Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia

Solomon Yimer,1 Zeleke Girma,2 Nebiyu Mengistu,1 Seid Shumye1 1Department of Psychiatry, Dilla University, Dilla, Ethiopia; 2School of Public Health, Dilla University, Dilla, EthiopiaCorrespondence: Solomon Yimer Email sopsycha@gmail.comBackground: Worldwide, the rates of psychological problems have...

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Autores principales:	Yimer S, Girma Z, Mengistu N, Shumye S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	resilience hiv acquired immune deficiency syndrome depression stigma Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/0e841568953e4f47952083e299175746
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spelling	oai:doaj.org-article:0e841568953e4f47952083e2991757462021-12-02T17:42:31ZDeterminants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia1179-1373https://doaj.org/article/0e841568953e4f47952083e2991757462021-09-01T00:00:00Zhttps://www.dovepress.com/determinants-of-common-mental-disorders-among-people-living-with-hivai-peer-reviewed-fulltext-article-HIVhttps://doaj.org/toc/1179-1373Solomon Yimer,1 Zeleke Girma,2 Nebiyu Mengistu,1 Seid Shumye1 1Department of Psychiatry, Dilla University, Dilla, Ethiopia; 2School of Public Health, Dilla University, Dilla, EthiopiaCorrespondence: Solomon Yimer Email sopsycha@gmail.comBackground: Worldwide, the rates of psychological problems have been shown to have a dramatic increase, particularly among people living with chronic diseases. Besides the known clinical factors, it is important to address an individual’s level of resilience as an included factor for mental health outcome for people living with HIV/AIDS.Aim: The aim of the study was to assess determinants of common mental disorders among people living with human immune virus/acquired immune deficiency virus (HIV/AIDS).Setting: ART clinic of Gedeo zone public hospital, South, Ethiopia.Methods: A facility-based unmatched case control study was conducted. A total of 360 adults (180 cases and 180 controls) aged 18 and above who attended the anti-retro viral therapy (ART) service participated. The Self-Reporting Questionnaire (SRQ-20) screening tool was used to determine cases and controls based on the status of common mental disorders. The treatment register at each HIV treatment center was used to systematically select study participants for the interview. The cases were common mental disorder (CMD) positively screened adults who scored seven and above, while the controls were adults who scored below seven. Then the cases and controls who took part in the study were selected using a simple random sampling method with a proportional allocation method for each hospital. Multivariable logistic regression was used. A p-value of less than 0.05 was considered statically significant.Results: Lower resilience level was found to be significant predictors of common mental disorder among HIV patients [AOR = 3.16 95% CI; 1.83, 5.46]. The other predictors were being female (adjusted odds ratio [AOR] = 2.01 95% CI; 1.21, 3.34); single [AOR = 8.10 95% CI; 3.50, 18.76]; divorced and widowed [AOR = 3.31 95% CI; 1.76, 6.22]; more than ten years of illness duration [AOR = 2.30 95% CI; 1.39, 3.80]; and having perceived stigma [AOR = 5.39 95% CI; 2.65, 10.82].Conclusion: HIV-positive adults with lower resilience levels and experiencing perceived stigma exhibited significantly higher risk of mental disorders. Hence, improving personal resilience and working to mitigate perceived stigma play a great role in decreasing the risk of common mental disorders.Keywords: resilience, HIV, acquired immune deficiency syndrome, depression, stigmaYimer SGirma ZMengistu NShumye SDove Medical Pressarticleresiliencehivacquired immune deficiency syndromedepressionstigmaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 13, Pp 917-925 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	resilience hiv acquired immune deficiency syndrome depression stigma Immunologic diseases. Allergy RC581-607
spellingShingle	resilience hiv acquired immune deficiency syndrome depression stigma Immunologic diseases. Allergy RC581-607 Yimer S Girma Z Mengistu N Shumye S Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
description	Solomon Yimer,1 Zeleke Girma,2 Nebiyu Mengistu,1 Seid Shumye1 1Department of Psychiatry, Dilla University, Dilla, Ethiopia; 2School of Public Health, Dilla University, Dilla, EthiopiaCorrespondence: Solomon Yimer Email sopsycha@gmail.comBackground: Worldwide, the rates of psychological problems have been shown to have a dramatic increase, particularly among people living with chronic diseases. Besides the known clinical factors, it is important to address an individual’s level of resilience as an included factor for mental health outcome for people living with HIV/AIDS.Aim: The aim of the study was to assess determinants of common mental disorders among people living with human immune virus/acquired immune deficiency virus (HIV/AIDS).Setting: ART clinic of Gedeo zone public hospital, South, Ethiopia.Methods: A facility-based unmatched case control study was conducted. A total of 360 adults (180 cases and 180 controls) aged 18 and above who attended the anti-retro viral therapy (ART) service participated. The Self-Reporting Questionnaire (SRQ-20) screening tool was used to determine cases and controls based on the status of common mental disorders. The treatment register at each HIV treatment center was used to systematically select study participants for the interview. The cases were common mental disorder (CMD) positively screened adults who scored seven and above, while the controls were adults who scored below seven. Then the cases and controls who took part in the study were selected using a simple random sampling method with a proportional allocation method for each hospital. Multivariable logistic regression was used. A p-value of less than 0.05 was considered statically significant.Results: Lower resilience level was found to be significant predictors of common mental disorder among HIV patients [AOR = 3.16 95% CI; 1.83, 5.46]. The other predictors were being female (adjusted odds ratio [AOR] = 2.01 95% CI; 1.21, 3.34); single [AOR = 8.10 95% CI; 3.50, 18.76]; divorced and widowed [AOR = 3.31 95% CI; 1.76, 6.22]; more than ten years of illness duration [AOR = 2.30 95% CI; 1.39, 3.80]; and having perceived stigma [AOR = 5.39 95% CI; 2.65, 10.82].Conclusion: HIV-positive adults with lower resilience levels and experiencing perceived stigma exhibited significantly higher risk of mental disorders. Hence, improving personal resilience and working to mitigate perceived stigma play a great role in decreasing the risk of common mental disorders.Keywords: resilience, HIV, acquired immune deficiency syndrome, depression, stigma
format	article
author	Yimer S Girma Z Mengistu N Shumye S
author_facet	Yimer S Girma Z Mengistu N Shumye S
author_sort	Yimer S
title	Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
title_short	Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
title_full	Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
title_fullStr	Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
title_full_unstemmed	Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia
title_sort	determinants of common mental disorders among people living with hiv/aids attending art service in southern ethiopia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/0e841568953e4f47952083e299175746
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Determinants of Common Mental Disorders Among People Living with HIV/AIDS Attending ART Service in Southern Ethiopia

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