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Prevalence and correlates of depression among caregivers of children living with HIV in Ghana: findings from the Sankofa pediatric disclosure study

机译:加纳艾滋病毒治疗儿童护理人员抑郁症的患病率和相关性:Sankofa儿科披露研究的研究结果

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Prior studies show an association between caregiver depression and child health outcomes. There has been little examination of depression among caregivers of HIV-infected children in sub-Saharan countries where pediatric HIV is concentrated. Using baseline data collected in the pediatric HIV disclosure intervention trial, Sankofa, we examined the prevalence and factors associated with depression among caregivers (N = 446) of children infected with HIV in Ghana. Data were analyzed with descriptive and regression analyses. The mean age of the caregivers was 42.2 +/- 10.4 years. Eighty percent of the caregivers were female and 59% were HIV-infected. Twenty-eight percent (n = 126) of the caregivers were found to have mild to severe depression. In the adjusted model, factors significantly associated with caregiver depression included: HIV-positive caregiver status (P = 0.04), low income (P = 0.02), lower social support, (P = 0.01), lower HIV knowledge, (P = 0.01), worse HIV illness perceptions (P = 0.001), and greater perceived HIV stigma (P = 0.001). Although we found a high prevalence of depression among our study participants, several of the risks factors identified are modifiable and amenable to interventions that are locally available and affordable.
机译:事先研究表明了护理人员抑郁和儿童健康结果之间的关联。在撒哈拉国家的艾滋病毒感染儿童的护理人员中,抑郁症几乎没有考察小儿艾滋病毒浓缩的儿童。使用在儿科艾滋病毒披露干预试验中收集的基线数据,Sankofa,我们研究了与加纳感染艾滋病毒感染艾滋病毒的护理人员(N = 446)的抑郁症相关的患病率和因素。通过描述性和回归分析分析数据。护理人员的平均年龄为42.2 +/- 10.4岁。百分之八十的护理人员是女性,59%是艾滋病毒感染。发现了28%(n = 126)的护理人员对严重抑郁症进行了轻度。在调整后的模型中,与护理人员抑郁症具有显着相关的因素包括:艾滋病毒阳性护理人员身份(P = 0.04),低收入(P = 0.02),较低的社会支持,(P = 0.01),较低的艾滋病毒知识,(P = 0.01 ),艾滋病毒疾病的感知差(P <= 0.001),更大的感知HIV耻辱感(P <= 0.001)。虽然我们在学习参与者中发现了抑郁症的普及率很高,但确定的一些风险因素是可修改的,并且适用于当地可用和实惠的干预措施。

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