Depression Prevalence in Urban Indonesia: a Preliminary Study of the Makassar General Population
Andi Agus Mumang 1 2 * ,
Sutra Nobu 3,
Irma Andriani 4,
Fathinah Mardhatillah 2,
Rei Ramahardi 2,
Abdiva Cahya Azizah 2,
Yusril Makruf 2,
Amelia Putri 2,
Andi Farhan Fauzi 2,
Qonita Amalia Rezki 2 More Detail
1 Department of Biomedical Science, Graduate School of Hasanuddin University, Makassar City, South Sulawesi, Indonesia
2 Mental Health Research Community, Makassar City, South Sulawesi, Indonesia
3 Department of Integrated Coastal Resource Management, Graduate School, Hasanuddin University, Makassar, South Sulawesi, Indonesia
4 Department of Biology, Faculty of Mathematics and Natural Sciences, Hasanuddin University, Makassar, South Sulawesi, Indonesia
* Corresponding Author
J CLIN MED KAZ, Volume 23, Issue 1, pp. 62-68.
https://doi.org/10.23950/jcmk/17870
OPEN ACCESS
209 Views
41 Downloads
Author Contributions: Conceptualization, A.A.M.; methodology, A.A.M.; validation, A.A.M., S.N., F.M., R.R., A.C.A., Y.M., AP, A.F.F., Q.A.R. and I.A.; formal analysis, A.A.M.; investigation, A.A.M., S.N., F.M., R.R., A.C.A., Y.M., AP, A.F.F., Q.A.R. and I.A.; writing – original draft preparation, A.A.M.; writing – review and editing, A.A.M., S.N. and I.A.; visualization, A.A.M.; funding acquisition, A.A.M.. All authors have read and agreed to the published version of the manuscript.
Data availability statement: The corresponding author can provide the data supporting the study's conclusions upon request. Due to ethical and privacy constraints, the data are not publicly accessible.
Artificial Intelligence (AI) Disclosure Statement: AI-Unassisted Work.
ABSTRACT
Introduction: The prevalence of depression in South Sulawesi has been reported to exceed the national average. This preliminary study investigated the prevalence of depression in Makassar, the capital city of South Sulawesi.
Methods: A total of 64 volunteers from the general population were enrolled for cross-sectional observational study using convenience sampling. The CES-D questionnaire was used to assess depressive symptoms, and sociodemographic data were also collected. The main analysis was conducted using a generalized linear model (GLM).
Results: The results showed that the mean CES-D score was 16.34 ± 10.30, and the prevalence of screen-positive mild-to-severe depressive symptoms was 65.6%. CES-D scores varied significantly by age (p = 0.026), ethnicity (p = 0.004), and education (p = 0.041).
Discussion: However, in the multivariate analysis, ethnicity remained statistically associated with depressive symptoms, with participants of Makassar ethnicity observed to report lower levels of depressive symptoms compared with other ethnic groups. This preliminary finding may suggest a context-specific association between cultural identity and lower depression scores.
Conclusion: These findings provide preliminary information that requires further investigation through large-scale observational studies to examine the association between ethnicity and depression, particularly in urban settings characterized by emerging multiethnic identities.
CITATION
Mumang AA, Nobu S, Andriani I, Mardhatillah F, Ramahardi R, Cahya Azizah A, et al. Depression Prevalence in Urban Indonesia: a Preliminary Study of the Makassar General Population. J CLIN MED KAZ. 2026;23(1):62-8.
https://doi.org/10.23950/jcmk/17870
REFERENCES
- Peltzer K, Pengpid S. High prevalence of depressive symptoms in a national sample of adults in Indonesia: Childhood adversity, sociodemographic factors and health risk behaviour. Asian J Psychiatr. 2018;33:52–9. https://doi.org/10.1016/j.ajp.2018.03.017
- Purba FD, Fitriana TS. Sociodemographic Determinants of Self-reporting Mental Health Problems in Indonesian Urban Population. Psychol Res Urban Soc. 2019 Apr 30;2(1):10. https://doi.org/10.7454/proust.v2i1.46
- Purborini N, Lee MB, Devi HM, Chang HJ. Associated factors of depression among young adults in Indonesia: A population-based longitudinal study. J Formos Med Assoc. 2021;120(7):1434–43. https://doi.org/10.1016/j.jfma.2021.01.016
- Tran TD, Kaligis F, Wiguna T, Willenberg L, Nguyen HTM, Luchters S, Azzopardi P, Fisher J. Screening for depressive and anxiety disorders among adolescents in Indonesia: Formal validation of the centre for epidemiologic studies depression scale – revised and the Kessler psychological distress scale. J Affect Disord. 2019;246:189–94. https://doi.org/10.1016/j.jad.2018.12.042
- Astutik E, Hidajah AC, Tama TD, Efendi F, Li CY. Prevalence and determinants of depressive symptoms among adults in Indonesia: A cross-sectional population-based national survey. Nurs Forum. 2021;56(1):37–44. https://doi.org/10.1111/nuf.12508
- Ramadianto AS, Kusumadewi I, Agiananda F, Raharjanti NW. Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry. 2022;22(1):92. https://doi.org/10.1186/s12888-022-03745-1
- Sinaga IOY, Barliana MI, Pradipta IS, Iskandarsyah A, Abdulah R, Alfian SD. Depression is Associated with the Increase Risk of Multimorbidity Among the General Population in Indonesia. J Multidiscip Healthc. 2022;15:1863–70. https://doi.org/10.2147/jmdh.s372712
- Handajani YS, Schröder-Butterfill E, Hogervorst E, Turana Y, Hengky A. Depression among Older Adults in Indonesia: Prevalence, Role of Chronic Conditions and Other Associated Factors. Clin Pract Epidemiol Ment Health. 2022;18(1):e174501792207010. https://doi.org/10.2174/17450179-v18-e2207010
- Gunawan I, Huang XY. Prevalence of depression and its related factors among older adults in Indonesian nursing homes. Belitung Nurs J. 2022;8(3):222. https://doi.org/10.33546/bnj.2075
- Idris H, Tuzzahra F. Factors associated with depressive symptoms among adolescents in Indonesia: A cross-sectional study of results from the Indonesia Family Life Survey. Malaysian Fam Physician. 2023;18:29. https://doi.org/10.51866/oa.265
- Peltzer K, Pengpid S. Depressive symptoms and social demographic, stress and health risk behaviour among university students in 26 low-, middle- and high-income countries. Int J Psychiatry Clin Pract. 2015;19(4):260–6. https://doi.org/10.3109/13651501.2015.1082598
- Szücs A, van der Lubbe SCC, Arias de la Torre J, Valderas JM, Hay SI, Bisignano C, Morgan BW, Acharya S, Adnani QES, Apostol GLC, Aslam MS, Asri Y, Aung ZZ, Aurizki GE, Baig AA, Bermudez ANC, Cenderadewi M, Danpanichkul P, Efendi F, Estrada CAM, Fauk NK, Fridayani NKY, Garcia FB, Hasan F, Ibrahim UI, Ilyas MF, Ismail NE, Jamaluddin J, Jamora RDG, Jonas JB, Kanmodi KK, Khan KU, Khotimah FH, Kim YJ, Kurniasari MD, Kustanti CY, Kusuma D, Laksono T, Lau J, Loreche AM, Ma ZF, Maravilla JC, Marzo RR, Maude RJ, Porntaveetus T, Rahmawaty S, Rodriguez A, Roy B, Salami AA, Samodra YL, Sreeramareddy CT, Subramaniyan V, Sukaew T, Sulistiyorini D, Sumpaico-Tanchanco LBC, Wicaksana AL, Wong YJ, Younis MZ, Zuniga YMH, Murray CJL, Santomauro DF, Ng M. The epidemiology and burden of ten mental disorders in countries of the Association of Southeast Asian Nations (ASEAN), 1990–2021: findings from the Global Burden of Disease Study 2021. Lancet Public Heal. 2025;10(6):e480–91. https://doi.org/10.1016/S2468-2667(25)00098-2
- Agustin WS, Prastika HA, Kendrasti GK, Fajriyah R, Le-Quy V. Clustering the Depression Prevalence in Indonesia Provinces through Natural Breaks Jenks Method. Clin Pract Epidemiol Ment Health. 2025;21(1):e17450179375982. https://doi.org/10.2174/0117450179375982250512114928
- Riskesdas. Basic Health Research 2018 [in Bahasa]. Jakarta; 2018 [cited: 2025 Oct 01]. Available at: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018
- Mckenzie K. Urbanization, social capital and mental health. Glob Soc Policy. 2008;8(3):359–77. https://doi.org/10.1177/1468018108095633
- Mumang AA. Epidemiological Transition and the Phenomenon of Depression in Indonesia: a Narrative Review. J Clin Med Kazakhstan. 2025;22(3):48–52. https://doi.org/10.23950/jcmk/16449
- Akhtar-Danesh N, Landeen J. Relation between depression and sociodemographic factors. Int J Ment Health Syst. 2007;1(1):4. https://doi.org/10.1186/1752-4458-1-4
- Silva M, Loureiro A, Cardoso G. Social determinants of mental health: a review of the evidence. Eur. J. Psychiat. 2016;30.
- Mumang AA, Liaury K, Syamsuddin S, Maria IL, Tanra AJ, Ishida T, et al. Socio-economic-demographic determinants of depression in Indonesia: A hospital-based study. PLoS One. 2020;15(12):e0244108. https://doi.org/10.1371/journal.pone.0244108
- Mumang AA, Syamsuddin S, Maria IL, Yusuf I. Gender Differences in Depression in the General Population of Indonesia: Confounding Effects. Depress Res Treat. 2021;2021:3162445. https://doi.org/10.1155/2021/3162445
- Istiqlal T, Mumang AA, Liaury K, Uchida Y, Kihara M, Tanra AJ, et al. Self-construal and behavioral motivation systems among patients with depression in Indonesia: A hospital-based study. Heliyon. 2022;8(7):e09839. https://doi.org/10.1016/j.heliyon.2022.e09839
- Radloff LS. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Appl Psychol Meas. 1977;1(3):385–401. https://doi.org/10.1177/014662167700100306
- Vilagut G, Forero CG, Barbaglia G, Alonso J. Screening for depression in the general population with the Center for Epidemiologic Studies Depression (CES-D): A systematic review with meta-analysis. PLoS One. 2016;11(5):e0155431. https://doi.org/10.1371/journal.pone.0155431
- Moon JR, Huh J, Song J, Kang IS, Park SW, Chang SA, et al. The Center for Epidemiologic Studies Depression Scale is an adequate screening instrument for depression and anxiety disorder in adults with congential heart disease. Health Qual Life Outcomes. 2017;15(1):176. https://doi.org/10.1186/s12955-017-0747-0
- Antweiler C. Transethnic Identity and Urban Cognition in Makassar: Regionalism and the Empowering Potential of Local Knowledge. Proc 1st Int Symp J Antropol Indones. 2000.
- Rahim M, Abbas I. The Development Characteristics of Makassar City in Past and Present. Int Rev Spat Plan Sustain Dev. 2024;12(2):238–65. https://doi.org/10.14246/irspsd.12.2_238
- Akil A, Yudono A, Latief I, Radja AM. Application of Buginese-Makassarese culture in Makassar City, Indonesia A Reference in the Coastal City Planning. Int Rev Spat Plan Sustain Dev. 2014;2(4):68–80. https://doi.org/10.14246/irspsd.2.4_68
- Arifin IA, Darmayanti DP. Intercultural Interaction in the Multiethnic Context of Makassar City: A Case Study in an Urban Neighborhood. KnE Soc Sci. 2024;759-68. https://doi.org/10.18502/kss.v9i2.14897
- Moein A. Menggali nilai-nilai budaya Bugis-Makassar dan Sirik na pacce [in Bahasa]. Ujung Pandang: MAPRESS; 1990. 179 p.
- Abdullah H. Siri’: kearifan budaya Sulawesi Selatan : dirangkum dari makalah pakar, budayawan Sulawesi Selatan dan Malaysia [in Bahasa]. DKI Jakarta: Lembaga Kesenian Sulawesi Selatan DKI Jakakarta bersama Badan Kesenian Indonesia DKI Jakarta; 2009. 378 p.
- Reski P, Nur R, Widayati C. Local Wisdom of Bugis Makassar Siri ‘na Pacce From Millennials Glasses. Proc 2nd Int Conf Soc Sci Educ (ICSSE 2020). 2021.
- Mattulada HA. Manusia dan kebudayaan bugis - makassar dan kaili di sulawesi [in Bahasa]. 1991. 85 p.