Kikuchi Kimiyo, Poudel Krishna C, Rwibasira John Muganda, Majyambere Adolphe, Mutabazi Vincent, Nyonsenga Simon Pierre, Muhayimpundu Ribakare, Jimba Masamine
a Institute of Decision Science for a Sustainable Society (IDS3) , Kyushu University , Fukuoka , Japan.
b Department of Community and Global Health, Graduate School of Medicine , The University of Tokyo , Tokyo , Japan.
AIDS Care. 2017 Oct;29(10):1280-1286. doi: 10.1080/09540121.2017.1307917. Epub 2017 Mar 30.
Antiretroviral therapy has dramatically improved the survival rate of perinatally HIV-infected children. For them to thrive, it is necessary to understand better their mental health issues. Caregivers play an important role in children's daily care and caregiver mental health may relate to children's mental health. However, this association has rarely been studied. Accordingly, the present study examined the associations between depression of caregivers and that of perinatally HIV-infected children in Kigali, Rwanda. We conducted a cross-sectional study of 475 perinatally HIV-infected children aged 7-14 years and their caregivers. We collected children's depression score data via face-to-face interviews with children using the Beck Depression Inventory for Youth. We also collected sociodemographic data using a semi-structured questionnaire with caregivers. In addition, we measured children's weight, height, and collected their clinical records. Data were analyzed via linear and logistic regression analyses. Of all children, 22% had symptoms of depression. Among those who had depressive symptoms (n= 105), 49% had never received psychological support. In both the linear and logistic regression analysis, caregiver's high depression scores were positively associated with children's higher depression scores (AOR: 3.064, 95% CI: 1.723, 4.855, and AOR: 1.759, 95% CI: 1.129, 2.740, respectively). Taking Efavirenz and low height-for-age were also positively associated with higher depression scores among HIV-infected children. Mental health needs to be addressed to improve quality of life of perinatally HIV-infected children. Caregiver's depression was positively associated with children's depressive symptoms. Caring for both children and the caregivers' mental health may prevent the mutual fostering of depression.
抗逆转录病毒疗法显著提高了围产期感染艾滋病毒儿童的存活率。为了让他们茁壮成长，有必要更好地了解他们的心理健康问题。照顾者在儿童的日常护理中起着重要作用，照顾者的心理健康可能与儿童的心理健康有关。然而，这种关联很少被研究。因此，本研究调查了卢旺达基加利照顾者的抑郁与围产期感染艾滋病毒儿童的抑郁之间的关联。我们对475名7至14岁围产期感染艾滋病毒的儿童及其照顾者进行了一项横断面研究。我们通过使用儿童贝克抑郁量表与儿童进行面对面访谈来收集儿童的抑郁评分数据。我们还使用与照顾者的半结构化问卷收集社会人口学数据。此外，我们测量了儿童的体重、身高并收集了他们的临床记录。数据通过线性和逻辑回归分析进行分析。在所有儿童中，22%有抑郁症状。在那些有抑郁症状的儿童（n = 105）中，49%从未接受过心理支持。在直线回归和逻辑回归分析中，照顾者的高抑郁评分均与儿童较高的抑郁评分呈正相关（调整后比值比分别为：3.064，95%置信区间：1.723，4.855；以及调整后比值比：1.759，95%置信区间：1.129，2.740）。服用依非韦伦和年龄别身高较低也与艾滋病毒感染儿童较高的抑郁评分呈正相关。需要关注心理健康以提高围产期感染艾滋病毒儿童的生活质量。照顾者的抑郁与儿童的抑郁症状呈正相关。关注儿童和照顾者双方的心理健康可能会防止抑郁情绪的相互滋生。
