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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...

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Autores principales: Deribew, Amare, Tesfaye, Markos, Hailmichael, Yohannes, Apers, Ludwig, Abebe, Gemeda, Duchateau, Luc, Colebunders, Robert
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
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.
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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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