Association between HIV status and depressive symptoms among children and adolescents in the Southern Highlands Zone, Tanzania: a case-control study

dc.contributor.authorLwidiko, Abraham
dc.contributor.authorKibusi, Stephen Matthew
dc.contributor.authorNyundo, Azan
dc.contributor.authorMpondo, Bonaventura C. T.
dc.date.accessioned2021-05-10T10:21:36Z
dc.date.available2021-05-10T10:21:36Z
dc.date.issued2018
dc.descriptionFull text article. Also available at https://doi.org/10.1371/journal.pone.0193145en_US
dc.description.abstractChildren and adolescents continue to have HIV/AIDS in southern Saharan Africa. Scaling up of HIV services has significantly improved access to ARV and consequently improved on morbidity and mortality related to HIV/AIDS including opportunistic infection. Despite the above efforts, non-communicable conditions including mental disorders such as depression have been observed to contribute to the burden of disabilities about which little is documented. This study, therefore, aimed to determine the magnitude of depressive symptoms and the associated factors among HIV-infected children and adolescents. The study was a matched case-control design involving 300 cases of HIV-infected children matched by age and sex against 600 uninfected controls. Systematic sampling technique was used to select the cases while multistage sampling technique was employed to identify villages/ streets purposive and sampling technique was employed to obtain participants from households. The overall prevalence of depressive symptoms among the cohort of 900 participants was found to be 12.9%, with 27% of HIV-infected and 5.8% of HIV-uninfected children and adolescents screened positive for depressive symptoms. Multiple logistic regression revealed that being HIV-infected (AOR 1.96(1.11–3.45)), residing in a rural setting (AOR 0.61(0.39–0.96)) and history of childhood deprivation (AOR 4.76 (2.79–8.13)) were significantly associated with depressive symptoms. HIV infected adolescents are more affected by depression compared to non-infected counterparts. Childhood deprivation was significantly associated with presence of depressive symptoms. Integration of mental health evaluation and treatment into the HIV care provided for adolescents can be beneficial. More studies to delineate factors associated with depressed adolescents with HIV may add value to the body of knowledge and overall improvement of care.en_US
dc.identifier.citationLwidiko, A., Kibusi, S. M., Nyundo, A., & Mpondo, B. (2018). Association between HIV status and depressive symptoms among children and adolescents in the Southern Highlands Zone, Tanzania: A case-control study. PloS one, 13(2), e0193145. https://doi.org/10.1371/journal.pone.0193145en_US
dc.identifier.otherDOI: https://doi.org/10.1371/journal.pone.0193145
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3006
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.subjectHIV statusen_US
dc.subjectHIV/AIDS southern Saharan Africaen_US
dc.subjectChildrenen_US
dc.subjectHIV servicesen_US
dc.subjectNon-communicable diseases (NCDs)en_US
dc.subjectMental disordersen_US
dc.subjectDepressive symptomsen_US
dc.subjectHIV-infected childrenen_US
dc.subjectChildhood deprivationen_US
dc.titleAssociation between HIV status and depressive symptoms among children and adolescents in the Southern Highlands Zone, Tanzania: a case-control studyen_US
dc.typeArticleen_US
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