Faculty of Public Health, Ho Chi Minh City University of Medicine and Pharmacy, 159 Hung Phu Street, Ward 8, District 8, Ho Chi Minh City, Vietnam.
Faculty of Health Sciences, University of Sydney, 75 East Street Lidcombe, Sydney, NSW, 2141, Australia.
AIDS Behav. 2018 Jul;22(Suppl 1):76-84. doi: 10.1007/s10461-017-1946-8.
This cross-sectional study investigated the prevalence and correlates of symptoms of depression among 400 people living with HIV/AIDS (PLHIV) from two HIV clinics in Ho Chi Minh City, Vietnam. Based on the Center for Epidemiologic Studies-Depression scale, 36.5% of participants were classified as likely to be clinically depressed. Factors independently associated with symptoms of depression included self-report of poor or fair health (aOR 2.16, 95% CI 1.33-3.51), having a low body mass index (aOR 1.85, 95% CI 1.13-3.04), reporting recent problems with family (aOR 1.97, 95% CI 1.21-3.19), feeling shame about being HIV-infected (aOR 1.90, 95% CI 1.20-3.00), and reporting conflict with a partner (aOR 2.21, 95% CI 1.14-4.26). Participants who lived with family (aOR 0.48, 95% CI 0.25-0.90) or who received emotional support from their families or supportive HIV networks (aOR 0.45, 95% CI 0.25-0.80) were less likely to experience symptoms of depression. Screening for and treatment of depression among Vietnamese PLHIV are needed.
本横断面研究调查了来自越南胡志明市两家 HIV 诊所的 400 名艾滋病毒感染者（PLHIV）中抑郁症状的患病率和相关因素。根据流行病学研究中心抑郁量表，36.5%的参与者被归类为可能存在临床抑郁。与抑郁症状独立相关的因素包括自我报告的健康状况不佳或一般（优势比 2.16，95%置信区间 1.33-3.51）、低体重指数（优势比 1.85，95%置信区间 1.13-3.04）、报告近期家庭问题（优势比 1.97，95%置信区间 1.21-3.19）、对感染 HIV 感到羞耻（优势比 1.90，95%置信区间 1.20-3.00）和与伴侣发生冲突（优势比 2.21，95%置信区间 1.14-4.26）。与家人同住（优势比 0.48，95%置信区间 0.25-0.90）或从家人或支持性 HIV 网络获得情感支持的参与者（优势比 0.45，95%置信区间 0.25-0.80）不太可能出现抑郁症状。越南 PLHIV 需要进行抑郁症状筛查和治疗。
