Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study

Simple item page
dc.contributor.authorLuitel, Nagendra P
dc.contributor.authorBaron, Emily C
dc.contributor.authorKohrt, Brandon A
dc.contributor.authorKomproe, Ivan H
dc.contributor.authorJordans, Mark J D
dc.date.accessioned2018-05-07T09:59:18Z
dc.date.available2018-05-07T09:59:18Z
dc.date.issued2018-03-27
dc.date.updated2018-04-09T15:14:09Z
dc.description.abstractBackground Although depression and alcohol use disorder (AUD) are expected to be common among patients presenting to primary health care setting, there is limited research on prevalence of depression and AUD among people attending primary health care services in low-income countries. The aim of this study was to assess the prevalence of depression and AUD among adults attending primary care facilities in Nepal and explore factors associated with depression and AUD. Methods We conducted a population-based cross-sectional health facility survey with 1474 adults attending 10 primary healthcare facilities in Chitwan district, Nepal. The prevalence of depression and AUD was assessed with validated Nepali versions of the Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT). Results 16.8% of the study sample (females 19.6% and males 11.3%) met the threshold for depression and 7.3% (males 19.8% and females 1.1%) for AUD. The rates of depression was higher among females (RR = 1.48, P = 0.009), whereas rates of AUD was lower among females (RR = 0.49, P = 0.000). Rates of depression and AUD varied based on education, caste/ethnicity, occupations and family income. Conclusions In Nepal, one out of five women attending primary care services have depression and one out of five men have AUD. Primary care settings, therefore, are an important setting for detection and treatment initiation for these conditions. Given that “other” occupation is at increased risk for both conditions, it will be important to assure that treatments are feasible and effective for this high risk group.
dc.identifier.apacitationLuitel, N. P., Baron, E. C., Kohrt, B. A., Komproe, I. H., & Jordans, M. J. D. (2018). Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/27964en_ZA
dc.identifier.chicagocitationLuitel, Nagendra P, Emily C Baron, Brandon A Kohrt, Ivan H Komproe, and Mark J D Jordans "Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study." <i>BMC Health Services Research</i> (2018) http://hdl.handle.net/11427/27964en_ZA
dc.identifier.citationLuitel, N. P., Baron, E. C., Kohrt, B. A., Komproe, I. H., & Jordans, M. J. (2018). Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study. BMC health services research, 18(1), 215.
dc.identifier.ris TY - Journal Article AU - Luitel, Nagendra P AU - Baron, Emily C AU - Kohrt, Brandon A AU - Komproe, Ivan H AU - Jordans, Mark J D AB - Background Although depression and alcohol use disorder (AUD) are expected to be common among patients presenting to primary health care setting, there is limited research on prevalence of depression and AUD among people attending primary health care services in low-income countries. The aim of this study was to assess the prevalence of depression and AUD among adults attending primary care facilities in Nepal and explore factors associated with depression and AUD. Methods We conducted a population-based cross-sectional health facility survey with 1474 adults attending 10 primary healthcare facilities in Chitwan district, Nepal. The prevalence of depression and AUD was assessed with validated Nepali versions of the Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT). Results 16.8% of the study sample (females 19.6% and males 11.3%) met the threshold for depression and 7.3% (males 19.8% and females 1.1%) for AUD. The rates of depression was higher among females (RR = 1.48, P = 0.009), whereas rates of AUD was lower among females (RR = 0.49, P = 0.000). Rates of depression and AUD varied based on education, caste/ethnicity, occupations and family income. Conclusions In Nepal, one out of five women attending primary care services have depression and one out of five men have AUD. Primary care settings, therefore, are an important setting for detection and treatment initiation for these conditions. Given that “other” occupation is at increased risk for both conditions, it will be important to assure that treatments are feasible and effective for this high risk group. DA - 2018-03-27 DB - OpenUCT DO - 10.1186/s12913-018-3034-9 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study TI - Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study UR - http://hdl.handle.net/11427/27964 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-018-3034-9
dc.identifier.urihttp://hdl.handle.net/11427/27964
dc.identifier.vancouvercitationLuitel NP, Baron EC, Kohrt BA, Komproe IH, Jordans MJD. Prevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study. BMC Health Services Research. 2018; http://hdl.handle.net/11427/27964.en_ZA
dc.language.isoen
dc.publisherBioMed Central
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.sourceBMC Health Services Research
dc.source.urihttps://bmchealthservres.biomedcentral.com/
dc.subject.otherDepression
dc.subject.otherAlcohol use disorder
dc.subject.otherPrimary health care
dc.subject.otherNepal
dc.titlePrevalence and correlates of depression and alcohol use disorder among adults attending primary health care services in Nepal: a cross sectional study
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Luitel_2018_Article.pdf
Size:
401.2 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles