Darak Shrinivas S, Pawar Swapna R, Phadke Sanjay S, Kulkarni Vinay V
Senior Researcher, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
Research Assistant, Prayas Health Group, Deenanath Mangeshkar Hospital and Research Centre, Pune, Maharashtra, India.
Indian J Public Health. 2019 Jan-Mar;63(1):44-50. doi: 10.4103/ijph.IJPH_112_18.
India is home to 2.1 million people living with HIV with an estimated 44% people having an uninfected partner. Living in HIV serodiscordant setting can be stressful, especially for women and can lead to several common mental disorders (CMDs). However, the occurrence of CMD in this population is not studied in India.
The study aimed to assess the occurrence of CMD in HIV-uninfected women living in HIV serodiscordant setting. A sample of 152 HIV-uninfected women who are wives of HIV-infected men attending an HIV clinic were interviewed by trained interviewers.
The International Classification of Diseases-10 diagnosis of any of the CMDs was done using standard structured diagnostic interview MINI 5.0.0. Current, past, and lifetime occurrence was estimated for various CMDs. Chi-square and point-biserial correlation coefficients were used to understand the relationship between various sociodemographic and HIV-related factors with current CMD.
The current, past, and lifetime occurrence of at least one CMD was 35.5%, 49.3%, and 62.5%, respectively. Common diagnoses were mixed anxiety-depressive disorder, major depressive disorder, and posttraumatic stress disorder. Of the women with CMD, 22% had accompanying suicidality.
The high rate of occurrence of CMD observed among the study population calls for more attention on the policy and program level to address the mental health needs of this population. Globally, more number of HIV-infected people are now linked to the care. This provides an opportunity to incorporate mental health care into routine HIV care.
印度有210万艾滋病毒感染者，估计44%的人有未感染艾滋病毒的伴侣。生活在艾滋病毒血清学不一致的环境中可能会有压力，尤其是对女性而言，并且可能导致几种常见精神障碍（CMD）。然而，印度尚未对这一人群中CMD的发生情况进行研究。
本研究旨在评估生活在艾滋病毒血清学不一致环境中的未感染艾滋病毒女性中CMD的发生情况。对152名未感染艾滋病毒的女性进行了抽样调查，这些女性是在一家艾滋病毒诊所就诊的感染艾滋病毒男性的妻子，由经过培训的访谈员进行访谈。
使用标准结构化诊断访谈MINI 5.0.0对任何一种CMD进行国际疾病分类第10版诊断。估计了各种CMD的当前、过去和终生发生率。使用卡方检验和点二列相关系数来了解各种社会人口统计学和艾滋病毒相关因素与当前CMD之间的关系。
至少有一种CMD的当前、过去和终生发生率分别为35.5%、49.3%和62.5%。常见诊断为混合性焦虑抑郁障碍、重度抑郁症和创伤后应激障碍。在患有CMD的女性中，22%伴有自杀倾向。
在研究人群中观察到的CMD高发生率要求在政策和项目层面给予更多关注，以满足这一人群的心理健康需求。在全球范围内，现在有更多的艾滋病毒感染者获得了护理。这为将精神卫生保健纳入常规艾滋病毒护理提供了机会。
