Cargando…
Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use
BACKGROUND: Rural women are highly prevalent to depression, where spouse-related factors, including extramarital affairs and poverty, intensify its likelihood of occurrence. However, women engaged with a Money-Saving Group (MSG) are financially self-dependent, which can reduce the risk of depression...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473717/ https://www.ncbi.nlm.nih.gov/pubmed/34588819 http://dx.doi.org/10.2147/IJWH.S323636 |
_version_ | 1784575052459540480 |
---|---|
author | Kaggwa, Mark Mohan Namatanzi, Brendah Kule, Moses Nkola, Rahel Najjuka, Sarah Maria al Mamun, Firoj Hosen, Ismail Mamun, Mohammed A Ashaba, Scholastic |
author_facet | Kaggwa, Mark Mohan Namatanzi, Brendah Kule, Moses Nkola, Rahel Najjuka, Sarah Maria al Mamun, Firoj Hosen, Ismail Mamun, Mohammed A Ashaba, Scholastic |
author_sort | Kaggwa, Mark Mohan |
collection | PubMed |
description | BACKGROUND: Rural women are highly prevalent to depression, where spouse-related factors, including extramarital affairs and poverty, intensify its likelihood of occurrence. However, women engaged with a Money-Saving Group (MSG) are financially self-dependent, which can reduce the risk of depression suffering. Despite this, there is less study among this cohort, which led us to investigate the prevalence and associated factors of depression among the Ugandan women involved in MSG. METHODS: This was a cross-sectional study in Uganda among rural married or cohabiting women aged 18 to 45 years engaged in MSG. The survey was carried out within a total of 153 participants (33.3 ± 6.7 years) in April 2021. Information related to socio-demographic of the participants, their spouse characteristics, and depression were collected. RESULTS: About 65.4% of the participants had depressive symptoms (based on the cutoff 10/27 at the PHQ-9). But, 8.15 times (CI: 2.83–23.44, p<0.001) and 16.69 times (CI: 4.85–57.39, p<0.001), higher risk of depression were observed, if the participants’ spouses were using an addictive substance and had been involved in an extramarital relationship, respectively. Similarly, there was an increased likelihood of depression when the participant or spouse was unemployed. CONCLUSION: This study observed a higher prevalence of depression, which suggests paying attention to this cohort. Thus, there should be routine screening for depression among married women involved in MSG at lower-level health facilities in rural settings, especially those with spouses engaged in substance use, having an extramarital relationship, and being unemployed. |
format | Online Article Text |
id | pubmed-8473717 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-84737172021-09-28 Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use Kaggwa, Mark Mohan Namatanzi, Brendah Kule, Moses Nkola, Rahel Najjuka, Sarah Maria al Mamun, Firoj Hosen, Ismail Mamun, Mohammed A Ashaba, Scholastic Int J Womens Health Original Research BACKGROUND: Rural women are highly prevalent to depression, where spouse-related factors, including extramarital affairs and poverty, intensify its likelihood of occurrence. However, women engaged with a Money-Saving Group (MSG) are financially self-dependent, which can reduce the risk of depression suffering. Despite this, there is less study among this cohort, which led us to investigate the prevalence and associated factors of depression among the Ugandan women involved in MSG. METHODS: This was a cross-sectional study in Uganda among rural married or cohabiting women aged 18 to 45 years engaged in MSG. The survey was carried out within a total of 153 participants (33.3 ± 6.7 years) in April 2021. Information related to socio-demographic of the participants, their spouse characteristics, and depression were collected. RESULTS: About 65.4% of the participants had depressive symptoms (based on the cutoff 10/27 at the PHQ-9). But, 8.15 times (CI: 2.83–23.44, p<0.001) and 16.69 times (CI: 4.85–57.39, p<0.001), higher risk of depression were observed, if the participants’ spouses were using an addictive substance and had been involved in an extramarital relationship, respectively. Similarly, there was an increased likelihood of depression when the participant or spouse was unemployed. CONCLUSION: This study observed a higher prevalence of depression, which suggests paying attention to this cohort. Thus, there should be routine screening for depression among married women involved in MSG at lower-level health facilities in rural settings, especially those with spouses engaged in substance use, having an extramarital relationship, and being unemployed. Dove 2021-09-22 /pmc/articles/PMC8473717/ /pubmed/34588819 http://dx.doi.org/10.2147/IJWH.S323636 Text en © 2021 Kaggwa et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Kaggwa, Mark Mohan Namatanzi, Brendah Kule, Moses Nkola, Rahel Najjuka, Sarah Maria al Mamun, Firoj Hosen, Ismail Mamun, Mohammed A Ashaba, Scholastic Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title | Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title_full | Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title_fullStr | Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title_full_unstemmed | Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title_short | Depression in Ugandan Rural Women Involved in a Money Saving Group: The Role of Spouse’s Unemployment, Extramarital Relationship, and Substance Use |
title_sort | depression in ugandan rural women involved in a money saving group: the role of spouse’s unemployment, extramarital relationship, and substance use |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473717/ https://www.ncbi.nlm.nih.gov/pubmed/34588819 http://dx.doi.org/10.2147/IJWH.S323636 |
work_keys_str_mv | AT kaggwamarkmohan depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT namatanzibrendah depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT kulemoses depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT nkolarahel depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT najjukasarahmaria depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT almamunfiroj depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT hosenismail depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT mamunmohammeda depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse AT ashabascholastic depressioninugandanruralwomeninvolvedinamoneysavinggrouptheroleofspousesunemploymentextramaritalrelationshipandsubstanceuse |