Prevalence of depression among people living with HIV in rural hospitals in South-Western Nigeria-Association with clinico-demographic factors.

Journal: AIDS research and therapy

Volume: 20

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Department of Pharmacology and Therapeutics, College of Medicine, University of Ibadan, Ibadan, Nigeria. wad_deji@yahoo.com. Center for Integrated Global Biomedical Sciences, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY, USA. Department of Medical Microbiology and Parasitology, University College Hospital, Ibadan, Nigeria. Department of Clinical Pharmacy, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria. Department of Biostatistics and Bioinformatics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. Division of Infectious Diseases, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Center for International Health, Education, and Biosecurity, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA. Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria. Department of Pharmacology and Therapeutics, College of Medicine, University of Ibadan, Ibadan, Nigeria. Department of Psychiatry, University of Ibadan, Ibadan, Nigeria.

Abstract summary 

Major depression is the most common neuropsychiatric disorder among people living with HIV (PLWH) and is predictive of high morbidity and mortality among them. This study estimated the prevalence and explored factors associated with depression among PLWH in two rural secondary health facilities providing anti-retroviral therapy (ART) services in Southwestern Nigeria between September and December 2020. The Patient Health Questionnaire-9 (PHQ-9) was used to screen and identify PLWH aged 18 years or older with depression. Descriptive statistics, bivariate and multivariate analyses were performed with SPSS version 23. A total of 172 respondents were screened. The prevalence of depression was 16.3% (95% CI 11.1%, 22.7%). Mild, moderate, and moderately severe depression was identified in 17 (9.9%), 8(4.7%) and 3(1.7%) of the participants, respectively. One (0.6%) respondent had suicidal ideation. Of PLWH with any depression, 20/28(71.4%) were within the 40-59 years of age range. None of the participants was on antidepressants. The factor most associated with depression was hypertension, with adjusted odd ratios of 9.8(95% CI 3.5-27.3, p < 0.0001). The study highlights the importance of screening for the severity of depression among PLWH in rural hospitals providing ART services in Africa. PLWH with comorbid hypertension were more likely to suffer from some form of depression.

Authors & Co-authors:  Adedeji Waheed Adeola WA Ma Qing Q Raji Abiodun Muhammed AM Cha Raymond R Rasaki Olaniran Mudasiru OM Hutson Alan A Taiwo Babafemi O BO Charurat Man E ME Yusuf Oyindamola B OB Fehintola Fatai Adewale FA Gureje Oye O Morse Gene D GD

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Smiley CL, Rebeiro PF, Cesar C, et al. Estimated life expectancy gains with antiretroviral therapy among adults with HIV in Latin America and the Caribbean: a multisite retrospective cohort study. The Lancet HIV May. 2021;8(5):e266–73. doi: 10.1016/S2352-3018(20)30358-1.
Authors :  12
Identifiers
Doi : 89
SSN : 1742-6405
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
ART;Depression;HIV/AIDS;Mental disorder;Nigeria;PLWH
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England