Prevalence and correlates of depression among caregivers of children living with HIV in Ghana: findings from the Sankofa pediatric disclosure study.
Prevalence and correlates of depression among caregivers of children living with HIV in Ghana: findings from the Sankofa pediatric disclosure study.
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DOI：
10.1080/09540121.2018.1537463
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发表时间：
2019-03
期刊：
影响因子：
1.7
通讯作者：
Sankofa Study Team
中科院分区：
文献类型：
--
作者：
Ofori-Atta A;Reynolds NR;Antwi S;Renner L;Nichols JS;Lartey M;Amissah K;Tettey JK;Alhassan A;Ofori IP;Catlin AC;Gan G;Kyriakides TC;Paintsil E;Sankofa Study Team
先前的研究表明，照顾者抑郁症与儿童健康结果之间存在关联。在儿童艾滋病毒集中的撒哈拉以南国家，很少对艾滋病毒感染儿童的照顾者进行抑郁症检查。使用在儿科HIV披露干预试验Sankofa中收集的基线数据，我们检查了加纳感染HIV儿童的照顾者（N=446）中抑郁症的患病率和相关因素。资料分析采用描述性分析和回归分析。照顾者的平均年龄为42.2 ± 10.4岁。80%的照顾者是女性，59%是艾滋病毒感染者。百分之二十八（n=126）的照顾者被发现有轻度至重度抑郁症。在调整后的模型中，与照顾者抑郁显著相关的因素包括：HIV阳性的照顾者身份（P=0.04），低收入（P=0.02），低社会支持（P= 0.01），低艾滋病知识（P= 0.01），更差的艾滋病感知（P=<0.001），更大的艾滋病耻辱感（P=<0.001）。虽然，我们发现在我们的研究参与者中抑郁症的患病率很高，但确定的几个风险因素是可以改变的，并且可以通过当地可用和负担得起的干预措施来改变。
Prior studies show an association between caregiver depression and child health outcomes. There has been little examination of depression among caregivers of HIV-infected children in sub-Saharan countries where pediatric HIV is concentrated. Using baseline data collected in the pediatric HIV disclosure intervention trial, Sankofa, we examined the prevalence and factors associated with depression among caregivers (N=446) of children infected with HIV in Ghana. Data were analyzed with descriptive and regression analyses. The mean age of the caregivers was 42.2 ± 10.4 years. Eighty percent of the caregivers were female and 59% were HIV-infected. Twenty-eight percent (n=126) of the caregivers were found to have mild to severe depression. In the adjusted model, factors significantly associated with caregiver depression included: HIV-positive caregiver status (P=0.04), low income (P=0.02), lower social support, (P=0.01), lower HIV knowledge, (P=0.01), worse HIV illness perceptions (P=<0.001), and greater perceived HIV stigma (P=<0.001). Although, we found a high prevalence of depression among our study participants, several of the risks factors identified are modifiable and amenable to interventions that are locally available and affordable.
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影响因子：
1.7
作者：
Catlin AC;Fernando S;Gamage R;Renner L;Antwi S;Tettey JK;Amisah KA;Kyriakides T;Cong X;Reynolds NR;Paintsil E
通讯作者：
Paintsil E
影响因子：
6.9
作者：
Dew, MA;Becker, JT;Banks, G
通讯作者：
Banks, G
影响因子：
7.9
作者：
Casale, Marisa
通讯作者：
Casale, Marisa
DOI：
10.3122/jabfm.2007.01.060058
发表时间：
2007-01-01
影响因子：
2.9
作者：
Francis, Laurie;Weiss, Barry D.;Hargraves, Rie
通讯作者：
Hargraves, Rie
影响因子：
3.7
作者：
Abubakar, Amina;Kalu, Raphael Birya;Van de Vijver, Fons
通讯作者：
Van de Vijver, Fons