Stigma in Ethiopia: association with depressive symptoms in people with HIV

Autor:	Deepa Rao, Abere Dessie, Shitaye Alemu, Nancy Andrews, Sarah Rawlins, Judd L. Walson, Meheret Endeshaw
Rok vydání:	2014
Předmět:	Adult Male medicine.medical_specialty Health (social science) Adolescent Social Psychology Cross-sectional study Social Stigma Developing country Stigma (botany) HIV Infections Social issues Young Adult Sex Factors Acquired immunodeficiency syndrome (AIDS) Surveys and Questionnaires medicine Humans Psychiatry Depression (differential diagnoses) Depression business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Mental health Cross-Sectional Studies Evaluation Studies as Topic Female Ethiopia business Psychosocial Clinical psychology
Zdroj:	AIDS Care. 26:935-939
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2013.869537
Popis:	Rates of depression among people living with HIV can be as high as 50%. In many settings, HIV-related stigma has been associated with depressive symptoms which may lead to poor engagement in care and ultimately, poorer health outcomes. Stigma is a major issue in Ethiopia but data examining the relationship between stigma and depression in Ethiopia are lacking. We performed a mixed-methods cross-sectional study to examine the relationship between stigma of HIV/AIDS and depressive symptoms in Gondar, Ethiopia. We interviewed patients who presented for routine HIV care at Gondar University Hospital during the study period, examining depressive symptoms and HIV/AIDS-related stigma using standardized measures. Multiple-regression was used to assess the relationship between depressive symptoms, stigma, and gender. Of 55 patients included in this analysis, 63.6% were female and most participants had limited formal education (69%, less than 12th grade education). The majority reported experiencing both stigma (78%) and depressive symptoms (60%) ranging in severity from mild to moderately severe. Higher levels of HIV-related stigma were significantly associated with higher levels of depressive symptoms (β = 0.464, p ≤ 0.001). Although gender was associated with stigma, it was not associated with depressive symptoms (β = -0.027, p > 0.05). Results suggest the importance of psychosocial issues in the lives of people with HIV in Ethiopia.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d43991ea6874187c67d549017b5aea13 https://doi.org/10.1080/09540121.2013.869537 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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