41 (29.3%) | 99 (70.7%) | Ref | |
Current khat use | ||||
No | 60 (33.1%) | 121 (66.9%) | Ref | |
Yes | 5 (35.7%) | 9 (64.3%) | 0.89 (0.29–2.78) | 0.85 |
Pattern of help seeking of depressed cardiovascular patients
Help source | Frequency | % |
---|---|---|
Informal help source | ||
Traditional healer | 47 | 27.3% |
Relatives | 25 | 14.2% |
Husband/wife/intimate partner | 30 | 17.0% |
Minister/religious leader | 30 | 17.0% |
Neighbor | 13 | 7.4% |
Parent | 10 | 5.7% |
Total | 156 | 88.6% |
Formal help source | ||
Mental health professional | 3 | 1.8% |
Doctor/GP or other health | 17 | 9.6% |
Professional | 20 | 11.4% |
Total |
Associated factors with seeking any form of help
Factors that associated with help seeking behavior for depression in first model analysis among depressive case of cardiovascular patient JUTH
Factors that associated with help seeking behavior for depression in final model
Factors | Help seeking | COR (95% CI) | AOR (95% CI) | |
---|---|---|---|---|
yes | No | |||
Occupation | ||||
Unemployed | 10 (18.2%) | 45 (81.8%) | Ref | Ref |
Employed | 7 (38.9%) | 11 (61.1%) | 2.86 (0.89–9.22) | 2.07 (0.39–10.87) |
Farmer | 41 (42.7%) | 55 (57.3%) | 3.35 (1.51–7.43) | 4.24 (1.30–13.78) |
Othersa | 7 (26.9%) | 19 (73.1%) | 1.66 (0.55–5.00) | 0.40 (0.08–1.96) |
Educational level | ||||
Illiterate | 35 (32.7%) | 72 (67.3%) | 2.52 (0.84–7.53) | 2.52 (0.84–7.53) |
Read and write only | 11 (23.9%) | 35 (76.1%) | Ref | Ref |
Formal education | 19 (45.2%) | 23 (54.8%) | 7.59 (2.13–27.11) | 7.59 (2.13–27.11) |
MI in the family | ||||
Yes | 28 (65.1%) | 15 (34.9%) | 5.8 (2.8–12.02) | 7.33 (2.72–19.8) |
No | 37 (24.3%) | 115 (75.7) | Ref | Ref |
Awareness of MI service in this hospital | ||||
Yes | 43 (39.4%) | 66 (60.6%) | 1.89 (1.02–3.51) | 3.15 (1.3–7.69) |
No | 22 (25.6%) | 64 (74.4%) | Ref | Ref |
Suicidal ideation | ||||
Yes | 19 (51.4%) | 18 (48.6%) | 2.57 (1.23–5.33 | 4.0 (1.33–12.03) |
No | 46 (29.1%) | 112 (70.9% | Ref) | Ref |
Distress felt by patients | ||||
No difficulty | 18 (25.0%) | 54 (75.0%) | Ref | Ref |
Somewhat difficult | 20 (29.0%) | 49 (71.0%) | 1.22 (0.58–2.58) | 1.45 (0.55–3.85) |
Very difficult | 21 (48.8%) | 22 (51.2%) | 2.86 (1.28–6.38) | 4.98 (1.50–16.50) |
Extremely difficult | 6 (54.5%) | 5 (45.5%) | 3.6 (0.98–13.22) | 2.99 (0.36–24.90) |
Previous consultation | ||||
Yes | 30 (66.7%) | 15 (33.3%) | Ref | Ref |
No | 35 (23.3%) | 115 (76.7) | 0.15 (0.07–0.32) | 0.13 (0.04–0.34) |