Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam
Although antiretroviral treatment (ART) access has been universal in recent years, few studies have examined if this policy contributes to the mental health of the patients. This study assessed depression and its relations with health-related quality of life (HRQOL), which is defined as the status o...
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doaj-3346e6cddacd4be6800ed85033df8b9a2020-11-25T01:26:03ZengMDPI AGInternational Journal of Environmental Research and Public Health1660-46012018-12-011512288810.3390/ijerph15122888ijerph15122888Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in VietnamBach Xuan Tran0Anh Kim Dang1Nu Thi Truong2Giang Hai Ha3Huong Lan Thi Nguyen4Ha Ngoc Do5Tuan Quoc Nguyen6Carl A. Latkin7Cyrus S. H. Ho8Roger C. M. Ho9Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamInstitute for Global Health Innovations, Duy Tan University, Da Nang 550000, VietnamYouth Research Institute, Viet Nam (YRI)-Ho Chi Minh Communist Youth Union, Hanoi 100000, VietnamHanoi Department of Health, Hanoi 100000, VietnamBloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USADepartment of Psychological Medicine, National University Hospital, Singapore 119074, SingaporeCenter of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, VietnamAlthough antiretroviral treatment (ART) access has been universal in recent years, few studies have examined if this policy contributes to the mental health of the patients. This study assessed depression and its relations with health-related quality of life (HRQOL), which is defined as the status of general well-being, physical, emotional, and psychological, among HIV patients. A cross-sectional study was conducted in 482 patients at five outpatient clinics. Patient Health Questionnaire-9 (PHQ-9) and EuroQol-5 dimensions-5 levels (EQ-5D-5L) were used to assess the severity of depression and HRQOL. About one-fifth of patients reported symptoms of depression. According to the result of a multivariate logistic regression model, patients who had a lower number of CD4 cells at the start of ART, who received ART in the clinic without HIV counseling and testing (HCT) services, who had a physical health problem, and who experienced discrimination were more likely to have depression. Depression was associated with significantly decreased HRQOL. Depression is prevalent and significantly negatively associated with HRQOL of HIV/AIDS patients. We recommend screening for depression and intervening in the lives of depressed individuals with respect to those who start ART late, and we also recommend community-based behavioral change campaigns to reduce HIV discrimination.https://www.mdpi.com/1660-4601/15/12/2888depressionquality of lifeCD4 cellsearly antiretroviral treatment initiationHIV/AIDSVietnam |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bach Xuan Tran Anh Kim Dang Nu Thi Truong Giang Hai Ha Huong Lan Thi Nguyen Ha Ngoc Do Tuan Quoc Nguyen Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho |
spellingShingle |
Bach Xuan Tran Anh Kim Dang Nu Thi Truong Giang Hai Ha Huong Lan Thi Nguyen Ha Ngoc Do Tuan Quoc Nguyen Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam International Journal of Environmental Research and Public Health depression quality of life CD4 cells early antiretroviral treatment initiation HIV/AIDS Vietnam |
author_facet |
Bach Xuan Tran Anh Kim Dang Nu Thi Truong Giang Hai Ha Huong Lan Thi Nguyen Ha Ngoc Do Tuan Quoc Nguyen Carl A. Latkin Cyrus S. H. Ho Roger C. M. Ho |
author_sort |
Bach Xuan Tran |
title |
Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam |
title_short |
Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam |
title_full |
Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam |
title_fullStr |
Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam |
title_full_unstemmed |
Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam |
title_sort |
depression and quality of life among patients living with hiv/aids in the era of universal treatment access in vietnam |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1660-4601 |
publishDate |
2018-12-01 |
description |
Although antiretroviral treatment (ART) access has been universal in recent years, few studies have examined if this policy contributes to the mental health of the patients. This study assessed depression and its relations with health-related quality of life (HRQOL), which is defined as the status of general well-being, physical, emotional, and psychological, among HIV patients. A cross-sectional study was conducted in 482 patients at five outpatient clinics. Patient Health Questionnaire-9 (PHQ-9) and EuroQol-5 dimensions-5 levels (EQ-5D-5L) were used to assess the severity of depression and HRQOL. About one-fifth of patients reported symptoms of depression. According to the result of a multivariate logistic regression model, patients who had a lower number of CD4 cells at the start of ART, who received ART in the clinic without HIV counseling and testing (HCT) services, who had a physical health problem, and who experienced discrimination were more likely to have depression. Depression was associated with significantly decreased HRQOL. Depression is prevalent and significantly negatively associated with HRQOL of HIV/AIDS patients. We recommend screening for depression and intervening in the lives of depressed individuals with respect to those who start ART late, and we also recommend community-based behavioral change campaigns to reduce HIV discrimination. |
topic |
depression quality of life CD4 cells early antiretroviral treatment initiation HIV/AIDS Vietnam |
url |
https://www.mdpi.com/1660-4601/15/12/2888 |
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