Symptoms of depression, anxiety, and thoughts of suicide/self-injury in adolescents and young adults living with HIV in Botswana

被引:9
作者
Brooks, Merrian [1 ,2 ]
Burmen, Barbara [3 ]
Olashore, Anthony [4 ]
Gezmu, Alemayehu Mekonnen [5 ]
Molebatsi, Keneilwe [4 ]
Tshume, Ontibile [6 ]
Phoi, Onkemetse [6 ]
Morales, Knashawn [8 ]
Matshaba, Mogomotsi [4 ,7 ]
Benton, Tami [2 ,9 ]
Lowenthal, Elizabeth D. [2 ,10 ]
机构
[1] Perelman Sch Med, Dept Pediat, Craig Dalsimer Div Adolescent Med, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Philadelphia, PA USA
[3] Botswana UPENN Partnership, Gaborone, Botswana
[4] Univ Botswana, Dept Psychiat, Gaborone, Botswana
[5] Univ Botswana, Dept Paediat & Adolescent Hlth, Gaborone, Botswana
[6] Botswana Baylor Childrens Clin Ctr Excellence, Gaborone, Botswana
[7] Baylor Coll Med, Dept Pediat, Div Retrovirol, Houston, TX USA
[8] Univ Penn Perelman Sch Med, Dept Biostat Epidemiol & Informat, Philadelphia, PA USA
[9] Univ Penn, Perelman Sch Med, Dept Psychiat Behav Serv, Philadelphia, PA USA
[10] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA USA
来源
AJAR-AFRICAN JOURNAL OF AIDS RESEARCH | 2023年 / 22卷 / 01期
关键词
adolescents and youth persons with HIV; symptoms of mental health disorders; resource-limited settings; ANTIRETROVIRAL THERAPY; MENTAL-HEALTH; DISORDER; TRAJECTORIES; VALIDATION; ADHERENCE; VALIDITY;
D O I
10.2989/16085906.2023.2186252
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Globally, mental health problems have been reported to be more common in youth living with HIV (YLWH) than in the general population, but routine mental health screening is rarely done in high-volume HIV clinics. In 2019, YLWH in a large HIV clinic in Botswana were screened using the Generalized Anxiety Scale-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) in a pilot standard-of-care screening programme. Two-way ANOVA was used to describe the effects of age group (12-<16, 16-<20 and 20-25 years old) and sex on GAD-7 and PHQ-9 scores. Chi-square statistics were used to compare characteristics of YLWH with and without potential suicidality/self-harm symptoms based on question 9 in the PHQ-9. Among 1 469 YLWH, 33.1%, 44.3% and 15.0% had anxiety, depression and potential suicidality/self-harm symptoms respectively. YLWH of 20-25 years old and 16-<20 years old had higher GAD-7 scores compared to 12-<16-year-olds (p = 0.014 and p = <0.001 respectively). Female YLWH of 20-25 years old had higher PHQ-9 scores compared to 12-<16-year-olds (p = 0.002). There were no other sex-age dynamics that were statistically significant. Female YLWH endorsed more thoughts of suicidality/self-harm than males (17% versus 13%, p = 0.03 respectively). Given the proportion of YLWH with mental health symptoms, Botswana should enhance investments in mental health services for YLWH, especially for young female adults who bear a disproportionate burden.
引用
收藏
页码:54 / 62
页数:9
相关论文
共 52 条
[51]   Distinctive barriers to antiretroviral therapy adherence among non-adherent adolescents living with HIV in Botswana [J].
Yang, Elizabeth ;
Mphele, Seipone ;
Moshashane, Neo ;
Bula, Boineelo ;
Chapman, Jennifer ;
Okatch, Harriet ;
Pettitt, Ed ;
Tshume, Ontibile ;
Marukutira, Tafireyi ;
Anabwani, Gabriel ;
Lowenthal, Elizabeth .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2018, 30 (02) :224-231
[52]   Screening for Traumatic Experiences and Mental Health Distress Among Women in HIV Care in Cape Town, South Africa [J].
Yemeke, Tatenda T. ;
Sikkema, Kathleen J. ;
Watt, Melissa H. ;
Ciya, Nonceba ;
Robertson, Corne ;
Joska, John A. .
JOURNAL OF INTERPERSONAL VIOLENCE, 2020, 35 (21-22) :4842-4862