Prevalence and associated factors of depression among patients with HIV/AIDS in Hawassa, Ethiopia, cross-sectional study.

Journal: Annals of general psychiatry

Volume: 17

Issue: 

Year of Publication: 

Affiliated Institutions:  Faculty of Health Sciences, College of Medicine and Health Sciences, Hawassa University, P. O. Box , Hawassa, Ethiopia. Hawassa University Comprehensive Specialized Hospital, Hawassa University, Hawassa, Ethiopia.

Abstract summary 

Globally, 350 million people are affected by depression and 800,000 people die due to suicide every year due to depression. People living with HIV/AIDS face different challenges, including HIV-related perceived stigma, lack of social support and also depression. This study aimed to assess prevalence and factors associated with depressive symptom among people living with HIV/AIDS attending Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia.Hospital-based cross-sectional study was implemented in 2016. A total of 401 HIV-positive patients who had regular visit at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia were included in the study. Systematic random sampling technique was used to recruit study participants. Patient Health Questionnaire item nine (PHQ-9) was used to assess depressive symptoms. In addition to this, Oslo social support scale and HIV perceived stigma scale were used to assess social support and HIV-related perceived stigma, respectively.A total of 401 study participants were included in the study, giving a response rate of 96.2%. The mean age of the respondents was 38 years (SD ± 10.23). This study revealed that 48.6% of HIV-positive patients had depression. Patients who had poor social support [AOR = 2.53, (95% CI 1.70, 9.13)], HIV-related perceived stigma [AOR = 2.83, (95% CI 1.78, 4.48)] and CD4 cell count < 200 [AOR = 3.89, (95% CI 1.02, 14.83)] were more likely to have depression as compared to individuals who had good social support, no perceived HIV stigma and CD4 cell count > 200, respectively.Having poor social support, HIV-related perceived stigma and low CD4 cell count (< 200) had statistically significant association with depressive symptom. Training of health workers in ART clinics and availing manuals on assessing mental health issues is useful to screen and treat depression among HIV patients.

Authors & Co-authors:  Duko Bereket B Geja Epherem E Zewude Mahlet M Mekonen Semere S

Study Outcome 

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Statistics
Citations :  WHO . HIV/AIDS and mental health. Geneva: Switzerland; 2008.
Authors :  4
Identifiers
Doi : 45
SSN : 1744-859X
Study Population
Male,Female
Mesh Terms
Other Terms
Associated factors;Depression;Depressive symptom;Ethiopia;HIV;Hawassa;Perceived stigma;Prevalence;Social support;South Ethiopia
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Ethiopia
Publication Country
England