The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.

<h4>Background</h4>Major depressive disorder in people living with HIV/AIDS (PLWHA) is common and may be associated with a number of factors, including AIDS-related stigma, decreased CD4 levels, increased opportunistic infections and sociodemographic variables. The extent to which AIDS-r...

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Autores principales: Dickens Akena, Seggane Musisi, John Joska, Dan J Stein
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Publicado: Public Library of Science (PLoS) 2012
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Acceso en línea:https://doaj.org/article/b2a8170aba3c4dc49595ddcd77314db3
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spelling oai:doaj.org-article:b2a8170aba3c4dc49595ddcd77314db32021-11-18T08:07:32ZThe association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.1932-620310.1371/journal.pone.0048671https://doaj.org/article/b2a8170aba3c4dc49595ddcd77314db32012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23209556/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Major depressive disorder in people living with HIV/AIDS (PLWHA) is common and may be associated with a number of factors, including AIDS-related stigma, decreased CD4 levels, increased opportunistic infections and sociodemographic variables. The extent to which AIDS-related stigma is associated with major depressive disorder among PLWHA has not been well studied in sub-Saharan Africa. The objective of this study was to examine the associations between major depressive disorder, AIDS-related stigma, immune status, and sociodemographic variables with the aim of making recommendations that can guide clinicians.<h4>Methods</h4>We assessed 368 PLWHA for major depressive disorder, as well as for potentially associated factors, including AIDS-related stigma, CD4 levels, presence of opportunistic infections, and sociodemographic variables.<h4>Results</h4>The prevalence of major depressive disorder was 17.4%, while 7.9% of the participants had AIDS related stigma. At multivariable analysis, major depressive disorder was significantly associated with AIDS-related stigma [OR = 1.65, CI (1.20-2.26)], a CD4 count of ≥200 [OR 0.52 CI (0.27-0.99)], and being of younger age [0.95, CI (0.92-0.98).<h4>Conclusions</h4>Due to the high burden of major depressive disorder, and its association with AIDS related stigma, routine screening of PLWHA for both conditions is recommended. However, more research is required to understand this association.Dickens AkenaSeggane MusisiJohn JoskaDan J SteinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 11, p e48671 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Dickens Akena
Seggane Musisi
John Joska
Dan J Stein
The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
description <h4>Background</h4>Major depressive disorder in people living with HIV/AIDS (PLWHA) is common and may be associated with a number of factors, including AIDS-related stigma, decreased CD4 levels, increased opportunistic infections and sociodemographic variables. The extent to which AIDS-related stigma is associated with major depressive disorder among PLWHA has not been well studied in sub-Saharan Africa. The objective of this study was to examine the associations between major depressive disorder, AIDS-related stigma, immune status, and sociodemographic variables with the aim of making recommendations that can guide clinicians.<h4>Methods</h4>We assessed 368 PLWHA for major depressive disorder, as well as for potentially associated factors, including AIDS-related stigma, CD4 levels, presence of opportunistic infections, and sociodemographic variables.<h4>Results</h4>The prevalence of major depressive disorder was 17.4%, while 7.9% of the participants had AIDS related stigma. At multivariable analysis, major depressive disorder was significantly associated with AIDS-related stigma [OR = 1.65, CI (1.20-2.26)], a CD4 count of ≥200 [OR 0.52 CI (0.27-0.99)], and being of younger age [0.95, CI (0.92-0.98).<h4>Conclusions</h4>Due to the high burden of major depressive disorder, and its association with AIDS related stigma, routine screening of PLWHA for both conditions is recommended. However, more research is required to understand this association.
format article
author Dickens Akena
Seggane Musisi
John Joska
Dan J Stein
author_facet Dickens Akena
Seggane Musisi
John Joska
Dan J Stein
author_sort Dickens Akena
title The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
title_short The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
title_full The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
title_fullStr The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
title_full_unstemmed The association between aids related stigma and major depressive disorder among HIV-positive individuals in Uganda.
title_sort association between aids related stigma and major depressive disorder among hiv-positive individuals in uganda.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/b2a8170aba3c4dc49595ddcd77314db3
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