首页> 美国卫生研究院文献>Journal of Tropical Pediatrics >Depression in Caregivers of Status-Naïve Pediatric HIV Patients Participating in a Status Disclosure Study in Haiti and the Dominican Republic: Preliminary Report
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Depression in Caregivers of Status-Naïve Pediatric HIV Patients Participating in a Status Disclosure Study in Haiti and the Dominican Republic: Preliminary Report

机译:在海地和多米尼加共和国参加状态披露研究的无状态小儿HIV患者的保姆抑郁:初步报告

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摘要

A pilot study is underway to assess safety and acceptability of an intervention to disclose their HIV infection status to status-naïve pediatric antiretroviral therapy patients in Hispaniola [the island shared by Haiti and the Dominican Republic (DR)]. Of 22 Haiti and 47 DR caregivers recruited to date, 68.2% Haiti and 34.0% DR caregivers had clinically significant depressive symptomatology at the time of enrollment (p = 0.008). Depressive symptom prevalence was higher in Haiti caregivers who were female (81.3% vs. 0 in males; p = 0.02) and in DR caregivers who were patients’ mothers (50.0%) or grandmothers (66.7%; 56.0% combined) than others (9.1%), (p < 0.001). Internalized stigma was more commonly reported by Haiti (85.7%) than DR (53.2%; p = 0.01) caregivers; 56.4% of Haiti and DR caregivers reporting internalized stigma vs. 26.1% of caregivers denying it had depressive symptoms (p = 0.02). Depression is common in Hispaniola caregivers possibly affecting disclosure timing. Study participation presents opportunities for addressing caregiver depression.
机译:目前正在进行一项试点研究,以评估一项针对伊斯帕尼奥拉[海地和多米尼加共和国共有的岛屿]未接受过小儿抗逆转录病毒治疗的病情披露艾滋病毒感染状况的干预措施的安全性和可接受性。迄今为止,在招募的22名海地和47名DR照护者中,有68.2%的海地和34.0%的DR照护者在入组时具有临床上显着的抑郁症状(p = 0.008)。女性的海地看护者的抑郁症状患病率较高(男性为81.3%,男性为0; p = 0.02),患者母亲(50.0%)或祖母(66.7%;合56.0%)的DR照顾者的抑郁症状患病率更高( 9.1%),(p <0.001)。海地人(85.7%)比DR(53.2%; p = 0.01)看护人更普遍地报告内部化的污名。海地和DR照护者中有56.4%的人称其内部污名化,而否认有抑郁症状的照护者中为26.1%(p = 0.02)。忧郁症在西班牙裔看护者中很常见,可能会影响披露时间。研究的参与为解决护理人员的抑郁症提供了机会。

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