Prevalence of Depressive Symptoms and Associated Factors among HIV-Positive Youth Attending ART Follow-Up in Addis Ababa, Ethiopia (original) (raw)
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Journal of Multidisciplinary Healthcare
Background: Depression is the most prevalent among people living with HIV/AIDS than people without HIV/AIDS. Depression is associated with an increase in morbidity and mortality in people living with HIV/AIDS and adversely affects the adherence to antiretroviral therapy, quality of life, and health-related parameters. Objective: The aim of this study was to assess the proportion of depression and its associated factors among youth HIV/AIDS patients attending ART clinics in Dessie town Government health facilities, Northeast Ethiopia. Methods: Institutional-based cross-sectional study design was employed on 431 youth HIV/ AIDS patients attending ART clinics at Dessie town Public health facilities. Data were collected by face-to-face interview using a structured questionnaire. EPI-Data software version 3.1 was used to enter the data and analysis was done using SPSS version 23. Binary logistic regression was used to identify factors associated with depression. Statistical significance was declared at a p-value of less than 0.05 in the final model. Results: The proportion of depression among youth HIV/AIDS patients was 26.2%. The age range between 20 and 24 years (AOR = 2.019, 95% CI: 1.143-3.566), poor medication adherence (AOR = 9.007, 95% CI: 3.061-26.500), stigma (AOR = 4.14, 95% CI: 2.08-8.26), and low social support (AOR = 1.854, 95% CI: 1.034-3.324) were associated with depression. Conclusion: The proportion of depression among youth HIV patients in the current study was found to be lower compared to previous studies. Age, HIV-related stigma, social support, lost job, and poor medication adherence were found to be independent predictors of depression. Therefore, scaling up the pediatric psychosocial support program to youth psychosocial support for all ART site health facilities, strengthening health education about the medication adherence and complication of HIV/AIDS are needed.
Neuropsychiatric Disease and Treatment
Background: Depression is one of the most common psychiatric disorders with the prevalence rate ranging from 5% to 10% in the general population and about 60% in people living with human immunodeficiency virus (PLHIV). It has been reported to be more common among women living with HIV. In HIV patients, depression can have negative impacts on their quality of life. Objective: This study was aimed at identifying the prevalence of depressive symptoms and associated factors among PLHIV attending the antiretroviral therapy clinic at Fitche Zonal Hospital. Methods: It was a cross-sectional study conducted among PLHIV in Fitche Zonal Hospital from February 15 to March 15, 2012. Center for Epidemiologic Studies Depression tool was used to collect data from 390 respondents. Both the bivariate and multivariable logistic regression analyses were carried out and variables with P,0.25 in the bivariate logistic regression analysis were entered into multivariable logistic regression analysis and statistical significance was declared at P,0.05. Results: Of the total 390 respondents included in the analysis, the prevalence of depressive symptoms was 76.7%, ranging from mild to moderate (33.6%) to major (43.1%), and the highest proportion was observed among individuals with food insecurity accounting for 287 (79.3%). Food insecurity (adjusted odds ratio [AOR] =3.832 [1.575-9.322]), non-ownership of livestock (AOR =2.17 [1.157-4.104]), and opportunistic infections (AOR =5.20 [1.342-20.156]) were significantly associated with depressive symptoms. Conclusion and recommendations: Depressive symptoms were prevalent in PLHIV. Social disparities were important factors of depressive symptoms. Integration of mental health care services with HIV/acquired immune deficiency syndrome-related health care services at all health care levels was necessary. It was recommended that government and non-government organizations should provide assistance to the PLHIV to encourage their involvement in income-generating activities.
Psychiatry Journal, 2020
Background HIV is a chronic life-threatening illness and, like other similar chronic and stigmatizing illnesses, can be stressful to manage. Depression is a common mental health problem that deteriorates the quality of life of people with HIV/AIDS and found to be a strong predictor for noncompliance to antiretroviral therapy treatment. Therefore, epidemiological evidence on the factors associated with depression among patients with HIV/AIDS can contribute towards effective and efficient preventive health care strategies for this population. Objectives To assess the prevalence and factors associated with depression among HIV/AIDS-infected patients attending ART clinic at Jimma University Medical Center, Jimma, Southwest Ethiopia, in 2018. Methods This study followed an institution-based cross-sectional quantitative study design. A simple random sampling method yielded 303 participants who were interviewed from April to May 2018, using a pretested questionnaire, followed by their card...
Research Square (Research Square), 2023
Depression in people living with HIV (PLHIV) has become an urgent issue. The HIV/AIDS pandemic cannot end without addressing the mental health of PLHIV through integrated approaches; besides, depression in PLHIV might be unrecognized and undertreated, whereas some manifestations of HIV and depression are mirrored. Therefore, the aim of this study was to assess depressive symptoms and associated factors in PLHIV in Eastern Ethiopia to further interventions. Methods A total of 420 PLHIV participated in this cross-sectional study and completed the Patient Health Questionnaire-9. Medical record reviews and pretested, structured face-to-face interviews were used to collect the data. A multivariate logistic regression model was used to examine the odds ratios for the existence of depressive symptoms, including sociodemographic information, and comorbidities as relevant variables. Statistically signi cant variables were determined using P values of 0.05. Results we found over all prevalence of depressive symptoms in PLHIV was 52.4% (95% CI = 47.6-57.1). Employment status [AOR = 0.22 (95% CI = 0.13-0.36)], recent CD4 count [AOR = 6.99 (95% CI = 2.81-17.38)], duration on ART [AOR = 5.05 (95% CI = 2.38-10.74)], and chronic non-communicable diseases (NCDs) [AOR = 7.90 (95% CI = 4.21-14.85)] were signi cantly associated with depressive symptoms among PLHIV on treatment. Conclusion In this study, almost half of adult PLHIV receiving ART drugs had depressive symptoms. Employment was found to be preventive, while low CD 4 counts, starting ART drugs recently, and the presence of chronic NCDs increased the risk of developing depression. Mental health screening and NCD intervention packages should be integrated into and offered at HIV care clinics.