Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV

dc.contributor.advisorWard, Catherine L
dc.contributor.authorMwanga, Martha Oshosen
dc.date.accessioned2023-04-04T09:20:50Z
dc.date.available2023-04-04T09:20:50Z
dc.date.issued2022
dc.date.updated2023-04-04T08:12:20Z
dc.description.abstractBackground: The study was focused on the prevalence of depression among men living with HIV, who are in HIV care, and assessed the relationship between depression and care engagement. Several factors have been associated with care engagement among people living with HIV, including depression, but also lack disclosure due to stigmatization, poor social support, high pill burden, poor knowledge of ART, as well as young or old age. However, little is known about how these risk factors play out in men, as most of literature have been directed on women. Objectives: To understand the prevalence of depression in men living with HIV, attending Mawenzi Care and Treatment Clinic, and the effect of depression on care engagement. Method: A cross-sectional survey was conducted in the Mawenzi CTClinic, in Moshi, Kilimanjaro, Tanzania. Adult men living with HIV, 18 years and above, were invited to participate. A composite, continuous scale was developed to measure care engagement. At the clinic participants were asked about their medication adherence, their clinic cards were also checked for their viral load. Self-reported medication adherence and viral load were combined to form the outcome variable or as an indicator of patient care engagement. A total of 203 participants were enrolled in the study, with a mean age of 48 years. Results: The prevalence of depression among men living with HIV was 47.8 %: 35.0 % had mild symptoms, 8.9% moderate symptoms, and 3.9% severe symptoms. There was an indirect relationship between predictors: stigma was associated with depression and depression was associated with care engagement. Conclusion: HIV-related stigma and depression should not be underestimated because of their association with each other. Symptoms of depression need to be treated early, to reduce their effects on care engagement and hence disease progression.
dc.identifier.apacitationMwanga, M. O. (2022). <i>Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV</i>. (). ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/37660en_ZA
dc.identifier.chicagocitationMwanga, Martha Oshosen. <i>"Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV."</i> ., ,Faculty of Humanities ,Department of Psychology, 2022. http://hdl.handle.net/11427/37660en_ZA
dc.identifier.citationMwanga, M.O. 2022. Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV. . ,Faculty of Humanities ,Department of Psychology. http://hdl.handle.net/11427/37660en_ZA
dc.identifier.ris TY - Master Thesis AU - Mwanga, Martha Oshosen AB - Background: The study was focused on the prevalence of depression among men living with HIV, who are in HIV care, and assessed the relationship between depression and care engagement. Several factors have been associated with care engagement among people living with HIV, including depression, but also lack disclosure due to stigmatization, poor social support, high pill burden, poor knowledge of ART, as well as young or old age. However, little is known about how these risk factors play out in men, as most of literature have been directed on women. Objectives: To understand the prevalence of depression in men living with HIV, attending Mawenzi Care and Treatment Clinic, and the effect of depression on care engagement. Method: A cross-sectional survey was conducted in the Mawenzi CTClinic, in Moshi, Kilimanjaro, Tanzania. Adult men living with HIV, 18 years and above, were invited to participate. A composite, continuous scale was developed to measure care engagement. At the clinic participants were asked about their medication adherence, their clinic cards were also checked for their viral load. Self-reported medication adherence and viral load were combined to form the outcome variable or as an indicator of patient care engagement. A total of 203 participants were enrolled in the study, with a mean age of 48 years. Results: The prevalence of depression among men living with HIV was 47.8 %: 35.0 % had mild symptoms, 8.9% moderate symptoms, and 3.9% severe symptoms. There was an indirect relationship between predictors: stigma was associated with depression and depression was associated with care engagement. Conclusion: HIV-related stigma and depression should not be underestimated because of their association with each other. Symptoms of depression need to be treated early, to reduce their effects on care engagement and hence disease progression. DA - 2022_ DB - OpenUCT DP - University of Cape Town KW - Psychology LK - https://open.uct.ac.za PY - 2022 T1 - Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV TI - Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV UR - http://hdl.handle.net/11427/37660 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/37660
dc.identifier.vancouvercitationMwanga MO. Prevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV. []. ,Faculty of Humanities ,Department of Psychology, 2022 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/37660en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Psychology
dc.publisher.facultyFaculty of Humanities
dc.subjectPsychology
dc.titlePrevalence of Depression and Its Relationship to Care Engagement among Men Living with HIV
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSocSci
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