A Systematic Review and Meta-Analysis on Depression and Associated Factors among Adult HIV/AIDS-Positive Patients Attending ART Clinics of Ethiopia: 2021.

Journal: Depression research and treatment

Volume: 2021

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia. Department of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia. Department of Nursing, College of Medicine and Health Science, Wolaita Sodo University, Wolaita, Ethiopia.

Abstract summary 

Depression is the most common mental health problem in people living with the human immune virus. It ranges from 11% to 63% in low- and middle-income countries. Depression was high in people living with HIV/AIDS in developing countries, especially in the Ethiopian context. Even though depression has negative consequences on HIV-positive patients, the care given for depression in resource-limited countries like Ethiopia is below the standard in their HIV care programs.International databases (Google Scholar, PubMed, Hinari, Embase, and Scopus) and Ethiopian university repository online have been covered in this review. Data were extracted using Microsoft Excel and analyzed by using the Stata version 14 software program. We detected the heterogeneity between studies using the test. We checked publication bias using a funnel plot test.The overall pooled depression prevalence among adult HIV/AIDS patients attending antiretroviral therapy in Ethiopia was 36.3% (95% CI: 28.4%, 44.2%) based on the random effect analysis. Adult HIV/AIDS patients having CD4count < 200(AOR = 5.1; 95% CI: 2.89, 8.99), widowed marital status (AOR = 3.7; 95% CI: 2.394, 5.789), medication nonadherence (AOR = 2.3; 95% CI: 1.63, 3.15), poor social support (2.986) (95% CI: 2.139, 4.169), perceived social stigma (2.938) (2.305, 3.743), opportunistic infections (3.010) (2.182, 4.151), and adverse drug reactions (4.013) (1.971, 8.167) were significantly associated with depression among adult HIV/AIDS patients on antiretroviral therapy, in Ethiopia. . The pooled depression prevalence among adult HIV/AIDS patients attending antiretroviral therapy in Ethiopia was higher than the general population and is alarming for the government to take special consideration for HIV-positive patients. Depression assessment for all HIV-positive patients and integrating with mental health should be incorporated to ensure early detection, prevention, and treatment. Community-based and longitudinal study designs mainly focusing on the incidence and determinants of depression among adult HIV/AIDS patients should be done in the future.

Authors & Co-authors:  Zewudie Bitew Tefera BT Geze Shegaw S Mesfin Yibeltal Y Argaw Muche M Abebe Haimanot H Mekonnen Zebene Z Tesfa Shegaw S Chekole Bogale B Tadesse Betelhem B Aynalem Agere A Lankrew Tadele T

Study Outcome 

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Statistics
Citations :  Organization, W H. Integrating the response to mental disorders and other chronic diseases in health care systems . WHO (world health organization); 2014.
Authors :  11
Identifiers
Doi : 8545934
SSN : 2090-1321
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
United States