{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:55:11Z","timestamp":1790362511710,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,7,27]],"date-time":"2011-07-27T00:00:00Z","timestamp":1311724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To establish the prevalence of depression and describe associated factors among fistula patients attending an obstetric fistula surgical camp in Kenya.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted focusing on obstetric fistula patients attending a national fistula camp held in August 2008 at Kenyatta National Hospital, Nairobi, Kenya. A structured questionnaire was used to obtain sociodemographic data and medical histories for all consenting patients before surgery. Depression measures were obtained using the Patient Health Questionnaire\u20109.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 70 women interviewed, 2 (2.9%) and 12 (17.1%) reported a history of psychiatric illness and suicidal ideations, respectively. Depression was present in 51 (72.9%) patients, with 18 (25.7%) meeting criteria for severe depression. Depression was significantly associated with women older than 20 years of age (<jats:italic>P<\/jats:italic> = 0.01), unemployment (<jats:italic>P<\/jats:italic> = 0.03), lack of social support following fistula (<jats:italic>P<\/jats:italic> = 0.04), and living with fistula for over 3 months (<jats:italic>P<\/jats:italic> = 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with obstetric fistula are predisposed to high levels of depression. A holistic management approach, including mental health care and family support, is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.04.015","type":"journal-article","created":{"date-parts":[[2011,7,29]],"date-time":"2011-07-29T04:48:09Z","timestamp":1311914889000},"page":"31-33","source":"Crossref","is-referenced-by-count":83,"title":["Depression among women with obstetric fistula in Kenya"],"prefix":"10.1002","volume":"115","author":[{"given":"Khisa","family":"Weston","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Mutiso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy W.","family":"Mwangi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahida","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Beard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavithra","family":"Venkat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,7,27]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181f9b749"},{"issue":"3","key":"e_1_2_6_3_2","first-page":"337","article-title":"Vesicovaginal fistula; an historical survey","volume":"3","author":"Falk H.C.","year":"1954","journal-title":"Obstet Gynecol"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.011"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.06.007"},{"key":"e_1_2_6_6_2","unstructured":"UNFPA Engender Health.Obstetric Fistula Needs Assessment Report.2003"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb08932.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7284.482"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.106.022558"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01419.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00712.x"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-010-1652-5"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.2190\/8W7Y-0TPM-JVGV-QW6M"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-225"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.4.404"},{"key":"e_1_2_6_16_2","unstructured":"Ministry of Health Division of Reproductive Health UNFPA Kenya.Needs Assessment of Obstetric Fistula in Kenya.http:\/\/www.endfistula.org\/docs\/na_kenya.pdf.www.endfistula.org. 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