Caring for perinatally HIV-infected children: call for mental care for the children and the caregivers

Autor:	John Muganda Rwibasira, Vincent Mutabazi, Simon Pierre Nyonsenga, Krishna C. Poudel, Kimiyo Kikuchi, Adolphe Majyambere, Masamine Jimba, Ribakare Muhayimpundu
Rok vydání:	2017
Předmět:	Male medicine.medical_specialty Health (social science) Efavirenz Social Psychology Adolescent Cross-sectional study HIV Infections Logistic regression 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Quality of life (healthcare) Surveys and Questionnaires medicine Humans 030212 general & internal medicine Psychiatry Child Survival rate Depression (differential diagnoses) Psychiatric Status Rating Scales 030505 public health business.industry Depression Public Health Environmental and Occupational Health Beck Depression Inventory Infant Newborn Rwanda Mental health Cross-Sectional Studies Mental Health chemistry Caregivers Quality of Life Female 0305 other medical science business Clinical psychology
Zdroj:	AIDS care. 29(10)
ISSN:	1360-0451
Popis:	Antiretroviral therapy has dramatically improved the survival rate of perinatally HIV-infected children. For them to thrive, it is necessary to understand better their mental health issues. Caregivers play an important role in children's daily care and caregiver mental health may relate to children's mental health. However, this association has rarely been studied. Accordingly, the present study examined the associations between depression of caregivers and that of perinatally HIV-infected children in Kigali, Rwanda. We conducted a cross-sectional study of 475 perinatally HIV-infected children aged 7-14 years and their caregivers. We collected children's depression score data via face-to-face interviews with children using the Beck Depression Inventory for Youth. We also collected sociodemographic data using a semi-structured questionnaire with caregivers. In addition, we measured children's weight, height, and collected their clinical records. Data were analyzed via linear and logistic regression analyses. Of all children, 22% had symptoms of depression. Among those who had depressive symptoms (n= 105), 49% had never received psychological support. In both the linear and logistic regression analysis, caregiver's high depression scores were positively associated with children's higher depression scores (AOR: 3.064, 95% CI: 1.723, 4.855, and AOR: 1.759, 95% CI: 1.129, 2.740, respectively). Taking Efavirenz and low height-for-age were also positively associated with higher depression scores among HIV-infected children. Mental health needs to be addressed to improve quality of life of perinatally HIV-infected children. Caregiver's depression was positively associated with children's depressive symptoms. Caring for both children and the caregivers' mental health may prevent the mutual fostering of depression.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c2cdf1925b33a5284a0dec982a5e47e2 https://pubmed.ncbi.nlm.nih.gov/28359213 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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