The impact of a livelihood program on depressive symptoms among people living with HIV in Cambodia
| Autor: | Siyan Yi, Samedy Suong, Samrithea Sron, Sovannary Tuot, Akira Shibanuma, Mayumi Shimizu, Masamine Jimba |
|---|---|
| Přispěvatelé: | USAID |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
medicine.medical_specialty media_common.quotation_subject Social issues Odds 03 medical and health sciences depressive symptoms 0302 clinical medicine people living with HIV livelihood program quasi-experimental nonequivalent comparison group study Cambodia Intervention (counseling) Medicine 030212 general & internal medicine Psychiatry media_common Selection bias 030505 public health business.industry lcsh:Public aspects of medicine Health Policy Public Health Environmental and Occupational Health lcsh:RA1-1270 Odds ratio Livelihood Mental health RA643-645 Disease (Communicable and noninfectious) and public health Propensity score matching Original Article 0305 other medical science business Global Health HIV Mental Health |
| Zdroj: | Global Health Action; Vol 9 (2016): incl Supplements Global Health Action, Vol 9, Iss 0, Pp 1-11 (2016) Global Health Action |
| ISSN: | 1654-9716 1654-9880 |
| Popis: | Background : Psychological and social problems are major concerns in this era of successful antiretroviral therapy. Although livelihood programs have been implemented extensively to improve the daily living conditions of people living with HIV in Cambodia, no studies have yet investigated the impacts of these programs on the mental health of this vulnerable population. Therefore, we examined the impact of a livelihood program on depressive symptoms and associated factors among people living with HIV in Cambodia. Design : A quasi-experimental, nonequivalent comparison group study was conducted in six provinces of Cambodia in 2014. Data were collected from an intervention group comprising 357 people living with HIV who had participated in the livelihood program and a comparison group comprising 328 people living with HIV who had not participated in this program. Multiple logistic regression analysis was carried out to examine the association between livelihood-program participation and depressive symptoms as measured by the depressive symptoms subscale of the 25-item Cambodian version of the Hopkins Symptom Checklist. A propensity score matching was used to examine the effect of the livelihood program on depressive symptoms while controlling for selection bias. Results : Overall, 56.0% and 62.7% of the participants in the intervention and comparison groups, respectively, met the Hopkins Symptom Checklist threshold for depressive symptoms. The multiple logistic regression analysis showed that the participants in the intervention group had significantly lower odds of having depressive symptoms (adjusted odds ratio 0.68, 95% confidence interval 0.52–0.88). The analysis from propensity score matching indicated that the livelihood program helped mitigate depressive symptoms among the participants in the intervention group (T=−1.99). Conclusions : The livelihood program appeared to help mitigate the burden of depressive symptoms among people living with HIV in Cambodia. Thus, this program should be scaled up and modified to better improve participants’ mental health. |
| Databáze: | OpenAIRE |
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