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Common mental disorders in TB/HIV co-infected patients in Ethiopia

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Abstract
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.
Keywords
ANTIRETROVIRAL THERAPY, PSYCHOLOGICAL DISTRESS, HIGH HIV PREVALENCE, HUMAN-IMMUNODEFICIENCY-VIRUS, DEPRESSIVE SYMPTOMS, LYMPHOCYTE SUBSETS, SCREENING SCALES, VIRAL LOAD, TUBERCULOSIS, HEALTH

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Chicago
Deribew, Amare, Markos Tesfaye, Yohannes Hailmichael, Ludwig Apers, Gemeda Abebe, Luc Duchateau, and Robert Colebunders. 2010. “Common Mental Disorders in TB/HIV Co-infected Patients in Ethiopia.” Bmc Infectious Diseases 10.
APA
Deribew, A., Tesfaye, M., Hailmichael, Y., Apers, L., Abebe, G., Duchateau, L., & Colebunders, R. (2010). Common mental disorders in TB/HIV co-infected patients in Ethiopia. BMC INFECTIOUS DISEASES, 10.
Vancouver
1.
Deribew A, Tesfaye M, Hailmichael Y, Apers L, Abebe G, Duchateau L, et al. Common mental disorders in TB/HIV co-infected patients in Ethiopia. BMC INFECTIOUS DISEASES. 2010;10.
MLA
Deribew, Amare et al. “Common Mental Disorders in TB/HIV Co-infected Patients in Ethiopia.” BMC INFECTIOUS DISEASES 10 (2010): n. pag. Print.
@article{1235153,
  abstract     = {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.},
  articleno    = {201},
  author       = {Deribew, Amare and Tesfaye, Markos and Hailmichael, Yohannes and Apers, Ludwig and Abebe, Gemeda and Duchateau, Luc and Colebunders, Robert},
  issn         = {1471-2334},
  journal      = {BMC INFECTIOUS DISEASES},
  keywords     = {ANTIRETROVIRAL THERAPY,PSYCHOLOGICAL DISTRESS,HIGH HIV PREVALENCE,HUMAN-IMMUNODEFICIENCY-VIRUS,DEPRESSIVE SYMPTOMS,LYMPHOCYTE SUBSETS,SCREENING SCALES,VIRAL LOAD,TUBERCULOSIS,HEALTH},
  language     = {eng},
  pages        = {8},
  title        = {Common mental disorders in TB/HIV co-infected patients in Ethiopia},
  url          = {http://dx.doi.org/10.1186/1471-2334-10-201},
  volume       = {10},
  year         = {2010},
}

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