Understanding depression, anxiety and stress in young people living with HIV in Ghana.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2024-10-21 DOI:10.2989/16085906.2024.2370792
John-Paul Omuojine, Charles Martyn-Dickens, Sheila Agyiewaa Owusu, Allysa Warling, Ruth Charlotte Sackey, Gustav Nettey, Evans Otieku, Anthony Enimil, Leah Ratner
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Abstract

Ghanaians with perinatally acquired human immunodeficiency virus (HIV) infection now live into adulthood. It is known that adolescents and young adults living with HIV have a high risk of mental health comorbidity. Despite increasing global attention on HIV-mental health interactions, the field remains understudied in Ghana, with an attendant lack of national integrated care solutions. This study aimed to measure the burden and explore the context of depression, anxiety and stress symptoms among young people living with HIV receiving care at a tertiary care hospital in Ghana. This was an explanatory sequential mixed-methods study. Depression, anxiety and stress symptoms were measured using the Depression, Anxiety and Stress Scale, and their associations with quality of life (QoL), socioeconomic status, internalised stigma, disease stage and HIV-related risk-taking behaviours were explored. After preliminary quantitative data analysis, semi-structured interviews were conducted for those who screened positive for depression and/or anxiety to explore their experience with this comorbidity. This study found a low prevalence of depression and anxiety symptoms, which were associated with higher stigma scores and lower QoL. We believe this low prevalence to be attributable to the effect of several psychosocial interventional programmes, which were previously piloted with the study cohort that have gradually normalised mental health discussions. Participants also showed marked resilience and knowledge about their condition. The results of this study present an opportunity to advocate and scale up effective locally adapted and strength-based solutions to address the mental illness-HIV syndemic in Ghanaian young people living with HIV.

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了解加纳感染艾滋病毒的年轻人的抑郁、焦虑和压力。
加纳的围产期人类免疫缺陷病毒(HIV)感染者现在都已长大成人。众所周知,感染艾滋病毒的青少年和年轻成年人合并心理健康疾病的风险很高。尽管全球对艾滋病病毒与心理健康之间的相互作用日益关注,但加纳对这一领域的研究仍然不足,随之而来的是缺乏全国性的综合护理解决方案。本研究旨在衡量在加纳一家三级医院接受治疗的年轻艾滋病病毒感染者的抑郁、焦虑和压力症状的负担,并探索其背景。这是一项解释性顺序混合方法研究。研究使用抑郁、焦虑和压力量表对抑郁、焦虑和压力症状进行测量,并探讨了它们与生活质量(QoL)、社会经济地位、内化的污名化、疾病阶段和与 HIV 相关的冒险行为之间的关联。在进行了初步的定量数据分析后,对筛查出抑郁和/或焦虑阳性的患者进行了半结构化访谈,以探讨他们对这种合并症的感受。本研究发现,抑郁和焦虑症状的发生率较低,而这与较高的污名化评分和较低的 QoL 有关。我们认为,这种低发病率可归因于几项社会心理干预计划的效果,这些计划之前曾在研究人群中试行,使心理健康讨论逐渐正常化。参与者还表现出了明显的适应能力和对自身状况的了解。这项研究的结果为倡导和推广有效的、适合当地情况的、以力量为基础的解决方案提供了机会,以解决加纳青年艾滋病毒感染者的精神疾病-艾滋病毒综合症问题。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
期刊最新文献
Framing HIV and AIDS in competitive authoritarian democracies. Case study of the print press in Mozambique, 1986-2020. The factor structure of the Centre for Epidemiological Studies Depression Scale (CESD-R-20) among South African antiretroviral therapy users. Understanding depression, anxiety and stress in young people living with HIV in Ghana. "We mostly focus on preventing pregnancy, we don't really focus on preventing HIV … ": Young people's perceptions and priorities when preventing unplanned pregnancy and HIV. Assessing the pertinence and usefulness of HIV and AIDS indicators for evaluating clinical care quality: Perspectives of health care professionals.
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