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PREVALENCE OF DEPRESSION SYMPTOMS AMONG HIV-INFECTED MEN WHO HAVE SEX WITH MEN UNDER TREATMENT AT BACH MAI HOSPITAL
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Abstract
Introduction: Depression is a rising mental health issue among HIV/AIDS patients, especially among Men who have sex with men (MSM) group. Our study aims to assess the prevalence of depression symptoms using Beck Depression Inventory-II instrument among MSM patients under treatment at HIV out-patient clinic, Bach Mai Hospital. Participants & Methods: We conducted a cross-sectional study among MSM patients registered and received care and treatment at HIV out-patient clinic, Bach Mai Hospital. The Beck Depression Inventory-II (BDI-II) was used to measure the depression symptoms among participants. The BDI-II contains 21 items, which each item has a 4-scale score from 0 to 3 points (0- no symptoms and 3- severe symptoms). A total band score of 21 items was ranged from 0 to 63 points, which 14-19 points indicated mild depression, 20-28 points indicated moderate depression, and above 28 indicated severe depression. Results: A total of 56 MSM patients agreed to participate in the study, with majority of them is at young age (the 18 – 35 years old age group was accounted for more than 80%). Approximately a half of participants did not disclosure their sex-behaviours and HIV status with family or friends (55.3% and 42.8%, respectively). The most reason for being not disclosure were the fear of family affected (67.9%), and stigma and discrimination (48.2%). Using BDI-II instrument, our results showed that there was 10.7% of patients had depression symptoms, including 5,4% of patients had severe depression symptoms. The median score of BDI-II was 6.5 (IQR=3.5 – 11). The notable symptoms including, boredom (66.1%), loss of sexual interest (57.1%), feeling tired (46.4%), fear of the future (42.9%), feeling guilty (42.9%), feeling frustrated (41.1%) and feeling punished (41.1%). Conclusion: Our study found a moderate prevalence of depression symptoms among HIV-infected MSM using BDI-II scale. This finding suggested that integrated psychological therapy and mental health care with HIV/AIDS treatment is essential to improve the health status of MSM patients.
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Keywords
HIV/AIDS; Men who have sex with men; MSM; Depression; BDI-II
References
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