Getaneh Meselu, Reta Mebratu Mitiku, Assefa Dawit, Yohannis Zegeye, Demilew Demeke
Department of Psychiatry, University of Gondar and Amanuel Specialized Mental Health, Addis Ababa, Ethiopia.
Department of Internal Medicine, School of Medicine, University of Gondar, Gondar, Ethiopia.
BMC Res Notes. 2019 Mar 25;12(1):170. doi: 10.1186/s13104-019-4216-1.
Depression is the most frequently observed psychiatric disorder among HIV positives and it is becoming worse in prisoners. The aim this study was to assess prevalence and associated factors of depression among HIV positive prisoners at central prison (Kaliti) Addis Ababa.
The prevalence of depression was found to be 66.5% (95% CI 62, 71). Primary education [AOR = 4.17, 95% CI (1.648-10.483)], perceived stigma [AOR = 3.88, 95% CI (2.08-7.25)], history of chronic illness [AOR = 2.88, 95% CI (1.34-6.17)] and WHO clinical stage II [AOR = 2.47, 95% CI (1.19-5.12)] and length of stay in prison 4-6 years[AOR = 2.27, 95% CI (1.22-4.23)] and ≥ 10 years [AOR = 3.53, 95% CI (1.15-10.85)] were factors associated with depression. This study indicated that prevalence of depression among HIV positive prisoners in Addis Ababa prison was high. Educational status, perceived stigma, history of chronic illness, WHO clinical stage and length of stay in prison were factors associated with depression. Establishing psychiatry care to screen and manage mental health disorders at the prison is needed. Special attention has to be given for those with primary in education, advanced disease, perceived stigma, and history of chronic illness and stayed many years in prison.
抑郁症是艾滋病毒阳性者中最常见的精神疾病，在囚犯中情况日益严重。本研究旨在评估亚的斯亚贝巴中央监狱（卡利蒂监狱）艾滋病毒阳性囚犯中抑郁症的患病率及相关因素。
发现抑郁症患病率为66.5%（95%置信区间62, 71）。小学教育程度[AOR = 4.17，95%置信区间（1.648 - 10.483）]、感知到的耻辱感[AOR = 3.88，95%置信区间（2.08 - 7.25）]、慢性病病史[AOR = 2.88，95%置信区间（1.34 - 6.17）]、世界卫生组织临床分期II期[AOR = 2.47，95%置信区间（1.19 - 5.12）]以及在监狱服刑4 - 6年[AOR = 2.27，95%置信区间（1.22 - 4.23）]和≥10年[AOR = 3.53，95%置信区间（1.15 - 10.85）]是与抑郁症相关的因素。本研究表明，亚的斯亚贝巴监狱艾滋病毒阳性囚犯中抑郁症患病率很高。教育状况、感知到的耻辱感、慢性病病史、世界卫生组织临床分期以及在监狱服刑时间是与抑郁症相关的因素。需要在监狱建立精神病护理以筛查和管理精神健康障碍。必须特别关注那些小学教育程度、疾病晚期、有耻辱感、有慢性病病史且在监狱服刑多年的人。
