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AIDS Care. 2018 Oct 25:1-10. doi: 10.1080/09540121.2018.1537463. [Epub ahead of print]

Prevalence and correlates of depression among caregivers of children living with HIV in Ghana: findings from the Sankofa pediatric disclosure study.

Author information

1
a Department of Psychiatry , University of Ghana School of Medicine and Dentistry and Korle-Bu Teaching Hospital Accra , Accra , Ghana.
2
b School of Nursing , Johns Hopkins University , Baltimore , MD , USA.
3
c Department of Child Health, School of Medical Sciences , Kwame Nkrumah University of Science and Technology and Komfo Anokye Teaching Hospital , Kumasi , Ghana.
4
d Department of Child Health , University of Ghana School of Medicine and Dentistry and Korle-Bu Teaching Hospital Accra , Ghana.
5
e Department of Pediatrics , Yale School of Medicine , New Haven , CT , USA.
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f Department of Medicine , University of Ghana School of Medicine and Dentistry and Korle-Bu Teaching Hospital Accra , Accra , Ghana.
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g Rosen Center for Advanced Computing , Purdue University , West Lafayette , IN , USA.
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h Yale Center for Analytical Sciences , Yale School of Public Health , New Haven , CT , USA.
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i Department of Pharmacology , Yale School of Medicine , New Haven , CT , USA.
10
j Department of Epidemiology & Public Health , Yale School of Medicine , New Haven , CT , USA.

Abstract

Prior studies show an association between caregiver depression and child health outcomes. There has been little examination of depression among caregivers of HIV-infected children in sub-Saharan countries where pediatric HIV is concentrated. Using baseline data collected in the pediatric HIV disclosure intervention trial, Sankofa, we examined the prevalence and factors associated with depression among caregivers (N = 446) of children infected with HIV in Ghana. Data were analyzed with descriptive and regression analyses. The mean age of the caregivers was 42.2 ± 10.4 years. Eighty percent of the caregivers were female and 59% were HIV-infected. Twenty-eight percent (n = 126) of the caregivers were found to have mild to severe depression. In the adjusted model, factors significantly associated with caregiver depression included: HIV-positive caregiver status (P = 0.04), low income (P = 0.02), lower social support, (P = 0.01), lower HIV knowledge, (P = 0.01), worse HIV illness perceptions (P≤0.001), and greater perceived HIV stigma (P≤0.001). Although we found a high prevalence of depression among our study participants, several of the risks factors identified are modifiable and amenable to interventions that are locally available and affordable.

KEYWORDS:

Caregiver; depression; disclosure; pediatric HIV

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