Factors Associated with Anxiety Disorder among ART Clients attending Antiretroviral Therapy Clinic at Hawassa University Referral Hospital, Hawassa, SNNPR, Ethiopia

Bedaso, Asres; Belagavi, Dayanand; Bekele, Gezahegn; Mekonnen, Nibretie

doi:10.4172/2378-5756.1000394

Cited by 5 publications

(6 citation statements)

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“…Perceived stigma was another significantly associated variable in which those participants with poor perceived stigma were more than eight times (AOR=8.34, 95% CI: (3.49, 19.91) more likely to have anxiety as compared to their counterparts. This finding is consistent with studies conducted in Debre Tabor, 19 Hawassa 26 and Albania 82.3%. 6 Different previously conducted studies indicate that HIV/AIDS related perceived stigma has mental health impact such as feelings of helplessness and worthlessness, mental distress and poor attention and concentration.…”

Section: Discussionsupporting

confidence: 93%

“…Regarding associated factors, in this study, females were 3.24 times more likely to develop anxiety as compared to males, which was supported by previously conducted studies in Debre Tabor, 19 Hawassa, 26 Addis Ababa, 16 and India. 30 The possible reason might be social factors like burden of household responsibilities and low social network, exposure to acute life and other biological factors may contribute to the higher prevalence of anxiety among females than males.…”

Section: Discussionsupporting

confidence: 87%

“…The current result was found to be higher than in studies conducted in Debre Tabor (22.2%) and Hawassa (17.4%). 19 , 26 The current finding was also higher than in previous studies from South Africa, 5 Kenya 27 and Nigeria. 14 The possible reason for the discrepancy might be differences in data collection instruments (tools) used, difference in sample size, study setting and social, economic and cultural differences.…”

Section: Discussioncontrasting

confidence: 57%

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Anxiety and Associated Factors Among Clients on Highly Active Antiretroviral Therapy (HAART) in Public Hospitals of Southern Ethiopia: A Multi-Center Cross-Sectional Study

Kechine¹,

Ali

Worku

et al. 2022

PRBM

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Background Anxiety is an unpleasant feeling of fear, apprehension, and nervousness without any apparent stimulus. Anxiety is one of the co-morbidities that are often overlooked in treating patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Anxiety is worse among people with HIV/AIDS than the general population. Few studies have been conducted on prevalence of anxiety in people receiving antiretroviral treatment and limited evidence is available on its associated factors. Therefore, the objective of this study was to investigate the magnitude and associated factors of anxiety among clients on highly active antiretroviral therapy in public hospitals of Southern Ethiopia. Methods An institution-based cross-sectional study was conducted in public hospitals of Southern Ethiopia. Simple random sampling method was used to recruit study participants. Data collection was done by using a structured questionnaire regarding medical data related to HIV/AIDS. Seven items of the Hospital Anxiety and Depression Scale (HADS) were also used to measure the anxiety level. Oslo social support scale and perceived stigma scale were used to measure social support and stigma respectively. Bivariate and multivariate logistic regression analyses were computed with 95% CI to identify different explanatory variables. Significance was declared at p<0.05. Multi-collinearity was checked by variance inflation factors and Hosmer-Lemeshow test was used to check model fitness. Results Prevalence of anxiety among clients on HAART in selected public hospitals of Southern Ethiopia was found to be 25.6%. Females (AOR=3.24, 95% CI [1.32, 7.97]), being widowed (AOR=5.47, 95% CI [1.08, 29.72], monthly income 1425–2280 Ethiopian birr (AOR=7.29, 95% CI [2.55, 20.88]), comorbid conditions (AOR=5.47, 95% CI [1.92, 15.62]), perceived stigma (AOR=8.34, 95% CI [3.49, 19.91]) were factors associated with anxiety. Conclusion Approximately one-fourth of participants living with HIV/AIDS had anxiety. Being female, widowed, medium income, comorbid conditions, and perceived stigma were significantly associated with anxiety. This finding highlights the importance of mental health assessment, early detection and treatment of anxiety as an integral component of HIV/AIDS care.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 87%

Section: Discussioncontrasting

confidence: 57%

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Anxiety and Associated Factors Among Clients on Highly Active Antiretroviral Therapy (HAART) in Public Hospitals of Southern Ethiopia: A Multi-Center Cross-Sectional Study

Kechine¹,

Ali

Worku

et al. 2022

PRBM

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“…The current issue of the Journal of Psychiatry features some interesting scientific findings. Bedaso et al [1] observed a positive correlation between age, social stigma and anxiety in patients undergoing Antiretroviral Therapy (ART) at Hawassa Universty Referral Hospital, Ethiopia. They also observed that female patients were 8.2 times susceptible to anxiety as compared to men, and that lower CD4 counts correlated with high anxiety.…”

Section: Editorialmentioning

confidence: 99%

“…More often than not, the anxiety and depression coexist in HIV patients. Bedaso et al [1] investigated the prevalence of anxiety and associated factors among patients undergoing Antiretroviral Therapy (ART) at Hawassa Universty Referral Hospital, Ethiopia. The results revealed that 17.4% of the affected patients suffered from anxiety.…”

Section: Editorialmentioning

confidence: 99%

Role of Clinical History on Psychiatric Disorders

Wang¹

2016

J Psychiatry

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Perceived stigma and depression among the HIV-positive adult people in Ethiopia: A systematic review and meta-analysis

Desta,

Zenbaba,

Sahiledengle

et al. 2024

PLoS ONE

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Introduction Depression is one of the most common psychiatric disorders, affecting approximately 60% of people infected with the human immunodeficiency virus (HIV). Low and middle-income countries (LMICs), including Ethiopia, bear a disproportionate burden of depression among HIV/AIDS patients. Several factors, including perceived stigma, have been linked to increased depression among HIV/AIDS patients. Therefore, we aimed to estimate the pooled effect of perceived stigma on depression among HIV/AIDS patients in Ethiopia. Methods For this systematic review and meta-analysis, we systematically retrieved all relevant studies starting from January 1, 2000 to June 1, 2022 from PubMed, HINARI, and Google Scholar. This review included observational studies that reported the effect of perceived stigma on the prevalence of depression among HIV-positive adults in Ethiopia. The effect estimate of the pooled effect of perceived stigma on depression was conducted using DerSimonian-Laird’s random effect model using STATA/MP version 16. An adjusted odds ratio (AOR), along with a 95% confidence interval (CI), was conducted to estimate the strength of the association between perceived stigma and depression. Results Eleven studies with a total of 4,153 HIV-positive adults were included for meta-analysis. The results of the meta-analysis revealed that the odds of depression were higher among patients with perceived stigma (AOR: 3.78, 95% CI: 2.73, 5.24). The pooled prevalence of depression among HIV/AIDS patients in Ethiopia was 39% (95% CI: 32%, 46%) (I2 = 98%, p ≤ 0.0001). The subgroup analysis revealed that the primary studies conducted in the Oromia region had the highest pooled prevalence of depression at 48% (95% CI: 32%, 63%). Conclusion The pooled estimates of the meta-analysis revealed that perceived stigma and depression were strongly associated. Stigma and depression screenings should be carried out for additional treatments and prevention, and programs supporting Ethiopia’s PLWHA population should be strengthened.

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Factors Associated with Anxiety Disorder among ART Clients attending Antiretroviral Therapy Clinic at Hawassa University Referral Hospital, Hawassa, SNNPR, Ethiopia

Cited by 5 publications

References 0 publications

Anxiety and Associated Factors Among Clients on Highly Active Antiretroviral Therapy (HAART) in Public Hospitals of Southern Ethiopia: A Multi-Center Cross-Sectional Study

Anxiety and Associated Factors Among Clients on Highly Active Antiretroviral Therapy (HAART) in Public Hospitals of Southern Ethiopia: A Multi-Center Cross-Sectional Study

Role of Clinical History on Psychiatric Disorders

Perceived stigma and depression among the HIV-positive adult people in Ethiopia: A systematic review and meta-analysis

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