期刊
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
卷 31, 期 10, 页码 1297-1303出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/09540121.2019.1566511
关键词
Adolescents; depressive symptoms; HIV; AIDS; Uganda
类别
资金
- Fogarty International Center (National Institutes of Health [NIH] Common Fund, Office of Strategic Coordination, Office of the Director [OD/OSC/CF/NIH])
- Office of AIDS Research, Office of the Director (OAR/NIH)
- National Institute of Mental Health [NIMH/NIH]
- National Institute of Neurological Disorders and Stroke [NINDS/NIH]) of the NIH [D43 TW010128]
Adolescents living with HIV (ALHIV) are prone to depression, which can have detrimental effects including disease progression, poor treatment adherence and mortality. We aimed to determine the prevalence of depressive symptoms and their associated factors among ALHIV in Uganda. We conducted a cross-sectional survey among ALHIV (10-19 years) attending urban and rural clinics in Mbarara, Uganda between March and May 2017. Presence of depressive symptoms was assessed using the Centre for Epidemiological Studies' Depression scale. We interviewed 336 adolescents with a median age of 13 years, 62% of whom were female. A third (37%) had disclosed their HIV/AIDS status and 13% were sexually active. Overall, 154 (similar to 46%, [95% CI: 40.5-51.2]) had depressive symptoms. On bivariate analysis, the odds of having depressive symptoms were higher among adolescents who were >= 15 years, had disclosed HIV status, traveled >30min for routine care and had risky sexual practices. On multiple variable analysis, only travel time to the clinic of >30min was independently associated with depressive symptoms (AOR=1.6 [95% CI: 1.02-2.7]). With the high prevalence of depressive symptoms among ALHIV in Uganda, screening and prompt treatment of depression should be incorporated within their routine care.
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