Table 5 Association between need, predisposing and enabling factors and treatment-seeking for depression among adults with probable depression in Sehore sub-district, 2013–2016
Total seeking treatment (n) | Prevalence of treatment-seeking, % (95% CI) | Prevalence ratio (95% CI) | p-value | |
|---|---|---|---|---|
Need factors | ||||
Symptom severity (total current PHQ score) | ||||
10–14 | 50/450 | 11.5 (8.5–15.5) | 1 | < 0.01 |
15–19 | 20/107 | 20.7 (13.2–30.8) | 1.79 (1.11–2.88) | |
≥ 20 | 5/11 | 39.5 (12.8–74.5) | 3.42 (1.33–8.81) | |
Tiredness/lack of energy | ||||
< 7 days in past 2 weeks | 10/118 | 7.3 (3.8–13.5) | 1 | 0.03 |
≥ 7 days in past 2 weeks | 65/450 | 15.7 (11.7–20.6) | 2.14 (1.08–4.24) | |
Lack of interest or pleasure | ||||
< 7 days in past 2 weeks | 26/279 | 9.7 (6.3–14.7) | 1 | 0.01 |
≥ 7 days in past 2 weeks | 49/289 | 17.6 (13.2–23.2) | 1.82 (1.16–2.85) | |
Low self-esteem / feeling like a failure | ||||
< 7 days in past 2 weeks | 51/445 | 11.5 (8.5–15.3) | 1 | < 0.01 |
≥ 7 days in past 2 weeks | 24/123 | 22.4 (15.2–31.9) | 1.96 (1.28–3.00) | |
Slow movements / restlessness | ||||
< 7 days in past 2 weeks | 51/449 | 12.2 (8.9–16.5) | 1 | 0.01 |
≥ 7 days in past 2 weeks | 24/119 | 20.1 (14.4–29.3) | 1.65 (1.13–2.39) | |
Predisposing factors | ||||
Marital status | ||||
Single / separated / widowed | 7/107 | 5.9 (2.7–12.2) | 1 | 0.02 |
Married | 68/461 | 15.7 (11.9–20.6) | 2.67 (1.19–5.99) | |
Enabling factors | ||||
Spoken to someone about these problems | ||||
No | 13/352 | 3.9 (2.2–7.0) | 1 | < 0.001 |
Yes | 62/216 | 29.4 (23.1–36.5) | 7.50 (4.11–13.68) | |
Services don’t have medications I need | ||||
No | 55/473 | 11.9 (8.7–16.2) | 1 | 0.01 |
Yes | 20/95 | 24.4 (15.9–35.6) | 1.99 (1.19–3.32) | |
Services frequently run out of medications | ||||
No | 56/487 | 11.9 (8.4–16.7) | 1 | 0.01 |
Yes | 19/81 | 23.6 (16.3–33.0) | 2.05 (1.23–3.39) | |