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Common mental disorders in TB/HIV co-infected patients in Ethiopia
BACKGROUND-: The relationship between TB/HIV co-infection and common mental disorders (CMD) has been scarcely investigated. In this study, we compared the occurrence of CMD in TB/HIV co-infected and non-co-infected HIV patients in Ethiopia. METHODS-: We conducted a cross sectional study in three hos...
Autores principales: | , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911449/ https://www.ncbi.nlm.nih.gov/pubmed/20618942 http://dx.doi.org/10.1186/1471-2334-10-201 |
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author | Deribew, Amare Tesfaye, Markos Hailmichael, Yohannes Apers, Ludwig Abebe, Gemeda Duchateau, Luc Colebunders, Robert |
author_facet | Deribew, Amare Tesfaye, Markos Hailmichael, Yohannes Apers, Ludwig Abebe, Gemeda Duchateau, Luc Colebunders, Robert |
author_sort | Deribew, Amare |
collection | PubMed |
description | BACKGROUND-: The relationship between TB/HIV co-infection and common mental disorders (CMD) has been scarcely investigated. In this study, we compared the occurrence of CMD in TB/HIV co-infected and non-co-infected HIV patients in Ethiopia. METHODS-: We conducted a cross sectional study in three hospitals in Ethiopia from February to April, 2009. The study population consisted of 155 TB/HIV co-infected and 465 non-co-infected HIV patients. CMD was assessed through face to face interviews by trained clinical nurses using the Kessler 10 scale. Several risk factors for CMD were assessed using a structured questionnaire. RESULTS-: TB/HIV co-infected patients had significantly (p = 0.001) greater risk of CMD (63.7%) than the non-co-infected patients (46.7%). When adjusted for the effect of potential confounding variables, the odds of having CMD for TB/HIV co-infected individuals was 1.7 times the odds for non-co-infected patients [OR = 1.7, (95%CI: 1.0, 2.9)]. Individuals who had no source of income [OR = 1.7, (95%CI: 1.1, 2.8)], and day labourers [OR = 2.4, 95%CI: 1.2, 5.1)] were more likely to have CMD as compared to individuals who had a source of income and government employees respectively. Patients who perceived stigma [OR = 2.2, 95%CI: 1.5, 3.2)] and who rate their general health as "poor" [OR = 10.0, 95%CI: 2.8, 35.1)] had significantly greater risk of CMD than individual who did not perceive stigma or who perceived their general health to be "good". CONCLUSION-: TB/HIV control programs should develop guidelines to screen and treat CMD among TB/HIV co-infected patients. Screening programs should focus on individuals with no source of income, jobless people and day labourers. |
format | Text |
id | pubmed-2911449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-29114492010-07-29 Common mental disorders in TB/HIV co-infected patients in Ethiopia Deribew, Amare Tesfaye, Markos Hailmichael, Yohannes Apers, Ludwig Abebe, Gemeda Duchateau, Luc Colebunders, Robert BMC Infect Dis Research Article BACKGROUND-: The relationship between TB/HIV co-infection and common mental disorders (CMD) has been scarcely investigated. In this study, we compared the occurrence of CMD in TB/HIV co-infected and non-co-infected HIV patients in Ethiopia. METHODS-: We conducted a cross sectional study in three hospitals in Ethiopia from February to April, 2009. The study population consisted of 155 TB/HIV co-infected and 465 non-co-infected HIV patients. CMD was assessed through face to face interviews by trained clinical nurses using the Kessler 10 scale. Several risk factors for CMD were assessed using a structured questionnaire. RESULTS-: TB/HIV co-infected patients had significantly (p = 0.001) greater risk of CMD (63.7%) than the non-co-infected patients (46.7%). When adjusted for the effect of potential confounding variables, the odds of having CMD for TB/HIV co-infected individuals was 1.7 times the odds for non-co-infected patients [OR = 1.7, (95%CI: 1.0, 2.9)]. Individuals who had no source of income [OR = 1.7, (95%CI: 1.1, 2.8)], and day labourers [OR = 2.4, 95%CI: 1.2, 5.1)] were more likely to have CMD as compared to individuals who had a source of income and government employees respectively. Patients who perceived stigma [OR = 2.2, 95%CI: 1.5, 3.2)] and who rate their general health as "poor" [OR = 10.0, 95%CI: 2.8, 35.1)] had significantly greater risk of CMD than individual who did not perceive stigma or who perceived their general health to be "good". CONCLUSION-: TB/HIV control programs should develop guidelines to screen and treat CMD among TB/HIV co-infected patients. Screening programs should focus on individuals with no source of income, jobless people and day labourers. BioMed Central 2010-07-09 /pmc/articles/PMC2911449/ /pubmed/20618942 http://dx.doi.org/10.1186/1471-2334-10-201 Text en Copyright ©2010 Deribew et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Deribew, Amare Tesfaye, Markos Hailmichael, Yohannes Apers, Ludwig Abebe, Gemeda Duchateau, Luc Colebunders, Robert Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title | Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title_full | Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title_fullStr | Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title_full_unstemmed | Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title_short | Common mental disorders in TB/HIV co-infected patients in Ethiopia |
title_sort | common mental disorders in tb/hiv co-infected patients in ethiopia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911449/ https://www.ncbi.nlm.nih.gov/pubmed/20618942 http://dx.doi.org/10.1186/1471-2334-10-201 |
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