MAGNITUDE OF DEPRESSION AND ASSOCIATED FACTOR AMONG PATIENT WITH HIV VISITING HALABA KULITO GENERAL HOSPITAL ART CLINIC HALABA ZONE, SOUTHERN ETHIOPIA, JUNE 2021 G.C

Abstract

BACKGROUND: Depression is one of the common mental health disorders and predicted to be the second cause of the global health burden by the year 2030[1]. Depression is more prevalent in HIV/AIDS patients than the general population. The presence of depression in people living with HIV/AIDS could lead to non-adherence to antiretroviral medications [2]. It also leads to further co morbid and opportunistic illness and then lowering the patient’s quality of life [3]. Therefore, the aim of this study was to assess the prevalence of depression and associated factors among HIV/AIDS patients on ART at Halaba Kulito Hospital. OBJECTIVE: the main objective of this study was to assess the prevalence of depression and associated factors among patient with HIV visiting Halaba Kulito General Hospital Halaba Zone Southern, Ethiopia, June 2021G.C. METHODA A hospital based cross-sectional study was conducted among 263 HIV positive adult patients on antiretroviral treatment on June 2021 .The study participants was selected by using Consecutive sampling technique among patients who visited the antiretroviral (ART) clinic on the study period and standardized Patients Health Questionnaire (PHQ-9) was used to measuredepression. Factors like Stigma, social support and medication adherence will be assessed by using 12-item stigma scale, Oslo 3-item social support and the Simplified Medication Adherence Questionnaire. Descriptive statistics like percentage, median with inter quartile range (IQR) was computed and presented in the form of text and table. Binary logistic regression model was fitted to identify factors associated with depression. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to identify factors associated with depression. ii RESULT The magnitude of depression in our study is 89% with the response rate of 92.02. Females were more likely (AOR=12.915,95%CI 1.473-113,263) to develop depression compared to males, those with poor and Intermediate(fair) social support were more likely to develop depression (AOR=9.382,95%CI 1.355-64.950 ; AOR=13.714,95%CI 1.426-131.910) than strong social support respectively, those patient who internalize stigma were more likely to develop depression (AOR=12.986 95%CI 2.220-75.954)han patient who doesn’t internalize stigma. CONCLUSON AND RECOMMENDATION Depression is higher among people living with HIV/AIDS. Socio demographic factor like sex, and psychosocial factor like poor social support and internalizing stigma were show significance association with depression. Since prevalence of depression is high, routine screening of patient for depression and early treatment should be done.