Family Support and Depression among Adolescents Living with HIV in Northern Nigeria.

IF 1 4区医学 Q4 IMMUNOLOGY

Current HIV Research Pub Date : 2025-01-01 DOI:10.2174/011570162X339247250205182104

Aishatu I Umar, Abdulgafar L Olawumi, Tiri T Ogunyele, Hussaini Y Magaji, Abdullahi K Suleiman, Bukar A Grema, C William Wester, Muktar H Aliyu

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Abstract

Background: Family support is an important component of family-oriented care and a vital element in the care of patients with chronic illnesses, including HIV/AIDS. We investigated the association between perceived family support and depression among adolescents living with HIV in northern Nigeria.

Methods: This was a cross-sectional study on 125 adolescents (10-19 years of age) presenting for care at a large urban outpatient HIV clinic in Kano, Nigeria. We assessed family support utilizing the Perceived Social Support Family Scale (PSS-Fa) tool, and depression using the Patient Health Questionnaire-9 (PHQ-9) tool. Logistic regression was done to determine the independent relationship between perceived family support and depression.

Results: Approximately half of the respondents were males (49.6%). The median age (±IQR) of the participants was 16 (± 4) years. The overall prevalence of depression was 56%. More than half (57.6%) of the respondents reported having strong family support. Depression was independently associated with no family support (adjusted odds ratio, aOR = 3.85, 95% confidence interval, CI = 1.10-13.43), weak family support (aOR = 3.16, 95% CI = 1.04-9.63), and feelings of shame about their HIV status (aOR = 5.20, 95% CI = 1.76-15.35).

Conclusion: Depression is common among adolescents presenting for HIV care in northern Nigeria and is independently associated with perceived family support and feelings of shame regarding HIV diagnosis. Our findings support routine screening for depression among adolescents with HIV, coupled with the integration of family-oriented care and counseling into routine HIV services for this population.

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尼日利亚北部感染艾滋病毒的青少年的家庭支持和抑郁。

背景：家庭支持是面向家庭的护理的重要组成部分，也是慢性疾病患者（包括艾滋病毒/艾滋病）护理的重要组成部分。我们调查了尼日利亚北部感染艾滋病毒的青少年中感知到的家庭支持与抑郁之间的关系。方法：这是一项针对125名青少年（10-19岁）的横断面研究，他们在尼日利亚卡诺的一家大型城市艾滋病门诊就诊。我们使用感知社会支持家庭量表（PSS-Fa）工具评估家庭支持，使用患者健康问卷-9 （PHQ-9）工具评估抑郁。通过Logistic回归来确定感知家庭支持与抑郁之间的独立关系。结果：大约一半的受访者为男性（49.6%）。参与者的中位年龄（±IQR）为16（±4）岁。抑郁症的总体患病率为56%。超过一半（57.6%）的受访者表示有强大的家庭支持。抑郁症与无家庭支持（调整优势比，aOR = 3.85, 95%可信区间，CI = 1.10-13.43）、家庭支持弱（aOR = 3.16, 95% CI = 1.04-9.63）、对自己的艾滋病毒感染状况感到羞耻（aOR = 5.20, 95% CI = 1.76-15.35）独立相关。结论：抑郁症在尼日利亚北部接受艾滋病毒治疗的青少年中很常见，并且与感知到的家庭支持和对艾滋病毒诊断的羞耻感独立相关。我们的研究结果支持对感染艾滋病毒的青少年进行常规抑郁筛查，并将以家庭为导向的护理和咨询整合到这一人群的常规艾滋病毒服务中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV Research 医学-病毒学

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current HIV Research covers all the latest and outstanding developments of HIV research by publishing original research, review articles and guest edited thematic issues. The novel pioneering work in the basic and clinical fields on all areas of HIV research covers: virus replication and gene expression, HIV assembly, virus-cell interaction, viral pathogenesis, epidemiology and transmission, anti-retroviral therapy and adherence, drug discovery, the latest developments in HIV/AIDS vaccines and animal models, mechanisms and interactions with AIDS related diseases, social and public health issues related to HIV disease, and prevention of viral infection. Periodically, the journal invites guest editors to devote an issue on a particular area of HIV research of great interest that increases our understanding of the virus and its complex interaction with the host.