Browsing by Author "Firegenet Gossa Ayele"

Filter results by typing the first few letters
Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Depression Burden and Determinants among Middle-Adolescent Students in Asella, Ethiopia: A Cross-Sectional Study 2025
    (2025-05-01) Firegenet Gossa Ayele
    Abstract Introduction: Depression is a growing public health concern among adolescents worldwide, affecting nearly 10-20% globally. In low- and middle-income countries for the majority of adolescents mental illnesses go undetected and untreated due to limited mental health services. In Ethiopia, evidence on adolescent―in particular depression ―remains scarce. Generating local data is important for designing tailored interventions. Objective: To assess the magnitude of depression and its associated factors among middle adolescent students in three selected schools in Asella, Oromia, Ethiopia in 2025. Methods: A school-based cross-sectional study was conducted from May 9th, 2025, to January 5th, 2026, among 590 students from three selected schools in Asella town, Oromia Regional State, Ethiopia. Students were selected by a multi staged stratified sampling technique based on grade and sex. Data were collected using a structured, self-administered questionnaire prepared in English, Amharic and Afaan Oromoo and analyzed in Statistical Package for Social Sciences (SPSS) version 29 using descriptive statistics and binary logistic regression. Statistical significance was set at p-value <0.05. Results: The magnitude of depression among middle adolescents was 30.5%. Significant determinants included academic pressure (AOR = 2.45, 95% CI: 1.41,4.26, very highly significant at p < 0.001), social-exclusion bullying (AOR = 2.64, 95% CI: 1.4,4.73, very highly significant at p < 0.001), living with mother only (AOR = 1.87, 95% CI: 1.10,3.16, highly significant at p < 0.05) or living alone (AOR = 2.61, 95% CI: 1.08,6.34, significant at p < 0.05), lower maternal education (AOR = 2.17, 95% CI: 1.02,4.63, significant at p < 0.05), and perceiving the school environment as stressful (AOR = 1.81, 95% CI: 1.09,3.03, highly significant at p < 0.05). Conclusion and Recommendation: The magnitude of depression was 30.5%, with key determinants including academic pressure, social-exclusion bullying, living with mother only or living alone, lower maternal education, and a stressful school environment. Schools should integrate mental-health promotion programs and peer-support, parents should provide supportive homes, and the health and education sectors must implement