Tadesse Amare Worku, Berhane Tsehay Yemane, Girma Belaineh Belaineh, Alemu Yonas Baheretibeb
Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
AIDS Care. 2012;24(11):1359-67. doi: 10.1080/09540121.2011.650677. Epub 2012 Feb 1.
Children infected with human immunodeficiency virus (HIV) are at particular risk for psychological disturbance. Little is known about the mental health status of children on highly active antiretroviral therapy (HAART). A hospital-based cross-sectional study of 318 children aged 6-14 on HAART in Addis Ababa was conducted. Behavioral and emotional problem was assessed using the child behavior check list (CBCL/6-18). Logistic regression analysis was done to select the best subset of predictor variables and determine their association with behavioral and emotional problems. Of the 318 caregivers of children aged 6-14 on HAART, 39.3% of the children had behavioral and emotional problems. Low family monthly income (AOR, 3.44, 95% CI, 1.89-6.25), older age (AOR, 2.27, 95% CI, 1.34-3.83), and parental loss (AOR, 1.89, 95% CI, 1.10-3.25) were found to be determinants of behavioral and emotional problems in the multivariate logistic regression. There is high prevalence of behavioral and emotional problems in children on HAART in Addis Ababa. More support is needed to children from families of low income and those who lost their parents. Further research should be carried out to enhance better understanding and appropriate response to behavioral and emotional problems.
感染人类免疫缺陷病毒（HIV）的儿童尤其容易出现心理障碍。对于接受高效抗逆转录病毒疗法（HAART）的儿童的心理健康状况，人们了解甚少。在亚的斯亚贝巴，针对318名年龄在6至14岁且正在接受HAART治疗的儿童开展了一项基于医院的横断面研究。使用儿童行为检查表（CBCL/6 - 18）对行为和情绪问题进行评估。进行逻辑回归分析以选择预测变量的最佳子集，并确定它们与行为和情绪问题的关联。在这318名接受HAART治疗的6至14岁儿童的照料者中，39.3%的儿童存在行为和情绪问题。在多变量逻辑回归中，家庭月收入低（比值比[AOR]，3.44，95%置信区间[CI]，1.89 - 6.25）、年龄较大（AOR，2.27，95% CI，1.34 - 3.83）以及父母离世（AOR，1.89，95% CI，1.10 - 3.25）被发现是行为和情绪问题的决定因素。在亚的斯亚贝巴，接受HAART治疗的儿童中行为和情绪问题的患病率很高。来自低收入家庭以及失去父母的儿童需要更多支持。应开展进一步研究，以更好地理解并妥善应对行为和情绪问题。
