Prevalence of Anxiety and Associated Factors among People Living with HIV/AIDS at Debretabor General Hospital Anti Retro Viral Clinic Debretabor, Amhara, Ethiopia, 2014
American Journal of Psychiatry and Neuroscience
Volume 2, Issue 6, November 2014, Pages: 109-114
Received: Nov. 28, 2014;
Accepted: Dec. 9, 2014;
Published: Dec. 19, 2014
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Amsalu Belete , Debretabor general hospital, Debretabor, Ethiopia
Gashaw Andaregie , Institute of Public health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
Minale Tareke , Department of Psychiatry, Bahirdar University, Bahirdar, Ethiopia
Tigabu Birhan , Department of Medical Laboratory, Debretabor Health Science College, Debretabor, Ethiopia
Telake Azale , Institute of Public health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
Introduction: Anxiety is one of the co-morbidities that are often overlooked in treating patients for Acquired Immune Deficiency Syndrome from Human Immunodeficiency Virus (HIV/AIDS).Anxiety is higher among HIV/AIDS than the general population. Anxiety among those that have recently been diagnosed with, HIV has been shown to be more prevalent among patients with stress or excess social stigma related to their diagnosis. Specific prevalence of Anxiety is difficult to identify as a result of the wide variations across the globe, ranging from 7% to 82.3 OBJECTIVE: The aim of this study was to assess the prevalence of anxiety and associated factors among PLWHA at Debretabor general hospital ART clinic Debretabor,South Gondar, Amhara, Ethiopia, 2014. METHOD: Institute based cross -sectional study was conducted from April 28 to May 28, 2014 at Debretabor general hospital among PLWHA. Systematic random sampling method was used; logistic regression was performed to assess the association between binary outcomes and Different explanatory variables and the strength of association was interpreted using odds ratio and confidence interval, P-value < 0.05 was considered statistically significant in this study. Result: A total of 436 PLWH patients were included in this cross-sectional study. Out of which, 22.2% of the study participants had anxiety. Respondents who are Being female (AOR =2.63, 95% CI 1.399, 4.931), those who divorced (AOR =2.42, 95% CI 1.165, 5.023), started ART (AOR =2.74, 95% CI 1.425, 5.264) and perceived stigma (AOR=9.34, 95% CI 5.435, 16.176) were found to be significantly associated with anxiety. Conclusion and Recommendation: Prevalence of anxiety was found to be high on people living with HIV at Debretabor general hospital ART clinic. Being female, perceived stigma , started ART and divorced were significantly associated to anxiety. These findings highlight the importance of screening and treatment of anxiety as an integral component of HIV care.
Amsalu Belete ,
Gashaw Andaregie ,
Minale Tareke ,
Tigabu Birhan ,
Telake Azale ,
Prevalence of Anxiety and Associated Factors among People Living with HIV/AIDS at Debretabor General Hospital Anti Retro Viral Clinic Debretabor, Amhara, Ethiopia, 2014, American Journal of Psychiatry and Neuroscience.
Vol. 2, No. 6,
2014, pp. 109-114.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR®: American Psychiatric Pub; 2000.
Morrison S, Banushi VH, Sarnquist C, Gashi VH, Osterberg L, Maldonado Y, et al. Levels of self-reported depression and anxiety among HIV-positive patients in Albania: a cross-sectional study.Croatian medical journal. 2011; 52(5):622-8.
UNAIDS. Epidemiological fact sheet on HIV and AIDS. 2009.
WHO. HIV/AIDS and mental health Report by the Secretariat. 20 November 2008.
Ethiopia FDRO, Health M. national mental health strateg. 2012/13 - 2015/16.
Kemppainen J, Holzemer W, Nokes K, Eller LS, Corless IB, Bunch EH, et al. Self-care management of anxiety and fear in HIV disease. Journal of the Association of Nurses in AIDS Care. 2003; 14(2):21-9.
Enbal Shacham JM, Nur F. Önen, Toshibumi Taniguchi and Edgar Turner Overton. Screening Anxiety in the HIV Clinic. 2012; 16(8):2407-13.
Bethesda. Prevalence of positive screen for anxiety and depression in HIV_1infected women across Western Europe and Canada the cranium study. 2012.
B.M. Celesia LN, M.R. Pinzone, C. Coco, R. La Rosa, F. Bisicchia, S. Mavilla, M. Gussio, G. Pellicanò, V. Milioni, F. Palermo, R. Russo, M.T. Mughini, F. Martellotta, R. Taibi, B. Cacopardo, G. Nunnari. High prevalence of undiagnosed anxiety symptoms among HIV-positive individuals on cART: a cross-sectional study. Eur Rev Med Pharmacol Sci 2013;17 (15): 2040-6
M.J. Ho RS, A. Chua, W.M. Chew. Cross-sectional survey of anxiety and depression among HIV Patients at the Communicable Disease Centre (CDC) in Singapore. 2011:17-20.
L. Nogueira Camposa PDFBMDCG. Anxiety and depression assessment prior to initiating antiretroviral treatment in Brazil. 2006 18(6):529-36.
Lorenza Nogueira Campos MDCG, Robert H. Remien Anxiety and Depression Symptoms as Risk Factors for Non-adherence to Antiretroviral Therapy in Brazil 2010; 14(2): 289-99.
Li Liu RP, Wei Sun, Ming Wu, Peng Qu, Chunming Lu and Lie Wang Functional social support, psychological capital, and depressive and anxiety symptoms among people living with HIV/AIDS employed full-time. Department of Social Medicine, School of Public Health, China Medical University, No 92 North 2nd Road, Heping District, Shenyang, Liaoning 110001, People’s Republic of China. 2013; 13(324 ).
Reuters T. Depression and anxiety among HIV-positive sex workers in Kolkata, India: Testing and modifying the Hospital Anxiety Depression Scale. 2013; 56(6).
Namita N. Deshmukh JSD, Avinash M. Borkar and Mohan B. Khamgaonkar. Depression in People living with HIV/AIDS: A Prevalence study inAnti-Retroviral Therapy Centre. Academia and Industrial Research2013; 2(5).
Chandra PS, Ravi V, Desai A, Subbakrishna D. Anxiety and depression among HIV-infected heterosexuals—a report from India. Journal of Psychosomatic Research. 1998; 45(5):401-9.
D Sulyman O, AD Yussuf. Psychiatric Disorders Among People Living With HIV/AIDS Attending Outpatient Clinics At University Of Ilorin Teaching Hospital, Nigeria2012;19(2).
Ogundipe AOJAAEO. Factors associated with anxiety disorders among HIV positive attends of an HIV clinic in Lagos,Nigeria. International journal of STD&AIDSstd. 2012; 23(6):389_93.
Freeman M, Nkomo N, Kafaar Z, Kelly K. Factors associated with prevalence of mental disorder in people living with HIV/AIDS in South Africa. AIDS care. 2007; 19(10):1201-9.
Kaaya KF. Prevalence of depression and anxiety disorders in HIV positive outpatients in rural Tanzania. AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV2010; 22(4):415-9.
Ngssanga PW. Prevalence of anxiety and depression among HIV/AIDS patients attending the comprehensive Care Centre (CCC), Kenyatta National Hospital (KNH. 2013; 20(5).
Dalgard O, Dowrick C, Lehtinen V, Vazquez-Barquero JL, Casey P, Wilkinson G, et al. Negative life events, social support and gender difference in depression. Social psychiatry and psychiatric epidemiology. 2006; 41(6):444-51.