Abstract
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.
Data availability
If necessary, the corresponding author may be contacted at any time to obtain reasonable access to the data and supplementary materials utilized in this study. As a result, the principal investigator can be reached at any time at this g-mail address: [SoleSeifa@gmail.com](mailto: SoleSeifa@gmail.com).
Abbreviations
- AOR:
-
Adjusted odds ratio
- COR:
-
Crude odds ratio
- CI:
-
Confidence interval
- HCW:
-
Health care workers
- OR:
-
Odds ratio
- OSLO:
-
Oslo social support scale
- RAS:
-
Relationship assessment scale
- SPSS:
-
Statistical package for social sciences
- STD:
-
Sexual transmitted disease
- WHO:
-
World Health Organization
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Acknowledgements
First and foremost, we would like to express our sincere gratitude to the Madda Walabu University Sheshemene campus for all of their support and for granting us ethical clearance. We also want to express our gratitude to all concerned hospitals in the West Arsi, Bale, and East Zonal health offices, data collectors, and supervisors who helped with this work. In a similar vein, we sincerely thank the study participants for their time and insightful data.
Funding
The authors did not receive any specific funding for this work. However, Madda Walabu University provided support for duplication and data collection expenses.
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All the authors have contributed equally to the proposal development, development of the tool, data collection process, and analysis. All the authors have revised the final version of the manuscript and given their approval for publication.Conceptualization: Solomon Seyife AlemuData Curation: Solomon Seyife Alemu, Gemechu Gelan BekeleFormal analysis: Solomon Seyife Alemu, Lema Fikadu Wedajo, Endale Aboabe, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Gemechu Gelan BekeleFunding acquisition : Solomon Seyife Alemu, Endale Aboabe, Kefelegn Zemedkun, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Gemechu Gelan BekeleInvestigation: Solomon Seyife Alemu, Gemechu Gelan BekeleProject administration : Solomon Seyife Alemu, Gemechu Gelan BekeleResources: Solomon Seyife Alemu, Mohammedamin Hajure, Endale Aboabe, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Gemechu Gelan BekeleSoftware : Solomon Seyife Alemu, Lema Fikadu Wedajo Endale Aboabe, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Gemechu Gelan BekeleValidation : Solomon Seyife Alemu, Lema Fikadu Wedajo, Endale Aboabe, Kefelegn Zemedkun , Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Gemechu Gelan BekeleVisualization : Solomon Seyife Alemu, Lema Fikadu Wedajo, Endale Aboabe, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Geleta Nenko Dube, Gemechu Gelan BekeleWriting: original draft : Solomon Seyife Gemechu Gelan BekeleWriting (review and editing): Solomon Seyife Alemu, Lema Fikadu Wedajo, Mohammedamin Hajure, Endale Aboabe, Negeso Gebeyehu Gejo, Addisalem Workie Demsash, Ginenus Fekadu, Yalo Daba, Gemechu Gelan Bekele.
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Ethics approval
The Madda Walabu University, Sheshemene Campus School of Health Science Ethical Review Committee provided ethical clearance with IRB number RCSTT/61/2025. Prior to data collection, all study participants provided written consent and were informed of the study’s purpose. Every technique was applied in accordance with the Helsinki Declaration. Additionally, names and other identifying information were left out of the written questionnaires in order to preserve the confidentiality of the data. Every study participant was informed that their participation in the data collection would be voluntary.
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Alemu, S.S., Aboabe, E., Zemedkun, K. et al. Depression among infertile women attending Gynecology Referral Clinics in West Arsi and Bale Zones hospitals, 2025. Sci Rep (2026). https://doi.org/10.1038/s41598-026-46059-y
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DOI: https://doi.org/10.1038/s41598-026-46059-y