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Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya
Published research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast. Between February and Ap...
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| Published in: | BMC psychiatry 2019-11, Vol.19 (1), p.333-333, Article 333 |
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| creator | Nyongesa, Moses K Mwangi, Paul Wanjala, Stanley W Mutua, Agnes M Newton, Charles R J C Abubakar, Amina |
| description | Published research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast.
Between February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 score ≥ 10. Measures of psychosocial, health, and treatment characteristics were also administered.
The overall prevalence of depressive symptoms was 13.8% (95% Confidence Interval (95%CI): 10.9, 17.3). Multivariable logistic regression analysis identified current comorbid chronic illness (adjusted Odds Ratio (aOR) 5.72, 95% CI: 2.28, 14.34; p |
| doi_str_mv | 10.1186/s12888-019-2339-5 |
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Between February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 score ≥ 10. Measures of psychosocial, health, and treatment characteristics were also administered.
The overall prevalence of depressive symptoms was 13.8% (95% Confidence Interval (95%CI): 10.9, 17.3). Multivariable logistic regression analysis identified current comorbid chronic illness (adjusted Odds Ratio (aOR) 5.72, 95% CI: 2.28, 14.34; p < 0.001), cART regimen (aOR 6.93, 95%CI: 2.34, 20.49; p < 0.001), perceived HIV-related stigma (aOR 1.10, 95%CI: 1.05, 1.14, p < 0.001) and difficulties accessing HIV care and treatment services (aOR 2.37, 95%CI: 1.14, 4.91; p = 0.02) as correlates of depressive symptoms.
The prevalence of depressive symptoms among adults living with HIV on the Kenyan coast is high. Those at high risk for elevated depressive symptoms (e.g., with comorbid chronic illnesses, on second-line cART, experiencing perceived HIV-stigma or with problems accessing HIV care) may benefit from early identification, treatment or referral, which requires integration of mental health programmes into HIV primary care.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-019-2339-5</identifier><identifier>PMID: 31675938</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adults ; Analysis ; Care and treatment ; cART ; Chronic diseases ; Comorbidity ; Correlates ; Depression (Mood disorder) ; Depressive symptoms ; Health ; Health surveys ; Highly active antiretroviral therapy ; HIV ; HIV carriers discrimination ; HIV/AIDS ; Kenya ; Medical research ; Prevalence ; Regression analysis</subject><ispartof>BMC psychiatry, 2019-11, Vol.19 (1), p.333-333, Article 333</ispartof><rights>COPYRIGHT 2019 BioMed Central Ltd.</rights><rights>The Author(s). 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-eb1d2d7cbb26e35d05d5094dc0e954ed93e411eba58c3b0115bd06d38053a16d3</citedby><cites>FETCH-LOGICAL-c532t-eb1d2d7cbb26e35d05d5094dc0e954ed93e411eba58c3b0115bd06d38053a16d3</cites><orcidid>0000-0002-7761-0718</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825356/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6825356/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31675938$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nyongesa, Moses K</creatorcontrib><creatorcontrib>Mwangi, Paul</creatorcontrib><creatorcontrib>Wanjala, Stanley W</creatorcontrib><creatorcontrib>Mutua, Agnes M</creatorcontrib><creatorcontrib>Newton, Charles R J C</creatorcontrib><creatorcontrib>Abubakar, Amina</creatorcontrib><title>Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya</title><title>BMC psychiatry</title><addtitle>BMC Psychiatry</addtitle><description>Published research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast.
Between February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 score ≥ 10. Measures of psychosocial, health, and treatment characteristics were also administered.
The overall prevalence of depressive symptoms was 13.8% (95% Confidence Interval (95%CI): 10.9, 17.3). Multivariable logistic regression analysis identified current comorbid chronic illness (adjusted Odds Ratio (aOR) 5.72, 95% CI: 2.28, 14.34; p < 0.001), cART regimen (aOR 6.93, 95%CI: 2.34, 20.49; p < 0.001), perceived HIV-related stigma (aOR 1.10, 95%CI: 1.05, 1.14, p < 0.001) and difficulties accessing HIV care and treatment services (aOR 2.37, 95%CI: 1.14, 4.91; p = 0.02) as correlates of depressive symptoms.
The prevalence of depressive symptoms among adults living with HIV on the Kenyan coast is high. Those at high risk for elevated depressive symptoms (e.g., with comorbid chronic illnesses, on second-line cART, experiencing perceived HIV-stigma or with problems accessing HIV care) may benefit from early identification, treatment or referral, which requires integration of mental health programmes into HIV primary care.</description><subject>Adults</subject><subject>Analysis</subject><subject>Care and treatment</subject><subject>cART</subject><subject>Chronic diseases</subject><subject>Comorbidity</subject><subject>Correlates</subject><subject>Depression (Mood disorder)</subject><subject>Depressive symptoms</subject><subject>Health</subject><subject>Health surveys</subject><subject>Highly active antiretroviral therapy</subject><subject>HIV</subject><subject>HIV carriers discrimination</subject><subject>HIV/AIDS</subject><subject>Kenya</subject><subject>Medical research</subject><subject>Prevalence</subject><subject>Regression analysis</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNptkkFv1DAQhSMEoqXwA7ggS1x6IMUTx459QaoqSletBAdA3CzHnmxdJfFiJ4v239dLStWVkA8ej9_75JFfUbwFegYgxccElZSypKDKijFV8mfFMdQNlFVd_3r-pD4qXqV0Ryk0ksPL4oiBaLhi8rhw3yJuTY-jRWJGR2yIEXszYSKhIw43EVPyWyRpN2ymMCRihjCuiXFzPyXS-63Ppz9-uiVXq5_EjyTO0fTk2ve-8x_INY4787p40Zk-4ZuH_aT4cfn5-8VVefP1y-ri_Ka0nFVTiS24yjW2bSuBjDvKHaeqdpai4jU6xbAGwNZwaVlLAXjrqHBMUs4M5OKkWC1cF8yd3kQ_mLjTwXj9txHiWps4edujpo1RDbTCUsFqVXXKSCWUbJyjtmVGZtanhbWZ2wGdxXHKcx1AD29Gf6vXYauFrDjjIgNOHwAx_J4xTXrwyWLfmxHDnHTFAATnDYUsfb9I1_kntB-7kIl2L9fngjY1NIrWWXX2H1VeDgdvw4idz_0DAywGG0NKEbvH1wPV-wDpJUA6B0jvA6R59rx7Ovaj419i2D08WsEH</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Nyongesa, Moses K</creator><creator>Mwangi, Paul</creator><creator>Wanjala, Stanley W</creator><creator>Mutua, Agnes M</creator><creator>Newton, Charles R J C</creator><creator>Abubakar, Amina</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7761-0718</orcidid></search><sort><creationdate>20191101</creationdate><title>Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya</title><author>Nyongesa, Moses K ; Mwangi, Paul ; Wanjala, Stanley W ; Mutua, Agnes M ; Newton, Charles R J C ; Abubakar, Amina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-eb1d2d7cbb26e35d05d5094dc0e954ed93e411eba58c3b0115bd06d38053a16d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adults</topic><topic>Analysis</topic><topic>Care and treatment</topic><topic>cART</topic><topic>Chronic diseases</topic><topic>Comorbidity</topic><topic>Correlates</topic><topic>Depression (Mood disorder)</topic><topic>Depressive symptoms</topic><topic>Health</topic><topic>Health surveys</topic><topic>Highly active antiretroviral therapy</topic><topic>HIV</topic><topic>HIV carriers discrimination</topic><topic>HIV/AIDS</topic><topic>Kenya</topic><topic>Medical research</topic><topic>Prevalence</topic><topic>Regression analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nyongesa, Moses K</creatorcontrib><creatorcontrib>Mwangi, Paul</creatorcontrib><creatorcontrib>Wanjala, Stanley W</creatorcontrib><creatorcontrib>Mutua, Agnes M</creatorcontrib><creatorcontrib>Newton, Charles R J C</creatorcontrib><creatorcontrib>Abubakar, Amina</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>BMC psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nyongesa, Moses K</au><au>Mwangi, Paul</au><au>Wanjala, Stanley W</au><au>Mutua, Agnes M</au><au>Newton, Charles R J C</au><au>Abubakar, Amina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya</atitle><jtitle>BMC psychiatry</jtitle><addtitle>BMC Psychiatry</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>19</volume><issue>1</issue><spage>333</spage><epage>333</epage><pages>333-333</pages><artnum>333</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Published research on depression among people living with HIV/AIDS (PLWHA) from Africa is increasing, but data from Kenya remains scarce. This cross-sectional study measured the prevalence and correlates of depressive symptoms among PLWHA in rural Kilifi, on the Kenyan coast.
Between February and April 2018, we consecutively recruited and interviewed 450 adults living with HIV and on combination antiretroviral therapy (cART). Depressive symptoms were assessed with the 9-item Patient Health Questionnaire (PHQ-9), with a positive depression screen defined as PHQ-9 score ≥ 10. Measures of psychosocial, health, and treatment characteristics were also administered.
The overall prevalence of depressive symptoms was 13.8% (95% Confidence Interval (95%CI): 10.9, 17.3). Multivariable logistic regression analysis identified current comorbid chronic illness (adjusted Odds Ratio (aOR) 5.72, 95% CI: 2.28, 14.34; p < 0.001), cART regimen (aOR 6.93, 95%CI: 2.34, 20.49; p < 0.001), perceived HIV-related stigma (aOR 1.10, 95%CI: 1.05, 1.14, p < 0.001) and difficulties accessing HIV care and treatment services (aOR 2.37, 95%CI: 1.14, 4.91; p = 0.02) as correlates of depressive symptoms.
The prevalence of depressive symptoms among adults living with HIV on the Kenyan coast is high. Those at high risk for elevated depressive symptoms (e.g., with comorbid chronic illnesses, on second-line cART, experiencing perceived HIV-stigma or with problems accessing HIV care) may benefit from early identification, treatment or referral, which requires integration of mental health programmes into HIV primary care.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>31675938</pmid><doi>10.1186/s12888-019-2339-5</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7761-0718</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adults Analysis Care and treatment cART Chronic diseases Comorbidity Correlates Depression (Mood disorder) Depressive symptoms Health Health surveys Highly active antiretroviral therapy HIV HIV carriers discrimination HIV/AIDS Kenya Medical research Prevalence Regression analysis |
| title | Prevalence and correlates of depressive symptoms among adults living with HIV in rural Kilifi, Kenya |
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