SidaGhanaV1, Main, Exploration, bibRecord, 000525

Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa.

Identifieur interne : 000525 ( Main/Exploration ); précédent : 000524; suivant : 000526

Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa.

Auteurs : Francis Yeji [Ghana] ; Kerstin Klipstein-Grobusch ; Marie-Louise Newell ; Lisa R. Hirschhorn ; Victoria Hosegood ; Till B Rnighausen

Source :

AIDS care [ 1360-0451 ] ; 2014.

RBID : pubmed:24991994

Descripteurs français

KwdFr :
- Adaptation psychologique, Adulte, Adulte d'âge moyen, Antirétroviraux (usage thérapeutique), Dépression (épidémiologie), Enquêtes et questionnaires (normes), Facteurs de risque, Femelle, Humains, Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Mâle, Pauvreté, Population rurale (), Prévalence, République d'Afrique du Sud (épidémiologie), Soutien social, Sujet âgé.
MESH :
- normes : Enquêtes et questionnaires.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Antirétroviraux.
- épidémiologie : Dépression, Infections à VIH, République d'Afrique du Sud.
- Adaptation psychologique, Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Mâle, Pauvreté, Population rurale, Prévalence, Soutien social, Sujet âgé.
Wicri :
- geographic : Afrique du Sud.

English descriptors

KwdEn :
- Adaptation, Psychological, Adult, Aged, Anti-Retroviral Agents (therapeutic use), Depression (epidemiology), Female, HIV Infections (drug therapy), HIV Infections (epidemiology), Humans, Male, Middle Aged, Poverty, Prevalence, Risk Factors, Rural Population (statistics & numerical data), Social Support, South Africa (epidemiology), Surveys and Questionnaires (standards).
MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic , epidemiology : South Africa.
- drug therapy : HIV Infections.
- epidemiology : Depression, HIV Infections.
- standards : Surveys and Questionnaires.
- statistics & numerical data : Rural Population.
- Adaptation, Psychological, Adult, Aged, Female, Humans, Male, Middle Aged, Poverty, Prevalence, Risk Factors, Social Support.

Abstract

We assess depression rates and investigate whether depression among HIV-infected adults receiving antiretroviral treatment (ART) is associated with social support and HIV coping strategies in rural South Africa (SA). The study took place in a decentralised public-sector ART programme in a poor, rural area of KwaZulu-Natal, SA, with high-HIV prevalence and high-ART coverage. The 12-item General Health Questionnaire (GHQ12), validated in this setting, was used to assess depression in 272 adults recently initiated on ART. Estimates of depression prevalence ranged from 33% to 38%, depending on the method used to score the GHQ12. Instrumental social support (providing tangible factors for support, such as financial assistance, material goods or services), but not emotional social support (expressing feelings, such as empathy, love, trust or acceptance, to support a person), was significantly associated with lower likelihood of depression [adjusted odds ratio (aOR) = 0.65, 95% confidence interval (CI) 0.52-0.81, P < 0.001], when controlling for sex, age, marital status, education, household wealth and CD4 cell count. In addition, using "avoidance of people" as a strategy to cope with HIV was associated with an almost three times higher odds of depression (aOR = 2.79, CI: 1.34-5.82, P = 0.006), whereas none of the other five coping strategies we assessed was significantly associated with depression. In addition to antidepressant drug treatment, interventions enhancing instrumental social support and behavioural therapy replacing withdrawal behaviours with active HIV coping strategies may be effective in reducing the burden of depression among patients on ART.

DOI: 10.1080/09540121.2014.931561
PubMed: 24991994

Affiliations:

Ghana

Le document en format XML

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<front><div type="abstract" xml:lang="en">We assess depression rates and investigate whether depression among HIV-infected adults receiving antiretroviral treatment (ART) is associated with social support and HIV coping strategies in rural South Africa (SA). The study took place in a decentralised public-sector ART programme in a poor, rural area of KwaZulu-Natal, SA, with high-HIV prevalence and high-ART coverage. The 12-item General Health Questionnaire (GHQ12), validated in this setting, was used to assess depression in 272 adults recently initiated on ART. Estimates of depression prevalence ranged from 33% to 38%, depending on the method used to score the GHQ12. Instrumental social support (providing tangible factors for support, such as financial assistance, material goods or services), but not emotional social support (expressing feelings, such as empathy, love, trust or acceptance, to support a person), was significantly associated with lower likelihood of depression [adjusted odds ratio (aOR) = 0.65, 95% confidence interval (CI) 0.52-0.81, P < 0.001], when controlling for sex, age, marital status, education, household wealth and CD4 cell count. In addition, using "avoidance of people" as a strategy to cope with HIV was associated with an almost three times higher odds of depression (aOR = 2.79, CI: 1.34-5.82, P = 0.006), whereas none of the other five coping strategies we assessed was significantly associated with depression. In addition to antidepressant drug treatment, interventions enhancing instrumental social support and behavioural therapy replacing withdrawal behaviours with active HIV coping strategies may be effective in reducing the burden of depression among patients on ART.</div>
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Le SIDA au Ghana (serveur d'exploration)

Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa.

Are social support and HIV coping strategies associated with lower depression in adults on antiretroviral treatment? Evidence from rural KwaZulu-Natal, South Africa.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Le SIDA au Ghana (serveur d'exploration)
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