Department of Educational Foundations, Faculty of Education, University of Nigeria, Nsukka.
Department of Educational Foundations, Alex-Ekwueme, Federal University, Ndufu Alike, Ebonyi State, Nigeria.
Afr Health Sci. 2021 Sep;21(3):1016-1026. doi: 10.4314/ahs.v21i3.9.
Depression is a highly prevalent mental disorder among PLHIV, whilst social support is important in disease prevention, health promotion, therapeutic measure especially for PLHIV.
To ascertain the different types and sources of social support and their association with depression among PLHIV in Nigeria.
The study was a correlation with 2515 PLHIV in three teaching hospitals in South-Eastern Nigeria. Data were collected between January to June, 2019 through interviews, using socio-demographic and Clinical Form and a Social Support Scale for PLHIV. SPSS-20 used for data analysis.
It was shown that average scores of instrumental and emotional social supports (IESS) were satisfactory and not influenced by sex (p = 0.894; p = 0.496), education (p = 0.805; p = 0.182), marital status (p = 0.076; p = 0.446) and length of antiretroviral therapy (p = 0.510; p = 0.136). People diagnosed for less than three years had more instrumental support (p = 0.05) than those diagnosed over three years. The regression score also revealed a high predictive power of IESS on depression of PLHIV.
PLHIV have satisfactory social support, especially from family not residing in the same household and emotional social support from friends. Analyses identified knowledge gaps in the community regarding the social support received by PLHIV and their depression symptoms.
抑郁症是 HIV 感染者中一种高发的精神障碍，而社会支持在疾病预防、健康促进、治疗措施中都很重要，尤其是对 HIV 感染者。
确定尼日利亚 HIV 感染者社会支持的不同类型和来源及其与抑郁的关系。
本研究是一项在尼日利亚东南部的三所教学医院进行的相关性研究，共纳入了 2515 名 HIV 感染者。数据收集于 2019 年 1 月至 6 月期间，通过访谈进行，使用社会人口统计学和临床表格以及针对 HIV 感染者的社会支持量表。使用 SPSS-20 进行数据分析。
结果表明，工具性和情感性社会支持（IESS）的平均得分令人满意，且不受性别（p=0.894；p=0.496）、教育程度（p=0.805；p=0.182）、婚姻状况（p=0.076；p=0.446）和抗逆转录病毒治疗时间（p=0.510；p=0.136）的影响。诊断时间少于 3 年的患者比诊断时间超过 3 年的患者拥有更多的工具性支持（p=0.05）。回归评分还揭示了 IESS 对 HIV 感染者抑郁的高度预测能力。
HIV 感染者拥有令人满意的社会支持，尤其是来自不住在同一家庭的家人的工具性支持和来自朋友的情感性支持。分析发现，社区对 HIV 感染者所获得的社会支持及其抑郁症状的认识存在知识空白。
