High prevalence of depression symptomology among adolescents in Soweto, South Africa associated with being female and cofactors relating to HIV transmission
High prevalence of depression symptomology among adolescents in Soweto, South Africa associated with being female and cofactors relating to HIV transmission
复制标题
DOI：
10.1080/17450128.2016.1198854
复制
发表时间：
2016-01-01
影响因子：
1.1
通讯作者：
Miller, Cari L.
中科院分区：
文献类型：
--
作者：
Barhafumwa, Bernard;Dietrich, Janan;Miller, Cari L.
艾滋病毒流行环境中的青少年是艾滋病毒预防工作的重点人群。一些研究表明，与艾滋病毒传播有关的行为可能是由抑郁症等心理健康因素介导的。我们通过Botsha Bophelo青少年健康研究（BBAHS）进行了这项研究，以探讨南非索韦托艾滋病流行社区青少年抑郁症的患病率和相关性。我们使用抑郁症流行病学研究中心量表估计抑郁症的患病率，使用得分>= 24表示“可能的抑郁症”。在789名有抑郁评分的青少年（14-19岁）中，262名（33%）符合可能抑郁的标准（99名[38%]男性和163名[62%]女性; p = 0.061）。在多变量逻辑回归中，与抑郁症独立相关的因素包括女性（AOR = 2.44，95% CI：1.45-4.00），大麻使用（AOR = 2.67，95% CI：1.21-5.93），身体暴力（AOR = 1.63，95%CI：1.01-2.62）、妊娠（AOR = 2.00，95%CI：1.03-3.88）和嵌顿（AOR = 2.09，95%CI：0.99-4.42）。这些数据表明，索韦托的青少年可能患有抑郁症的比例令人担忧，那些被筛选为潜在抑郁症的青少年更有可能是女性，并且有与艾滋病毒风险增加有关的辅助因素。作为全面艾滋病预防战略的一部分，我们建议将青少年抑郁症筛查纳入公共和学校健康计划，将那些患有抑郁症的人纳入治疗计划。
Adolescents in HIV endemic settings are a priority demographic with respect to HIV prevention. Some studies have shown that behaviours associated with HIV transmission, may be mediated by mental health factors such as depression. We undertook this study to explore the prevalence and associations of depression symptomology among adolescents living in the HIV endemic community of Soweto, South Africa through the Botsha Bophelo Adolescent Health Study (BBAHS). We estimated the prevalence of depression using the Centre for Epidemiological Studies of Depression Scale, using a score of >= 24 to indicate 'probable depression'. Among the 789 adolescents (14-19 years) with depression scores, 262 (33%) met the criteria for probable depression (99 [38%] men and 163 [62%] women; p = 0.061). In multivariable logistic regression, factors independently associated with depression included being female (AOR = 2.44, 95% CI: 1.45-4.00), marijuana use (AOR = 2.67, 95% CI: 1.21-5.93), physical violence (AOR = 1.63, 95% CI: 1.01-2.62), pregnancy (AOR = 2.00, 95% CI: 1.03-3.88) and incarceration (AOR = 2.09, 95% CI: 0.99-4.42). These data indicate that a concerning proportion of adolescents in Soweto may be suffering from depression and those screened as potentially depressed, were more likely to be female and have cofactors relating to increased risk for HIV. As part of a comprehensive HIV prevention strategy, we recommend that depression screening for adolescents be integrated into public and school health programs that triage those suffering into treatment programs.