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Published on: October 31, 2010
Depression among persons attending a HIV/AIDS outpatient clinic in Kingston, Jamaica
T R Clarke1, R C Gibson, G Barrow
1Department of Medicine, University of the West Indies, Kingston 7, Jamaica.
Insights
A study in Jamaica found that 43% of HIV/AIDS patients attending a clinic had depression. This highlights the critical need for routine depression screening in this vulnerable population.
Area of Science:
- Public Health
- Clinical Psychology
- Infectious Diseases
Background:
- HIV/AIDS is a chronic condition requiring ongoing clinical management.
- Depression is a common comorbidity in individuals living with HIV/AIDS.
- Understanding depression prevalence in HIV/AIDS clinics is crucial for patient care.
Purpose of the Study:
- To determine the prevalence of depression among patients at a HIV/AIDS clinic in Kingston, Jamaica.
- To investigate patient-specific clinical and social factors influencing the relationship between HIV/AIDS and depression.
Main Methods:
- A cross-sectional study was conducted over three months at a HIV/AIDS clinic in Kingston, Jamaica.
- Eligible patients were interviewed using the Patient Health Questionnaire (PHQ-9) for depression screening.
- Clinical and socio-demographic data were collected from a pre-existing clinic database.
Main Results:
- Out of 63 participating patients, 43% (n=36) were identified as depressed.
- No statistically significant associations were found between depression and explored sociodemographic or clinical factors (p > 0.05).
Conclusions:
- The study revealed a high prevalence of depression among attendees of the HIV/AIDS clinic.
- Routine depression screening is recommended for patients receiving care at HIV/AIDS clinics.
- Addressing mental health needs is essential for comprehensive HIV/AIDS patient management.
Objectives:
To determine the prevalence of depression among persons attending a HIV/AIDS clinic in Kingston, Jamaica, and to explore the possible role of patient-specific clinical and social issues as intermediary factors in the relationship between HIV/AIDS and depression.
Subjects And Methods:
Over a three-month period, all eligible and consenting patients from a HIV/ AIDS clinic in Kingston, Jamaica, were invited to participate in the study. They were interviewed using the Patient Health Questionnaire (PHQ-9), an instrument validated for the detection of depression in primary care settings. Clinical and socio-demographic data were retrieved for all participating patients from a pre-existing clinic database. Depression prevalence rates were calculated and the association between depression and age, gender, antiretroviral treatment, CD4 count, living arrangement, marital status and major stressors explored.
Results:
Sixty-three patients participated in the study and 43% (n = 36) of them were depressed. No significant differences in depression rates were found with respect to any of the sociodemographic or clinicalfactors explored (p > 0.05).
Conclusion:
The relatively high prevalence of depression among attendees at the HIV/AIDS clinic underscores the need for depression screening in these patients.
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