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Prevalence of depressive symptoms and associated factors among adolescents living with HIV/AIDS in South Western Uganda

机译：乌干达西部艾滋病毒/艾滋病患者的青少年抑郁症状和相关因素患病率

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Adolescents living with HIV (ALHIV) are prone to depression, which can have detrimental effects including disease progression, poor treatment adherence and mortality. We aimed to determine the prevalence of depressive symptoms and their associated factors among ALHIV in Uganda. We conducted a cross-sectional survey among ALHIV (10-19 years) attending urban and rural clinics in Mbarara, Uganda between March and May 2017. Presence of depressive symptoms was assessed using the Centre for Epidemiological Studies' Depression scale. We interviewed 336 adolescents with a median age of 13 years, 62% of whom were female. A third (37%) had disclosed their HIV/AIDS status and 13% were sexually active. Overall, 154 (similar to 46%, [95% CI: 40.5-51.2]) had depressive symptoms. On bivariate analysis, the odds of having depressive symptoms were higher among adolescents who were >= 15 years, had disclosed HIV status, traveled >30min for routine care and had risky sexual practices. On multiple variable analysis, only travel time to the clinic of >30min was independently associated with depressive symptoms (AOR=1.6 [95% CI: 1.02-2.7]). With the high prevalence of depressive symptoms among ALHIV in Uganda, screening and prompt treatment of depression should be incorporated within their routine care.
机译：与艾滋病毒（Alhiv）一起生活的青少年易患抑郁症，这可能对包括疾病进展，治疗不良和死亡率的有害作用。我们旨在确定乌干达alhiv之间的抑郁症状及其相关因素的患病率。我们在2017年3月和5月在3月至5月在乌干达之间参加了曼巴拉的城乡诊所的城乡诊所进行了横断面调查。利用流行病学研究中心评估了抑郁症状的存在。我们采访了336名青少年，中位年龄为13岁，其中62％是女性。第三（37％）透露了艾滋病毒/艾滋病地位，13％是性活跃的。总体而言，154（类似于46％，[95％CI：40.5-51.2]）具有抑郁症状。关于双变量分析，在> = 15年的青少年中患有抑郁症状的几率较高，披露了艾滋病毒状态，旅行> 30分钟进行常规护理，有风险性行为。在多变量分析上，只有> 30min的诊所的旅行时间与抑郁症状独立相关（AOR = 1.6 [95％CI：1.02-2.7]）。随着乌干达血清中的Alhiv抑郁症状的高度普及，抑郁症的筛选和迅速治疗应在其常规护理中纳入。

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