Socio-Economic Factors and Patient’s Depression in Rwanda; A Case Study of Gisenyi District Hospital
DOI:
https://doi.org/10.53819/81018102t2241Abstract
The primary objective of this research was to explore how socio-economic factors influenced the occurrence and severity of depression in patients receiving care at Gisenyi District Hospital. The specific objectives of this research were to evaluate the effect of income status on the occurrence of patients' depression, to assess the effect of educational status on the occurrence of patients' depression, and to examine the relationship between employment status and patients' depression at Gisenyi District Hospital, Rwanda. The study utilized descriptive-cross-sectional and correlational research methodologies, employing quantitative research techniques. Data was collected from 156 respondents in their homes via self-administered questionnaire. The study revealed consistent experiences of depressive symptoms associated with income status, with mean values ranging from 4.8312 to 4.870 and moderate standard deviations ranging from 0.467 to 0.63457. Strong positive correlations (r=0.775 to r=0.807) further emphasized the pronounced relationship between income status and various dimensions of depression, highlighting the vulnerability of patients with lower income levels. Similarly, the analysis on educational status demonstrated psychological challenges linked to educational backgrounds, supported by high mean values (ranging from 4.844 to 4.870) and relatively narrow standard deviations (ranging from 0.481 to 0.573). The significant Pearson correlation coefficients (r=0.693 to r=0.894) emphasized the substantial association between poor educational status and different aspects of depression, underlining the impact of educational experiences on emotional well-being. Furthermore, the investigation on employment status uncovered significant challenges related to employment, supported by high mean scores (ranging from 4.824 to 4.863) and narrow standard deviations (ranging from 0.485 to 0.584). Strong positive correlations (r=0.743 to r=0.827) underscored the potential influence of employment conditions on the emotional well-being of the patients. The study underscores the impact of socio-economic factors on depression in Gisenyi District Hospital patients. Recommendations include implementing socioeconomic support programs, integrating comprehensive mental health services, facilitating patient engagement, providing specialized healthcare training, and promoting mental health awareness to mitigate stigma and improve mental well-being.
Keywords: Socio-Economic Factors, Patient’s Depression, Gisenyi District Hospital. Rubavu District, Western Province, Rwanda
References
Fleming, J., & Zegwaard, K. E. (2018). Methodologies, Methods and Ethical Considerations for Conducting Research in Work-Integrated Learning. International Journal of Work-Integrated Learning, 19(3), 205–213.
Guetterman, T. C. (2019). Basics of statistics for primary care research. Family Medicine and Community Health, 7(2), e000067. https://doi.org/10.1136/fmch-2018-000067
Habimana, S., Biracyaza, E., Mpunga, T., Nsabimana, E., Kayitesi, F., Nzamwita, P., & Jansen, S. (2023). Prevalence and associated factors of depression and anxiety among patients with cancer seeking treatment at the Butaro Cancer Center of Excellence in Rwanda. Frontiers in Public Health, 11, 972360. https://doi.org/10.3389/fpubh.2023.972360
Kayiteshonga, Y., Sezibera, V., Mugabo, L., & Iyamuremye, J. D. (2022). Prevalence of mental disorders, associated co-morbidities, health care knowledge and service utilization in Rwanda – towards a blueprint for promoting mental health care services in low- and middle-income countries? BMC Public Health, 22(1), 1858. https://doi.org/10.1186/s12889-022-14165-x
Li, N., Liang, H., Gao, Y., & Wu, D. (2022). Short- and Long-Term Effects of Underemployment on Workers’ Health: Empirical Analysis from the China Labor Force Dynamics Survey. International Journal of Environmental Research and Public Health, 19(24), 16695. https://doi.org/10.3390/ijerph192416695
Mukangabire, P., Moreland, P., Kanazayire, C., Rutayisire, R., Nkurunziza, A., Musengimana, D., & Kagabo, I. (2021). Prevalence and Factors Related to Depression among Adolescents Living with HIV/AIDS, in Gasabo District, Rwanda. Rwanda Journal of Medicine and Health Sciences, 4(1), Article 1. https://doi.org/10.4314/rjmhs.v4i1.4
Oh, J. W., Park, J. Y., & Lee, S. (2022). Association between employment stability and depression as moderated by gender among South Korean employees. Journal of Affective Disorders, 298, 308–315. https://doi.org/10.1016/j.jad.2021.11.009
Rizvi, S. J., Cyriac, A., Grima, E., Tan, M., Lin, P., Gallaugher, L. A., McIntyre, R. S., & Kennedy, S. H. (2015). Depression and Employment Status in Primary and Tertiary Care Settings. The Canadian Journal of Psychiatry, 60(1), 14–22. https://doi.org/10.1177/070674371506000105
Zare, H., Meyerson, N. S., Nwankwo, C. A., & Thorpe, R. J. (2022). How Income and Income Inequality Drive Depressive Symptoms in U.S. Adults, Does Sex Matter: 2005–2016. International Journal of Environmental Research and Public Health, 19(10), 6227. https://doi.org/10.3390/ijerph19106227