Burden of depression among impoverished HIV-positive women in Peru.
Burden of depression among impoverished HIV-positive women in Peru.
复制标题
秘鲁贫困艾滋病毒阳性妇女的抑郁症负担。
DOI：
10.1097/qai.0b013e31817dc3e9
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Shin,Sonya
中科院分区：
文献类型：
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作者：
Wu,DianaYing;Munoz,Maribel;Espiritu,Betty;Zeladita,Jhon;Sanchez,Eduardo;Callacna,Miriam;Rojas,Christian;Arevalo,Jorge;Caldas,Adolfo;Shin,Sonya
目标：在资源匮乏的环境中，艾滋病毒呈阳性的妇女的心理健康负担因贫困而加剧。我们试图描述生活在秘鲁利马的贫困艾滋病毒阳性妇女的抑郁程度、危险因素和经历。方法：这是一个包含秘鲁利马 78 名艾滋病毒阳性妇女的病例系列。我们测量了抑郁症、耻辱感和社会支持，并进行了多变量分析，以确定与抑郁症相关的因素。结果：在 78 名 HIV 阳性患者中，68% 患有抑郁症。抑郁症和自杀意念很少被医疗服务提供者诊断出来。在多变量分析中，与艾滋病毒相关的耻辱和食物短缺与抑郁症有关。结论：在秘鲁利马的艾滋病毒阳性女性队列中，贫困和社会经济脆弱性导致了抑郁症。研究结果强调了这群贫困妇女承受着沉重的抑郁症负担，并且需要将心理健康服务作为艾滋病毒护理的一个组成部分。
Objectives:In resource-poor settings, the mental health burden among HIV-positive women is exacerbated by poverty. We sought to describe the extent, risk factors, and experience of depression among impoverished HIV-positive women living in Lima, Peru.Methods:This is a case series of 78 HIV-positive women in Lima, Peru. We measured depression, stigma, and social support and performed a multivariable analysis to identify factors associated with depression.Results:Among 78 HIV-positive patients, 68% were depressed. Depression and suicidal ideation were rarely diagnosed by providers. In multivariable analysis, HIV-related stigma and food scarcity were associated with depression.Conclusions:In our cohort of HIV-positive women in Lima, Peru, poverty and socioeconomic vulnerability contributed to depression. Findings highlight the heavy burden of depression in this cohort of poor women and the need to incorporate mental health services as an integral component of HIV care.