P109 Prevalence and factors associated with any depressive symptom among HIV-infected adolescents in the republic of congo. (14th July 2019)

• Record Type: Journal Article
• Authors: Ekat, Martin Herbas; Yotebieng, Marcel; Leroy, Valériane
• Is Part Of: Sexually transmitted infections. Volume 95(2019)Supplement 1
• Page Start: A117
• Page End: A117
• Publication Date: 2019-07-14
• Subjects: HIV; Sexually transmitted diseases -- Periodicals; HIV infections -- Periodicals; 616.951005
• DOI: 10.1136/sextrans-2019-sti.296
• Languages: English
• ISSNs: 1368-4973

Abstract

Abstract : Background: To describe the frequency of any depressive symptom and associated factors among adolescents (10 - 19 years old) living with HIV in Brazzaville and Pointe Noire, Republic of Congo (RoC). Methods: Adolescents aged 10 to 19 years, on antiretroviral treatment, followed in the two Ambulatory Treatment Centers in Brazzaville and Pointe-Noire, RoC were included in this cross-sectional study. Between April 19 and July 9, 2018, face-to-face interviews were conducted with all participants using a standardized questionnaire that include the nine-item of the Patient Health Questionnaire (PHQ-9). Bivariate and multivariable log-binomial model were used to estimate the prevalence ratio (PR) and 95% confidence interval (95%CI) assessing the strength of the association between predictors and presence of depressive symptoms defined as PHQ-9 score ≥ 9. Results: A total of 135 adolescents were interviewed. Overall, 67 (50%) were male, 81(60%) were 15–19 years old. PHQ-9 was ≥9 among 52 (39%) of participants. In bivariate analysis, the proportion of participants with PHQ-9 score ≥ 9 was higher among participants who learnt about their HIV status after a prolonged illness; those who reported been sexually active, drinking beer, aged 15–19, stopped school, forget to take antiretroviral treatment more than 2 times in the 7 days preceding the interview, having lost both parents, and not having family support in taking ART and attending HIV care. In multivariable analysis, the following factors remained statistically significant: being 15–19 years old (PR:2.07;95%CI:1.06–4.04), having stopped school (PR:1.60;95%CI:1.06–2.42) and reporting instances of omission to take antiretroviral treatment more than 2 times in the 7 days preceding the interview (PR: 2.06;95%CI:1.23–3.45). Conclusion: The prevalence of depressive symptoms among HIV-positive adolescents is high and is associated with older age, poor compliance, and dropping-out of school. Active screening for depression during routine medical visit and proper management is needed. Disclosure: No significant relationships.