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Comparative Study
. 2011 Jan;46(1):35-44.
doi: 10.1007/s00127-009-0164-8. Epub 2009 Nov 16.

Poverty, life events and the risk for depression in Uganda

Eugene Kinyanda  1 , Patrick Woodburn, Joshua Tugumisirize, Johnson Kagugube, Sheila Ndyanabangi, Vikram Patel
Affiliations
Comparative Study

Poverty, life events and the risk for depression in Uganda

Eugene Kinyanda et al. Soc Psychiatry Psychiatr Epidemiol. 2011 Jan.

Abstract

Background: Understanding the determinants of major depression in sub-Saharan Africa is important for planning effective intervention strategies.

Objective: To investigate the social and life-event determinants of major depressive disorder in the African sociocultural context of rural Uganda.

Methods: A cross-section survey was carried out in 14 districts in Uganda from 1 June 2003 to 30 October 2004. 4,660 randomly selected respondents (15 years and above) were interviewed. The primary outcome was the presence of 'probable major depressive disorder' (PMDD) as assessed by the Hopkins symptom checklist.

Results: The prevalence of PMDD was 29.3% (95% confidence interval, 28.0-30.6%). Factors independently associated with depression in both genders included: the ecological factor, district; age (increase with each age category after 35 years); indices of poverty and deprivation (no formal education, having no employment, broken family, and socioeconomic classes III-V). Only a few adverse life events, notably those suggestive of a disrupted family background (death of a father in females and death of a mother in males) were associated with increased risk.

Conclusion: Socioeconomic and sociodemographic factors, operating at both ecological and the individual level are the strongest independent determinants of depression. Adverse life events were less strongly associated with depression in this sample.

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Figures

Figure 1
Figure 1
Conceptual framework based on the stress-diathesis model for depression
See this image and copyright information in PMC

References

    1. Atwine B, Cantor-Graae E, Bajunirwe F. Psychological distress among AIDS orphans in rural Uganda. Soc Sci Med. 2005;61:555–564. - PubMed
    1. Bolton P, Neugebauer R, Ndogoni L. Prevalence of depression in rural Rwanda based on symptom and functional criteria. J Nerv Ment Dis. 2002;190:631–637. - PubMed
    1. Bolton P, Wilk CM, Ndogoni L. Assessment of depression prevalence in rural Uganda using symptom and function criteria. Soc Psychiatry Psychiatr Epidemiol. 2004;39:442–447. - PubMed
    1. Broadhead JC, Abas M. Life events, difficulties and depression among women in an urban setting in Zimbabwe. Psychol Med. 1998;28:29–38. - PubMed
    1. Broadhead J, Abas M, Sakutukwa GK, Chigwanda M, Garura E. Social support and life events as risk factors for depression amongst women in an urban setting in Zimbabwe. Soc Psychiatry Psychiatr Epidemiol. 2001;36:115–122. - PubMed

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