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Socioeconomic Vulnerability to Depressive Symptoms in Patients with Chronic Hepatitis B

Author

Listed:
  • Thuc Thi Minh Vu

    (Hanoi Medical University, Hanoi 100000, Vietnam
    The authors have equally contributed.)

  • Thieu Van Le

    (Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam
    The authors have equally contributed.)

  • Anh Kim Dang

    (Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam)

  • Long Hoang Nguyen

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam)

  • Binh Cong Nguyen

    (Viet-Tiep Friendship Hospital, Hai Phong 180000, Vietnam)

  • Bach Xuan Tran

    (Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
    Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Carl A. Latkin

    (Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Cyrus S. H. Ho

    (Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore)

  • Roger C. M. Ho

    (Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
    Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore)

Abstract

Depression is considered one of the most prevalent psychiatric disorders among patients with hepatitis B virus (HBV)-related liver disease and has adverse effects on the disease progression. However, there is a scarcity of studies contributing to the assessement of depression in hepatitis B patients. There is also little research into risk factors, particularly underlying socio-economic factors in Vietnam where the prevalence of hepatitis B is high. This study aimed to examine depression and identify whether differences in socio-economic status is related to the level of depression amongst chronic hepatitis B patients. A cross-sectional study was conducted on 298 patients with chronic hepatitis B at The Chronic Hepatitis Clinic in the Viet-Tiep Hospital, Hai Phong, Vietnam. The Patient Health Questionnaire-9 (PHQ-9) and EuroQol-5 dimensions-5 levels (EQ-5D-5L) were used to assess the severity of depression and health-related quality of life (HRQOL). Of chronic hepatitis B patients, 37.5% experienced depressive symptoms and most of them suffered minimal depressive symptoms (31.4%). According to the result of the multivariate logistic regression model, we found that higher age, lower income level, unemployement, living with spouse/partners were positively associated with having depression. Furthermore, having physical health problems and lower health-related quality of life were also related to a higher risk of depression. We recommend family support, financial support and active participation in consultation should be conducted during treatment to improve the quality of life and the emotional state of HBV patients.

Suggested Citation

  • Thuc Thi Minh Vu & Thieu Van Le & Anh Kim Dang & Long Hoang Nguyen & Binh Cong Nguyen & Bach Xuan Tran & Carl A. Latkin & Cyrus S. H. Ho & Roger C. M. Ho, 2019. "Socioeconomic Vulnerability to Depressive Symptoms in Patients with Chronic Hepatitis B," IJERPH, MDPI, vol. 16(2), pages 1-10, January.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:2:p:255-:d:198507
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    References listed on IDEAS

    as
    1. Bach Xuan Tran & Jongnam Hwang & Long Hoang Nguyen & Anh Tuan Nguyen & Noah Reed Knowlton Latkin & Ngoc Kim Tran & Vu Thi Minh Thuc & Huong Lan Thi Nguyen & Huong Thu Thi Phan & Huong Thi Le & Tho Din, 2016. "Impact of Socioeconomic Inequality on Access, Adherence, and Outcomes of Antiretroviral Treatment Services for People Living with HIV/AIDS in Vietnam," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-13, December.
    Full references (including those not matched with items on IDEAS)

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    Cited by:

    1. Bach Xuan Tran & Roger S. McIntyre & Carl A. Latkin & Hai Thanh Phan & Giang Thu Vu & Huong Lan Thi Nguyen & Kenneth K. Gwee & Cyrus S. H. Ho & Roger C. M. Ho, 2019. "The Current Research Landscape on the Artificial Intelligence Application in the Management of Depressive Disorders: A Bibliometric Analysis," IJERPH, MDPI, vol. 16(12), pages 1-16, June.
    2. Xinqiao Liu & Siqing Ping & Wenjuan Gao, 2019. "Changes in Undergraduate Students’ Psychological Well-Being as They Experience University Life," IJERPH, MDPI, vol. 16(16), pages 1-14, August.

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