Screening and Identification Risk Factors of Depression in Rural Populations,Tumbol Maejadeemai Amphoe Wiang Pa Pao, Chiang Rai province

Abstract

     Aim of this research is to screening for the incidence of depression and to study for identified the risk factors of depression in Tumbol Maejadeemai, Amphoe Wiang Pa Pao, Chiang Rai province, that bring about to the means in prevention, treatment and concerned for rural people, who have risk factors of depression to reduced the incidence of suicide in the community. This study emphasized the community to understand how depressive problems important and to participated the process of data collection and to know the result after the end of study to establish changing and reducing the risk factors of depression
     Research Methodology By the process of Cohort study, collected data from Tumbol Maejadeemai people from 1 October 2018 to 15 February 2019, analysis the data by Chi-Square test combined with Binary logistic regression, accepted p-value less than 0.05 for statistic significant and analyzed for Odds Ratio using 95% confidence interval not include 1 be regarded as statistic significant.
     Result: 300 people were obtained from the study. 92 people were found to have depression. The incidence of depression of rural people in Tumbol MaeJadeemai, Amphoe Wiang Pa Pao is 30.7%, divided in mild depression 52 patients (17.33%), moderate depression 29 patients (9.67%) and severe depression 11 patients (3.67%). The risk factors of depression are the patients who have diabetes with hypertension and dyslipdemia (OR 6.25), The people who stay with the bed ridden patients (OR 6.63), family history of depression (OR 4.00), alcoholic drinking more than 5 times per week (OR 3.46), be unemployed (OR 3.38), using anxiolytics drugs (OR 2.74), have previous history of divorce (OR 2.17), smoking more than 10 packs year, transliteration (OR 1.78). The management after screening for depression, supportive symptomatic treatment 61 patients (19.7%), give a prescription of antidepressant 25 patients (8.3%), refer for Psychiatrist 32 patients (10.66%). 2 weeks after treatment, 57 patients were markedly improve (evaluated by TGDS scores).
     Conclusion: Depression disease seem to be increased in incidence whether rural area or urban area. The most serious sequel is suicide that become negative impact on socioeconomic status of the country. In the end of study, we concluded that risk factors of depression in rural region such as Mae Jadee Mai is multi factorial disease that involved family factors such as divorce, drugs abused and any addictive substance, common NCD diseases, socioeconomic
factor such unemployment, genetic factors as family history, any factors can be prevented when the communities have strongly system to screening problem solution that improved quality of life of community in both organic and mental aspect as the slogan of mental health department “no health without mental health”