The missing link: exploring the intersection of gender, capabilities, and depressive symptoms in the context of chronic HIV.

Journal: Women & health

Volume: 59

Issue: 10

Year of Publication: 2020

Affiliated Institutions:  HIV Prevention Research Unit, South African Medical Research Council, Cape Town, South Africa. Department of Physiotherapy, University of the Witwatersrand, Johannesburg, South Africa.

Abstract summary 

Depressive symptoms occur frequently among people living with HIV, especially women. These symptoms are associated with human, social, financial, and physical/natural capabilities and life stressors that differ between women and men. However, the link between depressive symptoms and functional limitations/disability is seldom discussed in the context of HIV, especially for gender-specific relationships. A cross-sectional survey of 1042 people living with HIV and using long-term antiretroviral therapy (ART) in South Africa was conducted from June to August 2014 to investigate the associations of disability, human, social, physical/natural, and financial capabilities, health, and adherence to ART, including possible gender-specific factors. Socio-demographic information, capabilities, health indicators, functional limitations/disability, and depressive symptoms (CES-D 10) were measured. We applied descriptive and bivariate statistics and multiple regression. Overall, 26% of people presented with depressive symptoms. Greater functional limitations and health symptoms and lower food security were strongly associated with depressive symptoms, while associations with financial capital and body mass index were gender-specific. The results call for the improvement of comprehensive care, including gender-sensitive mental health interventions. The results further indicate that functional limitations/disability needs to be considered, along with linking rehabilitation and livelihood programs with comprehensive HIV-care, in particular for those who experience depressive symptoms.

Authors & Co-authors:  Hanass-Hancock Jill J Carpenter Bradley B Myezwa Hellen H

Study Outcome 

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Statistics
Citations : 
Authors :  3
Identifiers
Doi : 10.1080/03630242.2019.1607799
SSN : 1541-0331
Study Population
Women
Mesh Terms
Activities of Daily Living
Other Terms
Capabilities;HIV/AIDS;South Africa;depressive symptoms;disability;functional limitations;livelihood
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States