The household economic costs associated with depression symptoms: A cross-sectional household study conducted in the North West province of South Africa
The household economic costs associated with depression symptoms: A cross-sectional household study conducted in the North West province of South Africa
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DOI：
10.1371/journal.pone.0224799
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发表时间：
2019-11-05
期刊：
影响因子：
3.7
通讯作者：
Lund, Crick
中科院分区：
文献类型：
--
作者：
Docrat, Sumaiyah;Cleary, Susan;Lund, Crick
目的本研究的目的是评估抑郁症状严重程度与家庭收入、消费、资产财富、债务和使用困境融资策略之间的关系，为了了解抑郁症状的严重程度和家庭经济福利之间的关系，采用9-项目患者健康问卷调查慢性病护理单位的四个初级卫生诊所在南非西北省。单变量和多变量回归模型被用来评估一系列家庭经济指标是否是抑郁症状严重程度的重要预测因子;以及抑郁症症状严重程度是否显著预测家庭经济福利的变化，在许多不同的经济措施中使用多元线性回归和logistic回归分析。某些特征与PHQ-9评分显著更差（更高）相关，即：户主年轻、女性和未婚的家庭;索引患者年轻且未接受小学以上教育的家庭;增加家庭人口、领取社会补助金、居住在金属板墙住房中的家庭以及使用公共自来水作为主要水源的家庭。此外，单变量分析表明，较高的对数转换食品支出，较低的对数转换支付能力，家庭债务的存在，以及在过去三年中减少用餐的规模或频率，并制定零售商店账户以应对财务困境与PHQ-9评分显着更差（更高）相关。多变量分析表明，较大的家庭规模（p
AimThe aim of this study was to assess the association between depression symptom severity and household income, consumption, asset-based wealth, debt and use of distress financing strategies, to understand how depression symptom severity and household economic welfare are related.MethodsA household survey was administered to the households of primary health clinic-attenders who were screened for depression symptoms using the 9-item Patient Health Questionnaire in the chronic care units of four primary health clinics in the North West province of South Africa. Univariate and multivariable regression models were used to assess whether a range of household economic measures were significant predictors of depression symptom severity; and whether depression symptom severity significantly predicted changes to household economic welfare, across a number of different economic measures using both multiple linear regression and logistic regression analyses.ResultsOn univariate analysis, certain characteristics were associated with significantly worse (higher) PHQ-9 scores, namely: households in which the household head was younger, female, and unmarried; households in which the indexed patient was younger, and did not receive an education beyond primary school; increasing household size, receipt of a social grant, households living in housing constructed of metal sheet walls and households making use of a public tap as their primary water source. In addition, univariate analysis demonstrated that higher log-transformed food expenditure, lower log-transformed capacity to pay, the presence of household debt and both reducing the size or frequency of meals and drawing up retail shop accounts in response to financial distress over the past three years were associated with significantly worse (higher) PHQ-9 scores. Multivariable analysis demonstrated that larger household sizes (p