Article Sidebar
Views PDF: 252
PREVALENCE OF DEPRESSION SYMPTOMS AMONG HIV-INFECTED MEN WHO HAVE SEX WITH MEN UNDER TREATMENT AT BACH MAI HOSPITAL
Main Article Content
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.
Article Details
Keywords
HIV/AIDS; Men who have sex with men; MSM; Depression; BDI-II
References
2. Ciesla, J.A. and J.E. Roberts, Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry, 2001. 158(5): p. 725-30.
3. Hartzell, J.D., I.E. Janke, and A.C. Weintrob, Impact of depression on HIV outcomes in the HAART era. J Antimicrob Chemother, 2008. 62(2): p. 246-55.
4. VAAC, Báo cáo công tác phòng, chống HIV/AIDS năm 2017 và nhiệm vụ trọng tâm năm 2018. 2017.
5. Tran, B.X., et al., 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, 2018. 15(12): p. 2888.
6. Thai, T.T., et al., Symptoms of Depression in People Living with HIV in Ho Chi Minh City, Vietnam: Prevalence and Associated Factors. AIDS and behavior, 2018. 22(Suppl 1): p. 76-84.
7. Kim, M.H., et al., Prevalence of depression and validation of the Beck Depression Inventory-II and the Children's Depression Inventory-Short amongst HIV-positive adolescents in Malawi. Journal of the International AIDS Society, 2014. 17(1): p. 18965-18965.
8. Tao, J., et al., Relationship of Stigma and Depression Among Newly HIV-Diagnosed Chinese Men Who Have Sex with Men. AIDS and behavior, 2017. 21(1): p. 292-299.