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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Depression among women with obstetric fistula in Kenya
International Journal of Gynecology and Obstetrics, Volume 115, No. 1, Year 2011
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Description
Objective: To establish the prevalence of depression and describe associated factors among fistula patients attending an obstetric fistula surgical camp in Kenya. Methods: A cross-sectional study was conducted focusing on obstetric fistula patients attending a national fistula camp held in August 2008 at Kenyatta National Hospital, Nairobi, Kenya. A structured questionnaire was used to obtain sociodemographic data and medical histories for all consenting patients before surgery. Depression measures were obtained using the Patient Health Questionnaire-9. Results: Of the 70 women interviewed, 2 (2.9%) and 12 (17.1%) reported a history of psychiatric illness and suicidal ideations, respectively. Depression was present in 51 (72.9%) patients, with 18 (25.7%) meeting criteria for severe depression. Depression was significantly associated with women older than 20 years of age (P = 0.01), unemployment (P = 0.03), lack of social support following fistula (P = 0.04), and living with fistula for over 3 months (P = 0.01). Conclusion: Women with obstetric fistula are predisposed to high levels of depression. A holistic management approach, including mental health care and family support, is recommended. © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Authors & Co-Authors
Weston, Khisa
Kenya, Nairobi
Amref Health Africa
Mutiso, Stephen M.
Kenya, Nairobi
Kenyatta University
Mwangi, Judy W.
Kenya, Nairobi
Amref Health Africa
Qureshi, Zahida P.
Kenya, Nairobi
University of Nairobi
Beard, Jessica
United States, New Haven
Yale School of Medicine
United States, San Francisco
University of California, San Francisco
Venkat, Pavithra
United States, New Haven
Yale School of Medicine
United States, San Francisco
University of California, San Francisco
Statistics
Citations: 88
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1016/j.ijgo.2011.04.015
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Health System And Policy
Maternal And Child Health
Mental Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Female