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https://doi.org/10.3390/ijerph15122888
Title: | Depression and quality of life among patients living with HIV/AIDS in the era of universal treatment access in Vietnam | Authors: | Tran, B.X Dang, A.K Truong, N.T Ha, G.H Nguyen, H.L.T Do, H.N Nguyen, T.Q Latkin, C.A Ho, C.S.H Ho, R.C.M |
Keywords: | antiretrovirus agent CD4 antigen acquired immune deficiency syndrome adult alcohol consumption Article CD4 lymphocyte count cross-sectional study depression disease association disease severity emotion EuroQol 5 female health care access high risk behavior human Human immunodeficiency virus infected patient Human immunodeficiency virus infection major clinical study male multivariate logistic regression analysis outpatient department patient counseling Patient Health Questionnaire 9 physical capacity prevalence psychological aspect psychological well-being quality of life quality of life assessment social discrimination social stigma symptom Viet Nam depression Human immunodeficiency virus infection middle aged national health service socioeconomics statistical model statistics and numerical data Viet Nam Adult Anti-Retroviral Agents Cross-Sectional Studies Depression Female HIV Infections Humans Logistic Models Male Middle Aged Prevalence Quality of Life Socioeconomic Factors State Medicine Vietnam |
Issue Date: | 2018 | Publisher: | MDPI | Citation: | Tran, B.X, Dang, A.K, Truong, N.T, Ha, G.H, Nguyen, H.L.T, Do, H.N, Nguyen, T.Q, Latkin, C.A, Ho, C.S.H, Ho, R.C.M (2018). Depression and quality of life among patients living with HIV/AIDS in the era of universal treatment access in Vietnam. International Journal of Environmental Research and Public Health 15 (12) : 2888. ScholarBank@NUS Repository. https://doi.org/10.3390/ijerph15122888 | Rights: | Attribution 4.0 International | Abstract: | Although antiretroviral treatment (ART) access has been universal in recent years, few studies have examined if this policy contributes to the mental health of the patients. This study assessed depression and its relations with health-related quality of life (HRQOL), which is defined as the status of general well-being, physical, emotional, and psychological, among HIV patients. A cross-sectional study was conducted in 482 patients at five outpatient clinics. Patient Health Questionnaire-9 (PHQ-9) and EuroQol-5 dimensions-5 levels (EQ-5D-5L) were used to assess the severity of depression and HRQOL. About one-fifth of patients reported symptoms of depression. According to the result of a multivariate logistic regression model, patients who had a lower number of CD4 cells at the start of ART, who received ART in the clinic without HIV counseling and testing (HCT) services, who had a physical health problem, and who experienced discrimination were more likely to have depression. Depression was associated with significantly decreased HRQOL. Depression is prevalent and significantly negatively associated with HRQOL of HIV/AIDS patients. We recommend screening for depression and intervening in the lives of depressed individuals with respect to those who start ART late, and we also recommend community-based behavioral change campaigns to reduce HIV discrimination. © 2018 by the authors. Licensee MDPI, Basel, Switzerland. | Source Title: | International Journal of Environmental Research and Public Health | URI: | https://scholarbank.nus.edu.sg/handle/10635/183823 | ISSN: | 1661-7827 | DOI: | 10.3390/ijerph15122888 | Rights: | Attribution 4.0 International |
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