Original Research

Place of origin associated with depressive symptoms in health professionals performing social health service in Ancash, Peru, 2015


Renee Montesinos-Segura1 MS

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Jesus Maticorena-Quevedo2

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Kocfa Chung-Delgado3

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Reneé Pereyra-Elías4

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Alvaro Taype-Rondan5

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Percy Mayta-Tristán6


1 Escuela de Medicina Humana, Universidad Nacional de San Antonio Abad del Cusco, Peru

2, 3, 4 Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru

5 Universidad San Ignacio de Loyola, Lima, Peru

6 Dirección General de Investigación, Desarrollo e Innovación, Universidad Científica del Sur, Lima, Peru

ACCEPTED: 3 August 2017

early abstract:

Introduction: Health professionals performing their social health service (SHS) in rural communities could have be in risk of developing depression. Moreover, those who migrate from farther places to perform their SHS could have an increased risk. The objective was to evaluate the association between place of origin and the presence of depressive symptoms, in health professionals performing rural social health service (SHS) in Ancash, Peru.

Methods: Cross-sectional study. During April 2015, a survey was applied to health professionals performing SHS in the Peruvian Ministry of Health (MINSA) facilities in Ancash. The main outcome was the presence of depressive symptoms, defined as a score ≥2 points in the Patient Health Questionnaire-2. The main exposure was the place of origin, defined as the place where the subjects have completed their undergraduate professional studies (Ancash, Lima city, or others). Poisson regressions with robust variance were performed to calculate crude and adjusted prevalence rations (PR and aPR) and their 95% confidence interval (95% CI).

Results: From 573 health professionals performing their SHS in MINSA in Ancash, 347 were included in the study. The mean age was 27.2 ± 4.5 years, 78.7% were women, and 14.7% scored positive for depressive symptoms. Those who had completed their undergraduate professional studies in Lima city had a higher prevalence of presence of depressive symptoms compared to those who did in Ancash (aPR=2.59, 95% CI=1.23-5.45).

Conclusions: Those who completed their undergraduate professional studies in Lima had a higher prevalence of depressive symptoms than those who did in Ancash. Possible explanations include the difficulty to visit family and friends, acculturation, and lack of Quechua language proficiency.