COVID-19 has been widely affecting human social interaction due to the public health mitigation practices which have been set out by the government in various countries, such as lockdown and social isolation. As a consequence, the ageing population, one of the vulnerable groups, has been suffering from the discontinuity of regular interventions and disconnect from social life, which may likely cause physical and cognitive decline, and accelerate the development of depressive symptoms. To mitigate the challenges that have been arisen in the ageing population during the global pandemic, Serious Game (SG), one of the non-invasive novel digital technologies, offers a motivational atmosphere with a purposeful training context, as well as a remote training capability for those who lack mobility or are frail. SG is envisioned to improve their quality of life through maintaining their physical activity, cognitive training and mental health. The aim of this paper is to demonstrate the potential use of SG to improve physical activity, cognitive training and mental health among the ageing population during COVID-19.
由于各国政府采取了封锁和社会隔离等公共卫生缓解措施，COVID-19正在广泛影响人类的社会交往。因此，作为弱势群体之一的老龄人口一直在遭受定期干预的中断和与社会生活脱节的痛苦，这可能会导致身体和认知能力下降，并加速抑郁症状的发展。为了缓解全球大流行期间人口老龄化带来的挑战，Serious Game (SG)作为一种非侵入性新型数字技术，提供了一种具有目的培训背景的激励氛围，并为缺乏行动能力或身体虚弱的人提供了远程培训能力。SG旨在通过保持他们的身体活动、认知训练和心理健康来改善他们的生活质量。本文的目的是证明SG在COVID-19期间改善老龄化人口的身体活动、认知训练和心理健康方面的潜在用途。
{"title":"The Impact of Serious Games on Physical Activity, Cognitive Training and Mental Health for the Ageing Population During COVID-19: Implications and Future Trajectories","authors":"S. Y. Lau, B. Ganesan, K. Fong","doi":"10.52872/001c.34710","DOIUrl":"https://doi.org/10.52872/001c.34710","url":null,"abstract":"COVID-19 has been widely affecting human social interaction due to the public health mitigation practices which have been set out by the government in various countries, such as lockdown and social isolation. As a consequence, the ageing population, one of the vulnerable groups, has been suffering from the discontinuity of regular interventions and disconnect from social life, which may likely cause physical and cognitive decline, and accelerate the development of depressive symptoms. To mitigate the challenges that have been arisen in the ageing population during the global pandemic, Serious Game (SG), one of the non-invasive novel digital technologies, offers a motivational atmosphere with a purposeful training context, as well as a remote training capability for those who lack mobility or are frail. SG is envisioned to improve their quality of life through maintaining their physical activity, cognitive training and mental health. The aim of this paper is to demonstrate the potential use of SG to improve physical activity, cognitive training and mental health among the ageing population during COVID-19.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131185614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Eboreime, A. Ezeokoli, Keturah Adams, A. Banke-Thomas
Sub-Saharan Africa has the highest rate of adolescent pregnancy in the world, with an estimated prevalence of 19.3%. Whereas adolescent pregnancy is considered on the policy agenda as a public health challenge in many sub-Saharan African countries, the mental health impact, although dire, has not received commensurate attention in the policy space. This is not unconnected with sociocultural norms and stigma associated, not just with mental health, but with teenage pregnancy as well. Similarly, adult maternal mental health, though often relegated, has been receiving increasing attention. But pregnant teenagers are often not the focus of available mental health interventions, even though they are more vulnerable to the same pathophysiological stressors, as well as being uniquely exposed to extreme sociocultural and economic stressors. In this viewpoint, we argue that prioritizing the mental health of adolescent mothers is critical in sub-Saharan Africa. We also make important recommendations to ensure that pregnant adolescents receive the mental health services and support they need.
{"title":"Prioritizing the mental health needs of pregnant adolescents in sub-Saharan Africa","authors":"E. Eboreime, A. Ezeokoli, Keturah Adams, A. Banke-Thomas","doi":"10.52872/001c.34646","DOIUrl":"https://doi.org/10.52872/001c.34646","url":null,"abstract":"Sub-Saharan Africa has the highest rate of adolescent pregnancy in the world, with an estimated prevalence of 19.3%. Whereas adolescent pregnancy is considered on the policy agenda as a public health challenge in many sub-Saharan African countries, the mental health impact, although dire, has not received commensurate attention in the policy space. This is not unconnected with sociocultural norms and stigma associated, not just with mental health, but with teenage pregnancy as well. Similarly, adult maternal mental health, though often relegated, has been receiving increasing attention. But pregnant teenagers are often not the focus of available mental health interventions, even though they are more vulnerable to the same pathophysiological stressors, as well as being uniquely exposed to extreme sociocultural and economic stressors. In this viewpoint, we argue that prioritizing the mental health of adolescent mothers is critical in sub-Saharan Africa. We also make important recommendations to ensure that pregnant adolescents receive the mental health services and support they need.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121222716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Edet, E. Essien, Franklyn Ifeanyi Eleazu, G. E. Atu., Isaac Olushola Ogunkola
Child abuse occurs worldwide and negatively impacts the health, functioning and psychological wellbeing of victims. Its effect on adolescent mental health has been insufficiently explored in Nigeria. The objective of this study was to determine the impact of child abuse on the occurrence of depression and suicidality among Nigerian adolescents. A cross-sectional study was conducted among 327 secondary school students in Calabar, Nigeria. Beck’s depression inventory, the Childhood Trauma Questionnaire (SF) assessing emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect, and questions on suicidality from the Nigerian version of the Global School-based Student health survey (GSHS) were administered. Sexual abuse (41.3%) was the commonest type, followed by physical neglect (38.5%) and physical abuse (30.0%). Over two-thirds (67.3%) had experienced at least one type of abuse. All types of abuse emerged as significant predictors of depression, with physical abuse being the strongest predictor. Also, all abuse types predicted various self-harming behaviours (considering, planning or attempting suicide and deliberate self-harm). There was a stepwise increase in the risk of depression and suicidal behaviour with the experience of more abuse types. All dimensions of abuse were significantly correlated, with the strongest association between physical and emotional neglect. Child abuse predicts depression and suicidality and is worse with multiple types of abuse. Public health interventions to prevent childhood trauma and screen for mental disorders in victims should be instituted in Nigeria.
{"title":"Childhood Adversity as a predictor of Depression and Suicidality among Adolescents in Calabar, Nigeria","authors":"B. Edet, E. Essien, Franklyn Ifeanyi Eleazu, G. E. Atu., Isaac Olushola Ogunkola","doi":"10.52872/001c.33811","DOIUrl":"https://doi.org/10.52872/001c.33811","url":null,"abstract":"Child abuse occurs worldwide and negatively impacts the health, functioning and psychological wellbeing of victims. Its effect on adolescent mental health has been insufficiently explored in Nigeria. The objective of this study was to determine the impact of child abuse on the occurrence of depression and suicidality among Nigerian adolescents. A cross-sectional study was conducted among 327 secondary school students in Calabar, Nigeria. Beck’s depression inventory, the Childhood Trauma Questionnaire (SF) assessing emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect, and questions on suicidality from the Nigerian version of the Global School-based Student health survey (GSHS) were administered. Sexual abuse (41.3%) was the commonest type, followed by physical neglect (38.5%) and physical abuse (30.0%). Over two-thirds (67.3%) had experienced at least one type of abuse. All types of abuse emerged as significant predictors of depression, with physical abuse being the strongest predictor. Also, all abuse types predicted various self-harming behaviours (considering, planning or attempting suicide and deliberate self-harm). There was a stepwise increase in the risk of depression and suicidal behaviour with the experience of more abuse types. All dimensions of abuse were significantly correlated, with the strongest association between physical and emotional neglect. Child abuse predicts depression and suicidality and is worse with multiple types of abuse. Public health interventions to prevent childhood trauma and screen for mental disorders in victims should be instituted in Nigeria.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125003392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The impact of behavioral disorders on custodial school-engagement has not been studied. We investigated the impact of conduct disorder (CD), oppositional-defiant disorder (ODD), and attention deficit/ hyperactivity disorder (ADHD) on the level of school-engagement among detained boys in a youth correctional facility in Lagos, Nigeria. A total of 103 boys were assessed, at the point of remand, for the presence or otherwise of behavioral disorders using the DSM-5 version of the Kiddie Schedule for Affective Disorders and Schizophrenia. The level of emotional, behavioral, and cognitive school-engagement among them was also assessed, using the School Engagement Measure, three months after enrolment in the custodial school. More than half of respondents had at-least one behavioral disorder, with CD being the most prevalent (54.4%). Multiple regression analyses showed that after controlling for perceived autonomy of learning climate, age, and prior level of education at baseline; each of the three behavioral disorders assessed had an independent negative impact on self-reported level of school-engagement three months after enrolment in custodial school. Among the behavioral disorders, ADHD had the largest magnitude of impact (β=-2.78; p<0.01). We concluded that behavioural disorders had negative impact on school engagement in youth correctional settings and constitute potential barrier to successful educational rehabilitation.
{"title":"The impact of behavioral disorders on the level of custodial school-engagement among detained adolescent boys: an observational cohort study","authors":"O. Atilola, G. Abiri, B. Ola","doi":"10.52872/001c.33064","DOIUrl":"https://doi.org/10.52872/001c.33064","url":null,"abstract":"The impact of behavioral disorders on custodial school-engagement has not been studied. We investigated the impact of conduct disorder (CD), oppositional-defiant disorder (ODD), and attention deficit/ hyperactivity disorder (ADHD) on the level of school-engagement among detained boys in a youth correctional facility in Lagos, Nigeria. A total of 103 boys were assessed, at the point of remand, for the presence or otherwise of behavioral disorders using the DSM-5 version of the Kiddie Schedule for Affective Disorders and Schizophrenia. The level of emotional, behavioral, and cognitive school-engagement among them was also assessed, using the School Engagement Measure, three months after enrolment in the custodial school. More than half of respondents had at-least one behavioral disorder, with CD being the most prevalent (54.4%). Multiple regression analyses showed that after controlling for perceived autonomy of learning climate, age, and prior level of education at baseline; each of the three behavioral disorders assessed had an independent negative impact on self-reported level of school-engagement three months after enrolment in custodial school. Among the behavioral disorders, ADHD had the largest magnitude of impact (β=-2.78; p<0.01). We concluded that behavioural disorders had negative impact on school engagement in youth correctional settings and constitute potential barrier to successful educational rehabilitation.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121478304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ojeahere, B. Ola, C. Piwuna, S. Goar, T. Afolaranmi, R. Uwakwe
This study examined major and subthreshold depression, their relationships with sociodemographic/risk factors and quality of life (QOL) of internally displaced older persons in a rural community in north central Nigeria. A community-based, cross-sectional study conducted among 200 older adults in Riyom, Nigeria. The respective modules of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and WHOQOL-BREF were used to conduct face to face interviews to assess major and subthreshold depression and QOL respectively. Data were analysed using SPSS version 23. Descriptive statistics and logistic regression analysis were performed using 95% confidence interval to analyse the significant relationships between depression, socio-demographic/risk factors, and QOL. Probability value of < 0.05 was considered statistically significant. The prevalence of lifetime major and sub-threshold prevalence of depression were 58.5% and 12.5% respectively. The factors significantly associated with increased odds for major depression were average monthly income, history of traumatic event (s) and having a confidant to talk with after the event (s) with (OR=1.839, CI=1.364-2.480, p= 0.001); (OR=9.860, CI=1.025- 94.876, p= 0.048) (OR= 4.570, CI=1.783- 11.718, p= 0.002) respectively while access to health care and having a confidant after the event (s) similar to major depression (OR= 5.105, CI=1.037- 25.133, p= 0.045); (OR= 0.276, CI=0.088- 0.862, p= 0.027) respectively were found significantly associated for sub-threshold depression. The prevalence of major and sub-threshold depression among internally displaced older persons in a Nigerian rural community were high and there were significant relationships with sociodemographic factors and QOL. While there is a need for more studies, intervention studies in internally displaced older persons would need to consider low socioeconomic status, social support, and traumatic events with substantial impairment in QOL in addressing the burden of major and sub-threshold depression among these growing populations.
{"title":"Major and sub-threshold depression and quality of life of displaced older persons: Community based cross sectional study in Nigeria","authors":"M. Ojeahere, B. Ola, C. Piwuna, S. Goar, T. Afolaranmi, R. Uwakwe","doi":"10.52872/001c.32475","DOIUrl":"https://doi.org/10.52872/001c.32475","url":null,"abstract":"This study examined major and subthreshold depression, their relationships with sociodemographic/risk factors and quality of life (QOL) of internally displaced older persons in a rural community in north central Nigeria. A community-based, cross-sectional study conducted among 200 older adults in Riyom, Nigeria. The respective modules of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) and WHOQOL-BREF were used to conduct face to face interviews to assess major and subthreshold depression and QOL respectively. Data were analysed using SPSS version 23. Descriptive statistics and logistic regression analysis were performed using 95% confidence interval to analyse the significant relationships between depression, socio-demographic/risk factors, and QOL. Probability value of < 0.05 was considered statistically significant. The prevalence of lifetime major and sub-threshold prevalence of depression were 58.5% and 12.5% respectively. The factors significantly associated with increased odds for major depression were average monthly income, history of traumatic event (s) and having a confidant to talk with after the event (s) with (OR=1.839, CI=1.364-2.480, p= 0.001); (OR=9.860, CI=1.025- 94.876, p= 0.048) (OR= 4.570, CI=1.783- 11.718, p= 0.002) respectively while access to health care and having a confidant after the event (s) similar to major depression (OR= 5.105, CI=1.037- 25.133, p= 0.045); (OR= 0.276, CI=0.088- 0.862, p= 0.027) respectively were found significantly associated for sub-threshold depression. The prevalence of major and sub-threshold depression among internally displaced older persons in a Nigerian rural community were high and there were significant relationships with sociodemographic factors and QOL. While there is a need for more studies, intervention studies in internally displaced older persons would need to consider low socioeconomic status, social support, and traumatic events with substantial impairment in QOL in addressing the burden of major and sub-threshold depression among these growing populations.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117024742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Cabello-Rangel, A. Arredondo, L. Díaz-Castro, H. Reyes-Morales, M. Medina-Mora
The aim of the present study was to estimate the economic burden from the perspective of patients and their families and the associated variables. Quantitative evaluative research with retrospective design of patients with schizophrenia diagnosis according to the International Classification of Diseases (ICD-10). Direct costs (medical and out-of-pocket costs), non-medical costs (transportation) and indirect costs were calculated. A sample of 96 patients was obtained; 62% were males, the median of treatment was 7.5 years (Interquartile range, IQR 13), the mean schooling was 10 years (standard deviation, SD 2.7). The 71.8% of study sample had no work activity. Direct costs: medical costs USD 2,956 and out-of-pocket expense USD 498. Non-medical costs USD 10. Indirect costs: the productivity loss of the patient was USD 5,760 and for the family caregiver was USD 460. The annual illness cost of a case of schizophrenia was USD 7,164; considering the prevalence of schizophrenia, the annual economic burden was USD 206,625,079 in total. There is a negative association between the loss of productivity of the patient with age, occupation and years of treatment evolution, Coefficients -.318, P < 0.05; -.431, P < 0.001; -.428, P < .000; respectively. The economic burden of schizophrenia in Mexico was determined by the loss of productivity and out-of-pocket expenses; the determinants were work activity and the years of evolution of the disorder. It is necessary to establish mechanisms for financial protection and timely care of the schizophrenia in order to achieve the patient’s reintegration into the labor market.
本研究的目的是从患者及其家属的角度估计经济负担及其相关变量。根据国际疾病分类(ICD-10)诊断精神分裂症患者的回顾性定量评价研究计算了直接费用(医疗和自付费用)、非医疗费用(运输)和间接费用。获得96例患者的样本;62%为男性，治疗中位数为7.5年(四分位差，IQR 13)，平均受教育年限为10年(标准差，SD 2.7)。71.8%的研究样本没有工作活动。直接费用:医疗费用2,956美元，自费498美元。非医疗费用10美元。间接成本:患者生产力损失5,760美元，家庭护理人员损失460美元。一名精神分裂症患者每年的疾病费用为7164美元;考虑到精神分裂症的患病率，每年的经济负担总计为206,625,079美元。患者的生产能力丧失与年龄、职业和治疗年限呈正相关，系数-。318, p < 0.05;－．431, p < 0.001;－．428, p < .000;分别。墨西哥精神分裂症的经济负担是由生产力损失和自付费用决定的;决定因素是工作活动和疾病发展的年数。有必要建立精神分裂症患者的经济保护和及时护理机制，以实现患者重新融入劳动力市场。
{"title":"An estimate of the economic burden of schizophrenia in Mexico: a retrospective study in the psychiatric hospital setting","authors":"H. Cabello-Rangel, A. Arredondo, L. Díaz-Castro, H. Reyes-Morales, M. Medina-Mora","doi":"10.52872/001c.32312","DOIUrl":"https://doi.org/10.52872/001c.32312","url":null,"abstract":"The aim of the present study was to estimate the economic burden from the perspective of patients and their families and the associated variables. Quantitative evaluative research with retrospective design of patients with schizophrenia diagnosis according to the International Classification of Diseases (ICD-10). Direct costs (medical and out-of-pocket costs), non-medical costs (transportation) and indirect costs were calculated. A sample of 96 patients was obtained; 62% were males, the median of treatment was 7.5 years (Interquartile range, IQR 13), the mean schooling was 10 years (standard deviation, SD 2.7). The 71.8% of study sample had no work activity. Direct costs: medical costs USD 2,956 and out-of-pocket expense USD 498. Non-medical costs USD 10. Indirect costs: the productivity loss of the patient was USD 5,760 and for the family caregiver was USD 460. The annual illness cost of a case of schizophrenia was USD 7,164; considering the prevalence of schizophrenia, the annual economic burden was USD 206,625,079 in total. There is a negative association between the loss of productivity of the patient with age, occupation and years of treatment evolution, Coefficients -.318, P < 0.05; -.431, P < 0.001; -.428, P < .000; respectively. The economic burden of schizophrenia in Mexico was determined by the loss of productivity and out-of-pocket expenses; the determinants were work activity and the years of evolution of the disorder. It is necessary to establish mechanisms for financial protection and timely care of the schizophrenia in order to achieve the patient’s reintegration into the labor market.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133104922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-12-10DOI: 10.21203/rs.3.rs-123623/v1
Addisu Girma, Wondwosen Tekleselasie, T. Yohannes
BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancies with the use of antiretroviral therapy. However; depression is the most common in these patients, which has markedly resulted to poor health outcomes due to reduced adherence to treatment and deterioration of medical outcomes, including treatment resistance, increase the demand for the utilization of medical resources and increase the morbidity and mortality. The aim of this study was to assess the prevalence and associated factors of depression among adult people living with HIV attending antiretroviral therapy clinic in public hospitals at KembataTembaro Zone, South Ethiopia,2020.MethodAn institution based cross sectional study was conducted in public Hospitals of KembataTembaro Zone from March 1/2020-April30/2020. Systematic random sampling technique was used to select the study participants. Data were collected using a pretested and structured questionnaire. Multivariable Logistic regression was performed to assess factors associated with depression using odds ratio at 95% confidence interval and P-value < 0.05.ResultsThe prevalence of depression was 44.3% (95% CI: 39.4% − 49.2 Being female (AOR = 2.03, 95% CI: 1.21,3.40), living alone (AOR = 3.09,95%CI :1.68,5.68), Having HIV related stigma (AOR = 2.85, 95% CI: 1.73, 4.71), poor social support (AOR = 2.55, 95% CI: 1.48, 4.78), CD4 count less than 350 cell/ul (AOR = 2.66, 95% CI: 1.48, 4.58) and Poor medication adherence (AOR = 2.19,95% CI: 1.32, 3.65) were factors significantly associated with depression.ConclusionThe prevalence of depression was high. Being female, living alone, having HIV related stigma, Poor social support, CD4 count less than 350 cell/ul and poor medication adherence were associated with depression. Depression should be included as part of the routine consultation of HIV patients to ensure early detection and treatment.
{"title":"Prevalence of Depression and Associated Factors among Adults on Antiretroviral Therapy In Public Hospitals of Kembata Tembaro Zone, South Ethiopia","authors":"Addisu Girma, Wondwosen Tekleselasie, T. Yohannes","doi":"10.21203/rs.3.rs-123623/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-123623/v1","url":null,"abstract":"BackgroundCurrently, people living with Human Immunodeficiency Virus have longer life expectancies with the use of antiretroviral therapy. However; depression is the most common in these patients, which has markedly resulted to poor health outcomes due to reduced adherence to treatment and deterioration of medical outcomes, including treatment resistance, increase the demand for the utilization of medical resources and increase the morbidity and mortality. The aim of this study was to assess the prevalence and associated factors of depression among adult people living with HIV attending antiretroviral therapy clinic in public hospitals at KembataTembaro Zone, South Ethiopia,2020.MethodAn institution based cross sectional study was conducted in public Hospitals of KembataTembaro Zone from March 1/2020-April30/2020. Systematic random sampling technique was used to select the study participants. Data were collected using a pretested and structured questionnaire. Multivariable Logistic regression was performed to assess factors associated with depression using odds ratio at 95% confidence interval and P-value < 0.05.ResultsThe prevalence of depression was 44.3% (95% CI: 39.4% − 49.2 Being female (AOR = 2.03, 95% CI: 1.21,3.40), living alone (AOR = 3.09,95%CI :1.68,5.68), Having HIV related stigma (AOR = 2.85, 95% CI: 1.73, 4.71), poor social support (AOR = 2.55, 95% CI: 1.48, 4.78), CD4 count less than 350 cell/ul (AOR = 2.66, 95% CI: 1.48, 4.58) and Poor medication adherence (AOR = 2.19,95% CI: 1.32, 3.65) were factors significantly associated with depression.ConclusionThe prevalence of depression was high. Being female, living alone, having HIV related stigma, Poor social support, CD4 count less than 350 cell/ul and poor medication adherence were associated with depression. Depression should be included as part of the routine consultation of HIV patients to ensure early detection and treatment.","PeriodicalId":367398,"journal":{"name":"Journal of Global Health Neurology and Psychiatry","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122684021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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