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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence and correlates of depression among HIV-infected and -Affected older people in rural South Africa
Journal of Affective Disorders, Volume 151, No. 1, Year 2013
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Description
Background: Little is known about depression in older people in sub-Saharan Africa, the associated impact of HIV, and the influence on health perceptions. Objectives: Examine the prevalence and correlates of depression; explore the relationship between depression and health perceptions in HIV-infected and -affected older people. Methods: In 2010, 422 HIV-infected and -affected participants aged 50+ were recruited into a cross- sectional study. Nurse professionals interviewed participants and a diagnosis of depressive episode was derived from the Composite International Diagnostic Interview (Depression module) using the International Classification of Diseases diagnostic criteria and categorised as major (MDE) or brief (BDE). Results: Overall, 424% (n=179) had a depressive episode (MDE: 227%, n=96; BDE: 197%, n=83). Prevalence of MDE was significantly higher in HIV-affected (301%, 95% CI 240-362%) than HIV-infected (148%, 95% CI 99-197%) participants; BDE was higher in HIV-infected (246%, 95% CI 187-306%) than in HIV-affected (151%, 95% CI 103-198%) participants. Being female (aOR 304, 95% CI 173-536), receiving a government grant (aOR 034, 95% CI 015-075), urban residency (aOR 186, 95% CI 116-296) and adult care-giving (aOR 237, 95% CI 137-412) were significantly associated with any depressive episode. Participants with a depressive episode were 2-3 times more likely to report poor health perceptions. Limitations: Study limitations include the cross-sectional design, limited sample size and possible selection biases. Conclusions: Prevalence of depressive episodes was high. Major depressive episodes were higher in HIVaffected than HIV-infected participants. Psycho-social support similar to that of HIV treatment programmes around HIV-affected older people may be useful in reducing their vulnerability to depression. © 2013 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Nyirenda, Makandwe
South Africa, Durban
University of Kwazulu-natal
United Kingdom, Southampton
University of Southampton
Chatterji, Somnath
Switzerland, Geneva
Organisation Mondiale de la Santé
Rochat, Tamsen Jean
South Africa, Durban
University of Kwazulu-natal
South Africa, Stellenbosch
Stellenbosch University
Mutevedzi, Portia Chipo
South Africa, Durban
University of Kwazulu-natal
Newe, M. L.
South Africa, Durban
University of Kwazulu-natal
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Statistics
Citations: 72
Authors: 5
Affiliations: 5
Identifiers
Doi:
10.1016/j.jad.2013.05.005
ISSN:
01650327
e-ISSN:
15732517
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Locations
South Africa
Participants Gender
Female