Table 4.
Factors associated with Psychological Distress among adult TB patients in Harar and Dire Dawa cities Health institutions, Eastern Ethiopia, 2018 (n = 365)
| Variables | Psychological Distress, n (%) | COR (95% CI) | AOR (95% CI) | |
|---|---|---|---|---|
| Yes | No | |||
| Age | ||||
| 18–30 | 101 (60.5) | 66 (39.5) | 1 | 1.00 |
| 31–44 | 76 (62.8) | 45 (37.2) | 1.10 (0.68,1.79) | 0.82 (0.43,1.56) |
| ≥ 45 | 54 (70.1) | 23 (29.9) | 1.53 (0.860,2.74) | 0.85 (0.40,1.80) |
| Residence | ||||
| Rural | 67 (78.8) | 18 (21.2) | 2.63 (1.49,4.67)** | 1. 98 (1.01,3.86)* |
| Urban | 164 (58.6) | 116 (41.4) | 1 | 1 |
| Marital status | ||||
| Single/Divorced/widowed | 112 (69.6) | 49 (30.4) | 1.63 (1.10,2.53)* | 1.88 (1.06,3.35)* |
| Married | 119 (58.3) | 85 (41.7) | 1 | 1 |
| TB and HIV Co-infection | ||||
| Yes | 54 (81.8) | 12 (18.2) | 3.10 (1.60,6.04)*** | 2.15 (1.02,4.56)* |
| No | 177 (59.2) | 122 (40.8) | 1 | 1 |
| TB treatment type | ||||
| Repeated | 29 (76.3) | 9 (23.7) | 1.99 (0.91,4.35) | 1.34 (0.54,3.31) |
| New | 202 (61.8) | 125 (38.2) | 1 | 1 |
| TB type | ||||
| Pulmonary & MDR TB | 174 (73.1) | 64 (26.9) | 3.34 (2.13,5.25)*** | 2.53 (1.50,4.28)*** |
| Extra Pulmonary | 57 (44.9) | 70 (55.1) | 1 | 1 |
| One or more chronic Disease | ||||
| Yes | 87 (82.1) | 19 (17.9) | 3.66 (2.10,6.36)*** | 3.04 (1.59,5.79)*** |
| No | 144 (55.6) | 115 (44.4) | 1 | 1 |
| Experienced TB stigma | ||||
| Yes | 130 (76.9) | 39 (23.1) | 3.14 (1.99,4.94)*** | 1.71 (1.01,2.90)* |
| No | 101 (51.5) | 95 (48.5) | 1 | 1 |
| Self-rated illness severity | ||||
| Mild | 35 (49.3) | 36 (50.7) | 1 | 1 |
| Moderate | 105 (64.8) | 57 (35.2) | 1.90 (1.08,3.34)* | 1.42 (0.72,2.81) |
| Severe | 91 (68.9) | 41 (31.1) | 2.28 (1.26,4.13)*** | 1.35 (0.66,2.77) |
| Alcohol use disorder risk | ||||
| Risk | 14 (87.5) | 2 (12.5) | 4.26 (0.95,19.03) | 4.41 (0.85,23.05) |
| No risk | 217 (62.2) | 132 (37.8) | 1 | 1 |
| Current Chat Chewing | ||||
| Yes | 128 (68.1) | 60 (31.9) | 1.53 (1.00,2.35)* | 0.96 (0.55,1.69) |
| No | 103 (58.2) | 74 (41.8) | 1 | 1 |
| Current cigarette or shisha | ||||
| Smoker | 50 (83.3) | 10 (16.7) | 3.43 (1.67,7.01)*** | 2.53 (1.06,6.03)* |
| Non-Smoker | 181 (59.3) | 124 (40.7) | 1 | 1 |
| Income | ||||
| No income | 41 (62.1) | 25 (37.9) | 1.12 (0.63,1.95) | 1.25 (0.61,2.57) |
| < = 500 ETB | 19 (76) | 6 (24) | 2.14, (0.82,5.57) | 1.51 (0.48,4.75) |
| 5011–999 ETB | 35 (76.1) | 11 (23.9) | 2.15 (1.04,4.45)* | 1.48 (0.65,3.38) |
| > = 1000 ETB | 136 (59.6) | 92 (40.4) | 1 | 1 |
*** P- value < 0.001, ** P-value < 0.01, * P-value < 0.05