Federal Medical Centre, Abeokuta, Ogun State, Nigeria.
Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
BMC Psychiatry. 2023 Jul 24;23(1):531. doi: 10.1186/s12888-023-04912-8.
The aim was to determine the prevalence of depressive disorder and associated psychological factors among adolescents living with HIV/AIDS.
One hundred and five adolescents with HIV were assessed for self-esteem, internalized HIV stigma and diagnosed of depressive disorder. Chi square and t tests were used to test associations and hierarchical logistic regression used to identify independent risk factors for depression.
The mean age of participants was 16.5 (± 1.97) years and 55.2% were males. Mean stigma scores were significantly higher in those with depressive disorder (16.53 ± 3.85) when compared with those without (13.42 ± 3.464) and this difference was statistically significant (t = 3.17, p = 0.01). The mean self-esteem scores were significantly lower in participants with depressive disorder (17.53 ± 4.69) compared to those without depressive disorder (19.71 ± 3.86), though not significant (t = 1.96, p = 0.053). Depressive disorder was further significantly associated with female sex, being in romantic relationship, decline in work output due to HIV and HIV stigma. Independent risk factors were sex and HIV stigma.
Depressive disorder is common among adolescents living with HIV infection in Nigeria. The association between HIV stigma and depression, thus suggests the need for prevention strategies targeting the impacts of HIV infection among adolescents.
旨在确定感染 HIV/AIDS 的青少年中抑郁障碍的患病率及其相关心理因素。
对 105 名感染 HIV 的青少年进行自尊、内化 HIV 耻辱感和抑郁障碍的评估。使用卡方检验和 t 检验来检验关联，使用分层逻辑回归来确定抑郁的独立危险因素。
参与者的平均年龄为 16.5（±1.97）岁，其中 55.2%为男性。与无抑郁障碍的参与者相比，有抑郁障碍的参与者的平均耻辱感评分（16.53±3.85）显著更高，差异具有统计学意义（t=3.17，p=0.01）。有抑郁障碍的参与者的平均自尊评分（17.53±4.69）显著低于无抑郁障碍的参与者，但差异无统计学意义（t=1.96，p=0.053）。抑郁障碍与女性、恋爱关系、因 HIV 而工作产出下降和 HIV 耻辱感进一步显著相关。独立的危险因素是性别和 HIV 耻辱感。
抑郁障碍在尼日利亚感染 HIV 的青少年中很常见。HIV 耻辱感与抑郁之间的关联表明，需要针对青少年 HIV 感染的影响制定预防策略。
