Prevalence and correlates of probable depression diagnosis and suicidal ideation among patients receiving HIV care in Lilongwe, Malawi.

Autor:	Malava JK; UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi.; College of Medicine, University of Malawi, Blantyre, Malawi., Lancaster KE; Division of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Rd, Chapel Hill, North Carolina, 27599, United States of America., Hosseinipour MC; UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi.; Division of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Rd, Chapel Hill, North Carolina, 27599, United States of America., Rosenberg NE; UNC Project Malawi, University of North Carolina at Chapel Hill, Lilongwe, Malawi.; Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, North Carolina, 27599, United States of America., O'Donnell JK; Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, North Carolina, 27599, United States of America., Kauye F; College of Medicine, University of Malawi, Blantyre, Malawi.; Zomba Mental Hospital, Zomba, Malawi., Mbirimtengerenji N; Kamuzu College of Nursing, University of Malawi, Lilongwe, Malawi., Chaweza T; Lighthouse Medical Trust, Lilongwe, Malawi., Tweya H; Lighthouse Medical Trust, Lilongwe, Malawi., Phiri S; College of Medicine, University of Malawi, Blantyre, Malawi.; Division of Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Rd, Chapel Hill, North Carolina, 27599, United States of America.; Lighthouse Medical Trust, Lilongwe, Malawi., Pence BW; Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, North Carolina, 27599, United States of America., Gaynes BN; Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, 101 Manning Drive, Chapel Hill, North Carolina, 27599, United States of America.
Jazyk:	angličtina
Zdroj:	Malawi medical journal : the journal of Medical Association of Malawi [Malawi Med J] 2018 Dec; Vol. 30 (4), pp. 236-242.
DOI:	10.4314/mmj.v30i4.5
Abstrakt:	Background: Depression and suicide ideation among people living with HIV (PLHIV) can threaten the success of HIV care and treatment programs, particularly within high HIV prevalence settings. We describe the prevalence and correlates associated with depression and suicidal ideation among PLHIV receiving HIV care in Lilongwe, Malawi. Methods: From July to September 2013, 206 HIV clinic patients, who were ≥18 years of age and either pre-antiretroviral therapy (ART) or established on ART for ≥6 months prior to study, participated in a survey to assess the prevalence of a likely depressive disorder and suicidal ideation using the Patient Health Questionnaire-9. We explored factors associated with depression using bivariable linear regression and suicidal ideation using bivariable log-binomial regression. Results: The prevalence of a likely depressive disorder and suicidal ideation was 12% (95% CI: 8%, 17%) and 16% (95% CI: 11%, 21%), respectively. Pre-ART patients (β=1.17, 95% CI: 0.03, 2.30, p-value=0.04) and those with problematic alcohol use (β=0.49, 95% CI: 0.07, 0.92, p-value=0.02) were associated with a higher depression severity. Suicidal ideation was relatively common (8%, 95% CI: 5%, 13%) among those without a likely depressive disorder and significantly correlated with having no primary, secondary, or tertiary education (β=-1.52, 95% CI: -2.46, -0.59, p-value<0.01). Conclusions: Interventions that enhance identification and management of depressive disorders and suicidal ideation should be integrated within HIV care clinics in Malawi. (© 2018 The College of Medicine and the Medical Association of Malawi.)
Databáze:	MEDLINE
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