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

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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.

Keywords: malnutrition; mental health; social support

Document Type: Research Article

DOI: http://dx.doi.org/10.5588/ijtld.13.0335

Affiliations: 1: Graduate School of International Health Development, Nagasaki University, Nagasaki, Japan 2: Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association Philippines Inc, Manila, The Philippines; Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Kiyose, Japan 3: Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association Philippines Inc, Manila, The Philippines

Publication date: February 1, 2014

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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