在尼日利亚东南部埃努古，艾滋病毒感染儿童的照顾者中心理社会障碍的流行情况和模式。

Prevalence and Pattern of Psychosocial Disorders among Caregivers of HIV-infected Children in Enugu, South-Eastern Nigeria.

机构信息

Department of Paediatrics, Federal Medical Centre, Umuahia, Nigeria.

Department of Paediatrics, University of Nigeria Enugu Campus, Enugu, Nigeria.

出版信息

J Trop Pediatr. 2019 Apr 1;65(2):107-113. doi: 10.1093/tropej/fmy019.

DOI:10.1093/tropej/fmy019

PMID:29912465

Abstract

BACKGROUND

Nigeria has the highest burden of paediatric HIV in the world. HIV infection may result in significant life stressors, on both the infected children and their caregivers.

METHODS

This included a hospital-based cross-sectional and comparative study. Subjects and controls who met the inclusion criteria were enrolled consecutively. Their socio-demographic variables were obtained and GHQ-28 was used to assess their psychosocial status.

RESULTS

A total of 154 caregivers of HIV-infected children (subjects) and 154 caregivers of HIV-negative children (controls) were enrolled into this study. In total, 42 (27.3%) and 112 (72.7%) of the subjects were males and females, respectively, compared with 37 (24.0%) and 117 (76.0%) of the controls, respectively. The prevalence of psychosocial disorders among the subjects and controls was 39 and 2.6%, respectively (p < 0.001; odds ratio: 23.936). The patterns of psychosocial disorders among the caregivers of HIV-infected children were somatic symptoms (85%), anxiety/insomnia (80%), social dysfunction (63.3%) and severe depression (48.3%).

CONCLUSION

There is a high prevalence of psychosocial disorders among caregivers of HIV-infected children.

摘要

背景

尼日利亚是全世界儿童艾滋病负担最重的国家。艾滋病感染可能会给受感染者及其照护者带来巨大的生活压力。

方法

本研究为医院横断面对照研究。连续纳入符合纳入标准的患儿及其照护者。收集其社会人口学变量，并采用 28 项一般健康问卷（GHQ-28）评估其心理社会状况。

结果

共纳入 154 名 HIV 感染患儿的照护者（患儿组）和 154 名 HIV 阴性患儿的照护者（对照组）。患儿组中，男性和女性分别有 42 名（27.3%）和 112 名（72.7%），而对照组中，男性和女性分别有 37 名（24.0%）和 117 名（76.0%）。患儿组和对照组中，心理障碍的患病率分别为 39%和 2.6%（p<0.001；比值比：23.936）。HIV 感染患儿照护者的心理障碍模式为躯体症状（85%）、焦虑/失眠（80%）、社会功能障碍（63.3%）和严重抑郁（48.3%）。