Depression and Its Association with Parental Neglect among Adolescents at Governmental High Schools of Aksum Town, Tigray, Ethiopia, 2019: A Cross Sectional Study

Abstract

Background. Depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population. Objective. To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia, 2019. Method. A facility-based cross-sectional study was conducted at Aksum town high schools. A simple random sampling technique was applied. Data was collected with face-to-face interview. Data was analyzed using IBM Statistical Package for Social Science version 22. Bivariate and multivariate logistic regressions were done. Adjusted odds ratio at a p value < 0.05 with 95% confidence interval was taken to declare statistical significance of variables. Result. A total of 624 students were asked to participate with a response rate of 99.05%. Prevalence of depression was found to be 36.2%. Depression among adolescents was found to have significant and strong association with parental neglect (AOR=2.61, 95% CI 1.83, 3.72). Conclusion and Recommendation. In the current study, the prevalence of depression is found to be high when compared to other populations. Significant and strong association is also determined between parental neglect and depression. It is good if teachers give emphasis for those students who seem psychologically unwell. It is good if Aksum University comprehensive hospital starts a campaign which will teach about the effect of parental neglect on the adolescents’ mental health.

Alcohol Use and Its Associated Factors among Adolescents Aged 15–19 Years at Governmental High Schools of Aksum Town, Tigray, Ethiopia, 2019: A Cross-Sectional Study

“…is has been supported by different studies [47,48]. is might be because adolescents experiencing maltreatment and neglect are more likely to develop emotional disorders, which may enforce them to use alcohol as a self-treatment to get out of that emotional feeling tone [18,46,49]. e odds of using alcohol among adolescents aged 15-19 years who are getting strong social support are 1.79 times higher when compared to those who are getting poor social support.…”

“…for nonmedical purposes within the last three months?” which was answered by “YES” or “NO.” Depressive symptoms were assessed by using a multipurpose instrument PHQ-9. PHQ-9 score of greater than or equal to 10 has sensitivity and specificity of 88% for major depression [ 18 ].…”

“…for nonmedical purposes within the last three months?” were considered as alcohol users [ 1 , 21 ]. Depression: Those who score greater than 5 on the PHQ-9 scale [ 18 ]. Parental Neglect: ACEQ, which is a self-report instrument covering 10 items, to rate the severity of emotional abuse and neglect, physical abuse and neglect, and sexual abuse [ 18 ].…”

“… Depression: Those who score greater than 5 on the PHQ-9 scale [ 18 ]. Parental Neglect: ACEQ, which is a self-report instrument covering 10 items, to rate the severity of emotional abuse and neglect, physical abuse and neglect, and sexual abuse [ 18 ]. Social support: According to the Oslo-3 Social Support Scale, a score of 3–8 is taken as poor support, 9–11 as moderate support, and 12–14 as strong support [ 20 ].…”

“…ose who score greater than 5 on the PHQ-9 scale [18]. Parental Neglect: ACEQ, which is a self-report instrument covering 10 items, to rate the severity of emotional abuse and neglect, physical abuse and neglect, and sexual abuse [18].…”