Prevalence of depression and associated factors among tuberculosis patients in primary care in the district of Kuching, Sarawak

Abstract

Depression in tuberculosis (TB) increases the risks of adverse health outcomes. However, little is known about depression in tuberculosis patients in Malaysia. The aim of this study was to determine the prevalence and associated factors of depression in tuberculosis patients in primary care clinics. A cross-sectional study was adapted for this study. A total of 235 TB patients were recruited in six primary care clinics in the district of Kuching, Sarawak in Malaysia using convenience sampling method. A self-administered questionnaire, Patient Health Questionnaire-9 (PHQ-9), was used to screen for depression, and social support was accessed using Multidimensional Scale of Perceived Social Support, MSPSS. This study showed that the prevalence of depression among TB patients was 7.7%. Socio-demographic factors, tuberculosis-related clinical data and social support are not significantly associated with participant’s depressive states. Findings also showed that there is no different in terms of social support received by depressive and non-depressive tuberculosis patients. Conclusively, depression in TB patients is considered low; however, screening for depression in TB patients should not be neglected because it can lead to better treatment outcomes.