HIV and depression in Eastern Nigeria: The role of HIV-related stigma
HIV and depression in Eastern Nigeria: The role of HIV-related stigma
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DOI：
10.1080/09540121.2013.844761
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发表时间：
2014-05-04
影响因子：
1.7
通讯作者：
Brown, Amy
中科院分区：
文献类型：
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作者：
Onyebuchi-Iwudibia, Oscar;Brown, Amy
研究尼日利亚东部HIV阳性患者中抑郁症的患病率，并探讨其与HIV相关污名的关系。在尼日利亚东部的艾滋病诊所就诊的105名诊断为艾滋病病毒的患者完成了一份问卷，包括人口统计学和健康背景、患者健康问卷（测量抑郁）和Berger艾滋病病毒污名量表。多达33.3%的参与者被认为患有抑郁症。抑郁症与整体耻辱得分呈正相关，进一步分析发现与问卷的所有四个分量表（个性化耻辱，披露，负面自我形象和公众态度）呈正相关。经历更多艾滋病毒治疗副作用的人也被评为更抑郁。回归分析发现，消极的自我形象和治疗副作用的数量是抑郁症的重要预测因素。在尼日利亚东部的样本中，抑郁症与艾滋病毒相关的耻辱感呈正相关。由于污名化和抑郁症已被证明对艾滋病毒感染者的生活质量产生负面影响，致力于支持他们的卫生专业人员应该意识到污名化对抑郁症风险的影响。筛查与艾滋病毒有关的耻辱和抑郁症将是一项重要的干预措施，以促进尼日利亚东部艾滋病毒阳性患者的身心健康。
To examine the prevalence of depression among HIV-positive patients in Eastern Nigeria and to explore its association with HIV-related stigma. One hundred and five patients with a diagnosis of HIV attending HIV clinics in Eastern Nigeria completed a questionnaire consisting of demographic and health background, the Patients Health Questionnaire (to measure depression) and the Berger HIV stigma scale. As many as 33.3% of participants were considered depressed. Depression was positively correlated with overall stigma score with further analysis finding a positive correlation with all four subscales of the questionnaire (personalised stigma, disclosure, negative self-image and public attitudes). Individuals experiencing more side effects of HIV treatment were also rated as more depressed. A regression analysis found that negative self-image and number of treatment side effects were significant predictors of depression. Depression is positively associated with HIV-related stigma in this sample in Eastern Nigeria. As both stigma and depression have been shown to have a negative impact on quality of life for those with HIV, health professionals working to support them should be aware of the impact of stigma on risk of depression. Screening for both HIV-related stigma and depression would be an important intervention to promote both physical and psychological well-being amongst HIV-positive patients in Eastern Nigeria.