American Journal of Medical Sciences and Medicine
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American Journal of Medical Sciences and Medicine. 2015, 3(6), 106-112
DOI: 10.12691/ajmsm-3-6-4
Open AccessArticle

Prevalence and Socio-demographic Determinants of Depression among Patients Attending HIV/AIDS Clinic in a Teaching Hospital in Imo State, Nigeria

Chinyere M. Aguocha1, , Richard U. Uwakwe2, Chukwuma B. Duru3, Kelvin C. Diwe3, Justine K. Aguocha4, Okezie O. Enwere1 and Emmanuel O. Olose5

1Department of Internal Medicine, Imo State University, Owerri, Imo State, Nigeria

2Faculty of Medicine, Nnamdi Azikiwe University, Awka, Anambra State Nigeria

3Department of Community Medicine, Imo State University, Owerri, Imo State, Nigeria

4Department of Surgery, Imo State University, Owerri, Imo State, Nigeria

5Department of Psychiatry, University of Calabar Teaching Hospital, Calabar, Cross River, Nigeria

Pub. Date: January 04, 2016

Cite this paper:
Chinyere M. Aguocha, Richard U. Uwakwe, Chukwuma B. Duru, Kelvin C. Diwe, Justine K. Aguocha, Okezie O. Enwere and Emmanuel O. Olose. Prevalence and Socio-demographic Determinants of Depression among Patients Attending HIV/AIDS Clinic in a Teaching Hospital in Imo State, Nigeria. American Journal of Medical Sciences and Medicine. 2015; 3(6):106-112. doi: 10.12691/ajmsm-3-6-4

Abstract

Background: Depression is one of the most common psychiatric complications associated with HIV disease. In Nigeria depression has been found to be five times more common among People Living with HIV AIDS (PLWHA) than in apparently healthy populations. Aim: To assess the prevalence, socio-demographic determinants and phenomenology of depressive disorder among HIV patients attending HIV clinic in Imo State University Teaching Hospital Orlu, Imo State, Nigeria. Methodology: This we did through a cross-sectional descriptive survey, carried out on 271 patients aged 18years and above receiving Highly Active Antiretroviral Treatment (HAART). We used Patient Health Questionnaire 9 to assess depressive disorder. The associations between depressive disorder and socio-demographic profiles among the genders were explored. Results: About 39.1% of the participants were found to be depressed, out of which 24.5% were mildly depressed, 50% moderately depressed and 24.5% severely depressed. More female participants, (28.0%) were found to be depressed than their male counterparts, (11.1%) although this difference was not statistically significant, (χ2=0.21, p=0.65). The rate (χ²=4.14, p=0.04) and severity (χ2=8.64, p=0.04) of concentration impairment was significantly higher in females compared to males. Conclusion: We concluded that the relatively high prevalence of depressive disorder among attendees at the HIV/AIDS clinic underscores the need for routine depression screening in these patients.

Keywords:
prevalence socio-demographic determinants depressive disorder HIV/AIDS clinic Nigeria

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