Prevalence of Depression Among Women Using Hormonal Contraceptives in Mogadishu, Somalia: A Cross-Sectional Study.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2024-06-19 eCollection Date: 2024-01-01 DOI:10.2147/OAJC.S444545
Abdirizak Mohamud Yusuf, Mohamed Omar Warsame, Saido Gedi, Naima Abdulkarim Abdullahi, Daud Ibrahim Ahmed
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Abstract

Background: Depression is a global health concern with significant consequences, especially for women. Hormonal changes and gender disparities contribute to its prevalence. Hormonal contraceptives are widely used among women of reproductive age, but some users report mood-related side effects.

Purpose: This study aims to investigate the relationship between hormonal contraceptive use and depression among women in Mogadishu, Somalia.

Methods: An analytical cross-sectional study was conducted at two hospitals in Mogadishu, targeting married women aged 15-49 using hormonal contraceptives. A sample size of 227 participants was determined, and data was collected using semi-structured questionnaires, including the Patient Health Questionnaire-9 (PHQ-9) to assess depression. The data were analyzed using SPSS version 25, including multivariate logistic regression.

Results: The prevalence of depression among participants was 33.5%, with significant associations observed between depression and occupation, income level, type of hormonal contraceptive used, and duration of contraceptive use. Housewives, individuals with lower income, users of oral pills and implant methods, as well as those with shorter durations of contraceptive use, constituted the high-risk groups for depression.

Conclusion: Depression poses a concern among women using hormonal contraceptives in Mogadishu, Somalia. Healthcare providers should educate women about potential side effects and consider individualized contraceptive recommendations. Mental health support initiatives and awareness campaigns should be introduced. Future research is recommended to further understand and address depression in this context.

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索马里摩加迪沙使用荷尔蒙避孕药的妇女抑郁症患病率:一项横断面研究。
背景:抑郁症是一个全球性的健康问题,对人们,尤其是女性造成了严重的影响。荷尔蒙变化和性别差异导致了抑郁症的流行。目的:本研究旨在调查索马里摩加迪沙妇女使用激素避孕药与抑郁症之间的关系:方法:在摩加迪沙的两家医院进行了一项横断面分析研究,研究对象为使用激素避孕药的 15-49 岁已婚妇女。研究确定了 227 名参与者的样本量,并使用半结构式问卷收集数据,包括用于评估抑郁症的患者健康问卷-9(PHQ-9)。数据使用 SPSS 25 版进行分析,包括多变量逻辑回归:结果:参与者的抑郁症患病率为 33.5%,抑郁症与职业、收入水平、使用的激素避孕药类型和避孕药使用时间之间存在显著关联。家庭主妇、低收入者、口服避孕药和皮下埋植避孕法的使用者以及避孕时间较短者是抑郁症的高危人群:结论:在索马里摩加迪沙,使用荷尔蒙避孕药的妇女中存在抑郁症问题。医疗服务提供者应向妇女宣传潜在的副作用,并考虑个性化的避孕建议。应引入心理健康支持措施和宣传活动。建议今后开展研究,以进一步了解和解决这种情况下的抑郁症问题。
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