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Prevalence of common mental disorder and its association with perceived stigma and social support among people living with HIV/AIDS in Ethiopia: a systematic review and meta-analysis.
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- Author(s): Duko, Bereket1,2,3,4 ; Belayhun, Yitagesu5; Bedaso, Asres1,6
- Source:
International Journal of Mental Health Systems. 7/8/2024, Vol. 18 Issue 1, p1-10. 10p.- Subject Terms:
*PSYCHIATRIC epidemiology; *MENTAL illness prevention; *MEDICAL information storage & retrieval systems; *ATTITUDES toward illness; *MENTAL health; *MENTAL illness; *CINAHL database; *META-analysis; *DISEASE prevalence; *DESCRIPTIVE statistics; *PSYCHOLOGY of HIV-positive persons; *SYSTEMATIC reviews; *MEDLINE; *ODDS ratio; *SOCIAL support; *HEALTH promotion; *ONLINE information services; *DATA analysis software; *MEDICAL screening; *SOCIAL stigma; *PATIENTS' attitudes; *WELL-being; *PSYCHOLOGY information storage & retrieval systems - Source:
- Additional Information
- Subject Terms:
- Abstract: Background: When common mental disorders (CMD) co-occur with HIV/AIDS, they can complicate patient diagnosis, help-seeking behaviors, quality of life, treatment outcomes, and drug adherence. Thus, estimating the pooled prevalence of CMD and its association with perceived stigma and social support among people living with HIV/AIDS (PLWHA) in Ethiopia could potentially support policymakers and health professionals to understand the disease burden and set a solution to improve the mental well-being of PLWHA. Methods: Popular databases such as PubMed, SCOPUS, EMBASE, and Psych-INFO as well as Google Scholar, AJOL, CINAHL, PILOTS and Web of Science were searched for the relevant articles conducted in Ethiopia. We included cross-sectional, case–control, and cohort studies in the review. The Comprehensive Meta-Analysis software version 3.0 was used to pool the results of the included studies. The Q- and I2-statistics were used to assess the heterogeneity between the included studies. We employed a random-effects meta-analysis model to estimate the pooled prevalence of CMD and to account for heterogeneity among the included studies. We also conducted a leave-one-out analyses, and stratified meta-analyses by gender (male and female). Results: The studies included in this systematic review and meta-analysis were published between 2009 and 2021, recruiting a total of 5625 participants. The pooled estimated prevalence of CMD among PLWHA in Ethiopia was 26.1% (95% CI 18.1–36.0). The pooled estimated prevalence of CMD was significantly higher among females, at 39.5% (95% CI 21.2–39.0), compared to males, 26.9% (95% CI 15.6–31.7). Moreover, the pooled estimated prevalence of CMD in PLWHA ranged from 23.5 to 28.9% in the leave-one-out sensitivity analysis, indicating that the removal of any single study did not significantly affect the pooled estimate. The pooled effects (AOR) of Perceived HIV stigma and poor perceived social support on common mental disorder were 2.91, 95% CI (1.35–6.29) and 5.56, 95% CI (1.89–16.39), respectively. Conclusion: People living with HIV/AIDS (PLWHA) who received poor social support and those with HIV-related perceived stigma were found to have strong association with CMD. Therefore, it is advisable that all PLWHA attending ART clinic should be screened for CMD, social support and HIV-related perceived stigma. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of International Journal of Mental Health Systems is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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