Prevalence and associated factors of depressive state among pulmonary tuberculosis patients in Manila, The Philippines

SETTING: Both depression and tuberculosis (TB) are global public health problems that have a substantial impact on human health. However, depressive state among TB patients has not been well investigated in the Philippines.OBJECTIVE: To assess depressive state among pulmonary tuberculosis (PTB) pati...

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Published in:	The international journal of tuberculosis and lung disease Vol. 18; no. 2; pp. 174 - 179
Main Authors:	Masumoto, S., Yamamoto, T., Ohkado, A., Yoshimatsu, S., Querri, A. G., Kamiya, Y.
Format:	Journal Article
Language:	English
Published:	Paris, France International Union Against Tuberculosis and Lung Disease 01-02-2014 International Union against Tuberculosis and Lung Disease
Subjects:	Adolescent Adult Adult and adolescent clinical studies Aged Aged, 80 and over Antitubercular Agents - adverse effects Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Chi-Square Distribution Cross-Sectional Studies Depression Depression - diagnosis Depression - epidemiology Depression - psychology Female Health Surveys Human bacterial diseases Humans Infectious diseases Logistic Models Male Malnutrition Malnutrition - epidemiology Marital Status Medical sciences Mental Health Middle Aged Mood disorders Multivariate Analysis Mycobacterium Odds Ratio Perception Philippines - epidemiology Pneumology Prevalence Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Severity of Illness Index Social Support Surveys and Questionnaires Tuberculosis and atypical mycobacterial infections Tuberculosis, Pulmonary - diagnosis Tuberculosis, Pulmonary - drug therapy Tuberculosis, Pulmonary - epidemiology Tuberculosis, Pulmonary - psychology Young Adult Asia Philippines Mood disorder Human Lung disease Prevalence Respiratory disease Nutrition disorder Mental health Pulmonary tuberculosis Depression Patient Mycobacterial infection Infection Risk factor Bacteriosis Malnutrition Public health Social support
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Summary:	SETTING: Both depression and tuberculosis (TB) are global public health problems that have a substantial impact on human health. However, depressive state among TB patients has not been well investigated in the Philippines.OBJECTIVE: To assess depressive state among pulmonary tuberculosis (PTB) patients and to identify factors associated with depressive state in Manila, the Philippines.DESIGN: A cross-sectional survey of PTB patients was conducted at 10 public health centres and two non-government organisation clinics providing directly observed treatment in District I, Tondo, Manila. Face-to-face interviews with 561 PTB patients using a structured questionnaire were conducted.RESULTS: Depressive state was observed in 16.8% of the participants. Logistic regression analysis indicated that body mass index < 18.5 kg/m2, marital status of cohabitation compared with married, four or more symptoms, four or more adverse drug reactions, grade 3 or higher on the Medical Research Council dyspnoea scale and low perceived confidant social support were significantly associated with depressive state.CONCLUSION: Depressive state among PTB patients in economically depressed areas is common, and screening for depression in the primary care setting can identify patients who need support and treatment, especially for malnourished patients and those with poor social support.
Bibliography:	1027-3719(20140201)18:2L.174;1- (R) Medicine - General ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1027-3719 1815-7920
DOI:	10.5588/ijtld.13.0335