dc.contributor.author | Kihiu, Agatha W | |
dc.date.accessioned | 2021-01-22T06:17:51Z | |
dc.date.available | 2021-01-22T06:17:51Z | |
dc.date.issued | 2020 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/153901 | |
dc.description.abstract | Background: Mental health morbidities such as depression are well described consequences
associated with chronic illnesses and are exacerbated when offspring are suffering from chronic
illnesses such as HIV. Caregivers own health and quality of care is impacted over time in such
situations.
Objectives
The primary objective was to determine the prevalence and factors associated with depression
among caregivers of HIV infected children using the PHQ-9.
Study Design: Descriptive cross-sectional study
Study methods
Study participants were recruited from the Comprehensive Care Clinic, where HIV infected
patients are followed up, at Kenyatta National Hospital(KNH). KNH is Kenya’s largest referral
hospital. Depression was assessed using the PHQ-9 questionnaire. Pill count record was used
to assess for ART adherence among children. Children’s viral load and clinic attendance were
abstracted from the electronic records.
Results
A total of 116 caregivers-child dyads were enrolled. The prevalence of depression among
caregivers of HIV infected children was 54%, of whom 62% were mildly depressed, 35%
moderately depressed and 3% moderately-severely depressed. None of the caregivers had
severe depression. PHQ-9 scores ≥10 was associated with 31 times increased likelihood of
having children who were not virally suppressed AOR 31(6.5,150.9) p=0.000, additionally, it
was associated with lower likelihood of achieving good ART adherence among children AOR
0.008(0.02,0.29) p=0.000. Being a married caregiver was associated with a lower likelihood of
being depressed AOR 0.13(0.03, 0.59) (p=0.009) whereas being HIV-infected was associated
with a higher likelihood of being depressed AOR17.1(1.2,24.9) P=0.03. Severity of depression
was significantly associated with poorer outcomes.
Conclusions
There is a high prevalence of depression among the caregivers of HIV infected children.
Caregivers’ depression is significantly associated with children’s level of adherence and viral
suppression.
Recommendations
Assessment of caregivers’ depression should be done routinely. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Prevalence of depression among caregivers of Hiv infected children aged 10 years and below, on follow up at comprehensive care clinic at Kenyatta National Hospital. | en_US |
dc.title | Prevalence of depression among caregivers of Hiv infected children aged 10 years and below, on follow up at comprehensive care clinic at Kenyatta National Hospital. | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |