埃塞俄比亚哈瓦萨市接受抗逆转录病毒治疗门诊的艾滋病毒患者中常见精神障碍的患病率及其相关因素。

Prevalence and correlates of common mental disorder among HIV patients attending antiretroviral therapy clinics in Hawassa City, Ethiopia.

作者信息

Duko Bereket, Toma Alemayehu, Abraham Yacob

机构信息

1Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia.

2Faculty of Medical Sciences, College of Medicine and Health Sciences, Hawassa University, P. O. Box 1560, Hawassa, Ethiopia.

出版信息

Ann Gen Psychiatry. 2019 Sep 3;18:17. doi: 10.1186/s12991-019-0241-7. eCollection 2019.

Abstract

BACKGROUND

Common mental disorder (CMD) is a group of disorders which include depression, anxiety and somatoform disorders with significant contributions to the burden of disease. It can lead to high social, economic and individual costs because it accounts for one-third of the days missed at work and a fifth of all primary health-care appointment. This study was aimed to assess the prevalence and factors associated with common mental disorders among HIV patients in Hawassa City, Ethiopia, 2018.

METHODS

The cross-sectional study was conducted at Hawassa University Comprehensive Specialized Hospital, Ethiopia, among 294 HIV patients who were recruited through systematic sampling techniques. Common mental disorder was assessed through face to face interviews by trained professional psychiatry nurses using a WHO-validated 20-item version of the Self-Reporting Questionnaire (SRQ-20). Other possible risk factors of CMD were assessed using a structured questionnaire, perceived HIV stigma scale and Oslo Item 3 Social Support Scale.

RESULTS

A total of 294 HIV patients participated in the study giving a response rate of 98.7%. The mean (± SD) age of the respondents was 35.86 years (± 9.23). Among the study participants, being female [AOR = 1.25, (95% CI 1.01, 2.43)], being widowed [AOR = 1.99, (95% CI 1.51, 5.28)], having poor social support [AOR = 2.44, (95% CI 1.33, 4.51)], having previous history of psychiatric illness [AOR = 3.83, (95% CI 1.89, 9.33)] and HIV-related perceived stigma [AOR = 1.97, (95% CI 1.63, 2.89)] were more likely to have common mental disorder when compared to their counterparts.

CONCLUSION

The prevalence of common mental disorder was high. The Ministry of Health should develop a guideline which helps to screen and treat common mental disorders at ART clinics. Further interventional research on risk factors of common mental disorder should be conducted to strengthen and broaden the current findings.

摘要

背景

常见精神障碍(CMD)是一组包括抑郁症、焦虑症和躯体形式障碍的疾病,对疾病负担有重大影响。它会导致高昂的社会、经济和个人成本,因为它占工作缺勤天数的三分之一以及所有初级卫生保健预约的五分之一。本研究旨在评估2018年埃塞俄比亚哈瓦萨市艾滋病毒患者中常见精神障碍的患病率及其相关因素。

方法

这项横断面研究在埃塞俄比亚的哈瓦萨大学综合专科医院对294名通过系统抽样技术招募的艾滋病毒患者进行。常见精神障碍通过经过培训的专业精神科护士使用世界卫生组织验证的20项版自填问卷(SRQ-20)进行面对面访谈来评估。CMD的其他可能危险因素使用结构化问卷、感知到的艾滋病毒污名量表和奥斯陆第3项社会支持量表进行评估。

结果

共有294名艾滋病毒患者参与了研究,应答率为98.7%。受访者的平均(±标准差)年龄为35.86岁(±9.23)。在研究参与者中,女性[AOR = 1.25,(95%CI 1.01,2.43)]、丧偶者[AOR = 1.99,(95%CI 1.51,5.28)]、社会支持差[AOR = 2.44,(95%CI 1.33,4.51)]、有精神疾病既往史[AOR = 3.83,(95%CI 1.89,9.33)]以及与艾滋病毒相关的感知污名[AOR = 1.97,(95%CI 1.63,2.89)]与同龄人相比更有可能患有常见精神障碍。

结论

常见精神障碍的患病率很高。卫生部应制定一项有助于在抗逆转录病毒治疗诊所筛查和治疗常见精神障碍的指南。应进一步开展关于常见精神障碍危险因素的干预研究,以加强和拓宽当前的研究结果。

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