Common mental disorders in TB/HIV co-infected patients in Ethiopia

A Deribew, M Tesfaye, Y Hailmichael, L Apers, G Abebe, L Duchateau, R Colebunders

    Research output: Contribution to journalA1: Web of Science-article

    Abstract

    ABSTRACT: BACKGROUND-: The relationship between TB/HIV co-infection and common mental disorders (CMD) has been scarcely investigated. In this study, we compared the occurrence of CMD in TB/HIV co-infected and non-co-infected HIV patients in Ethiopia. METHODS-: We conducted a cross sectional study in three hospitals in Ethiopia from February to April, 2009. The study population consisted of 155 TB/HIV co-infected and 465 non-co-infected HIV patients. CMD was assessed through face to face interviews by trained clinical nurses using the Kessler 10 scale. Several risk factors for CMD were assessed using a structured questionnaire. RESULTS-: TB/HIV co-infected patients had significantly (p = 0.001) greater risk of CMD (63.7%) than the non-co-infected patients (46.7%). When adjusted for the effect of potential confounding variables, the odds of having CMD for TB/HIV co-infected individuals was 1.7 times the odds for non-co-infected patients [OR = 1.7, (95%CI: 1.0, 2.9)]. Individuals who had no source of income [OR = 1.7, (95%CI: 1.1, 2.8)], and day labourers [OR = 2.4, 95%CI: 1.2, 5.1)] were more likely to have CMD as compared to individuals who had a source of income and government employees respectively. Patients who perceived stigma [OR = 2.2, 95%CI: 1.5, 3.2)] and who rate their general health as 'poor' [OR = 10.0, 95%CI: 2.8, 35.1)] had significantly greater risk of CMD than individual who did not perceive stigma or who perceived their general health to be 'good'. CONCLUSION-: TB/HIV control programs should develop guidelines to screen and treat CMD among TB/HIV co-infected patients. Screening programs should focus on individuals with no source of income, jobless people and day labourers
    Original languageEnglish
    JournalBMC Infectious Diseases
    Volume10
    Pages (from-to)201
    Number of pages8
    ISSN1471-2334
    DOIs
    Publication statusPublished - 2010

    Keywords

    • B780-tropical-medicine
    • Viral diseases
    • HIV
    • AIDS
    • Bacterial diseases
    • Tuberculosis
    • Mycobacterium tuberculosis
    • Co-infections
    • Health impact
    • Mental disorders
    • Stigma
    • Ethiopia
    • Africa-East

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