Prevalence and treatment coverage for depression: a population-based survey in Vidarbha, India

Rahul Shidhaye*, Siddharth PhD Gangale, Vikram Patel

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

VISHRAM is a community-based mental health program to address psycho-social distress and risk factors for suicide in a predominantly rural population in Central India, through targeted interventions for the prevention and management of Depression and Alcohol Use Disorders (AUD). The evaluation was designed to assess the impact of program on the contact coverage of evidence-based treatments for depression and AUD through a repeated survey design. This paper describes the baseline prevalence of depression among adults in rural community, association of various demographic and socio-economic factors with depression and estimates contact coverage and costs of care for depression. Population-based cross-sectional survey of adults in 30 villages of Amravati district in Vidarbha region of Central India. The outcome of interest was a probable diagnosis of depression which was measured using the Patient Health Questionnaire (PHQ-9). Data were analyzed using simple and multiple logistic regression. The outcome of current depression (PHQ-9 a parts per thousand yen 10) was observed in 14.6 % of the sample (95 % CI 12.8-16.4 %). The contact coverage for current depression was only 4.3 % (95 % CI 1.5-7.1 %). Prevalence of depression varied greatly between the two sites of the study; higher age, female gender, lower education, economic status below poverty line and indebtedness were associated with depression; and while a contact coverage with formal health care was very low, a large proportion of affected persons had consulted family members. Our findings clearly indicate that psycho-social distress in rural communities in Maharashtra is strongly associated with social determinants such as gender, poverty and indebtedness and affects the entire population and not just farmers.
Original languageEnglish
Pages (from-to)993-1003
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume51
Issue number7
DOIs
Publication statusPublished - Jul 2016

Keywords

  • Depression
  • Treatment coverage
  • Health services research
  • India

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