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埃塞俄比亚亚的斯亚贝巴接受抗逆转录病毒治疗随访的HIV阳性青年中抑郁症状的患病率及相关因素

Prevalence of Depressive Symptoms and Associated Factors among HIV-Positive Youth Attending ART Follow-Up in Addis Ababa, Ethiopia.

作者信息

Abebe Helina, Shumet Shegaye, Nassir Zebiba, Agidew Melkamu, Abebaw Dessie

机构信息

Menelik II Health Science College, Addis Ababa, Ethiopia.

Department of Psychiatry, University of Gondar, Gondar, Ethiopia.

出版信息

AIDS Res Treat. 2019 Jan 2;2019:4610458. doi: 10.1155/2019/4610458. eCollection 2019.

Abstract

Depression is most frequently and highly occurring common mental disorder in HIV/AIDS patients especially youth living with HIV/AIDS. This study aimed to assess the prevalence and associated factors of depressive symptoms among youth living with Human Immunodeficiency Virus (HIV) attending Antiretroviral Therapy (ART) follow-up at public hospitals in Addis Ababa, Ethiopia. . To assess the prevalence and associated factors of depressive symptoms among youth living with Human Immunodeficiency Virus (HIV) attending Antiretroviral Therapy (ART) follow-up at public hospitals Addis Ababa, Ethiopia, 2016. . In a cross sectional study, 507 HIV-positive young people from public health hospitals were recruited by systematic random sampling technique. Beck Depression Inventory-II was used to assess depressive symptoms. Morisky medication adherence rating scale, social support rating scale, and HIV stigma scale were the instruments used to assess the associated factors. . Prevalence of depressive symptoms among HIV-positive youth was 35.5% (95% CI:31.3, 39.6). In multivariate analysis, age range between 20 and 24 years with (AOR=2.22, 95% CI: 1.33,3.62), history of opportunistic infection (AOR=1.94, 95% CI:1.15,3.27), poor medication adherence (AOR=1.73, 95%CI:1.13,2.64, low social support (AOR=2.74, 95%CI:1.13,2.64), moderate social support (AOR=1.75 95% CI: 1.03,2.98), and stigma (AOR=2.06, 95% CI: 1.35,3.14) were associated with depressive symptoms. The results suggest that prevalence of depressive symptoms among HIV-positive youth was high. Prevention of opportunistic infection, stigma, and counseling for good medication adherence are necessary among HIV-positive youth.

摘要

抑郁症是艾滋病毒/艾滋病患者尤其是感染艾滋病毒/艾滋病的青年中最常见且高发的精神障碍。本研究旨在评估在埃塞俄比亚亚的斯亚贝巴公立医院接受抗逆转录病毒治疗(ART)随访的感染人类免疫缺陷病毒(HIV)青年中抑郁症状的患病率及相关因素。2016年,为评估在埃塞俄比亚亚的斯亚贝巴公立医院接受抗逆转录病毒治疗(ART)随访的感染人类免疫缺陷病毒(HIV)青年中抑郁症状的患病率及相关因素,采用横断面研究,通过系统随机抽样技术从公共卫生医院招募了507名HIV阳性青年。使用贝克抑郁量表第二版评估抑郁症状。使用莫氏药物依从性评定量表、社会支持评定量表和HIV污名量表评估相关因素。HIV阳性青年中抑郁症状的患病率为35.5%(95%置信区间:31.3, 39.6)。多变量分析显示,年龄在20至24岁之间(调整后比值比[AOR]=2.22,95%置信区间:1.33, 3.62)、有机会性感染史(AOR=1.94,95%置信区间:1.15, 3.27)、药物依从性差(AOR=1.

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