Redona Dudushi1, Marjeta Dervishi1, Anxhela Shehu1, Roland Bani1
1Institute of Public Health, Tirana, Albania.
Aim: Depression is one of the most frequent mental health problems reported in persons living with HIV. HIV illness and depressive symptoms have very similar characteristic these make that depressive symptoms in people living with HIV perhaps are more or less reported as a result of somatic features of HIV. There are no date are regarding the prevalence of depression in people living with HIV in Albania. This study was undertaken to provide comprehensive understating about depression in people living with HIV in Albania and factors that influence depression.
Methods: A descriptive cross sectional study was conducted in outpatient clinic of people living with HIV in Albania. Two hundred sixty four patients were interviewed about depression, adherence, sexual activity and sexual desire. Patient Health Questionnaire is used as depression assessment tools, Case Index of Adherence is used to measure adherence, Sexual Desire Inventory to measure the sexual desire and AMIS questionnaire (Emory University Instrument) to measure sexual behaviors.
The data collected was analyzed using SPSS software and Medcalc software.
Results: The prevalence of depression measuring with the Patient Health Questionnaire-9. The prevalence of depression in the sample is 64.4% (95%CI 58.3 – 70.2). It was found differences between women and men in the prevalence rate of depression, the women has high prevalence rate compare to male (70% and 62.1%). In the group with “low adherence” in therapy is reported higher percents of “moderate depression” 52.5% and “severe depression” 45.8% compare to group with “good adherence in therapy” respectively 23% and 8.3%.
Conclusion: In light of the high prevalence of depression in people living with HIV is important offering counseling for mental health issues of PLWH in primary health care.
Keywords: Acquired Immune Deficiency Syndrome, adherence,depression.