Depression among infertile women attending Gynecology Referral Clinics in West Arsi and Bale Zones hospitals, 2025
摘要
The World Health Organization identifies infertility as a major public health issue, affecting about 17.5% of people globally. Depression among infertile women has bidirectional physiological, social, and economic effects. However, limited data exists in Ethiopia, where infertility is often linked to social discrimination. Investigating this issue is especially important in low-income countries. This study was aimed at assessing the prevalence of depression and its associated factors among infertile women attending Gynecology Referral Clinics in West Arsi, East Bale, and Bale Zone’s hospitals in Oromia, Ethiopia, in 2025. Facility-based cross-sectional study was conducted among 423 women from February 25 to April 25, 2025. Depression was assessed using the Patient Health Questionnaire-9, and participants were selected through systematic random sampling. Data were collected via structured interviews and card reviews using Kobo Toolbox and analyzed with SPSS 26. Factors associated with depression were identified using binary and multivariable logistic regression at 95% CI and P < 0.05. In this study 412 of the total 423 women participated in the study, obtaining a 97.4% response rate. The prevalence of depression among infertile women was 53.40% (48.56%, 58.24%). Women aged between 30 and 39, 2.34 (1.05, 3.81); primary infertility, 1.69 (1.06, 2.61); infertility duration ≥ 10 years, 2.40 (1.14, 5.04); poor family support, 2.23 (1.05, 4.73); and lifetime Intimate Partner Violence (IPV), 1.74 (1.34, 2.66), were identified factors. Over half of infertile women in this study experienced depressive symptoms. Significant factors included age, type and duration of infertility, family support, and partner violence. The findings reveal a double burden of infertility and depression. Integrating psychological support, mental health education, and coordinated gynecologic–psychiatric care is recommended.