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Open AccessArticle

Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam

1
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
2
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
3
Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
4
Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City 700000, Vietnam
5
Youth Research Institute, Viet Nam (YRI)-Ho Chi Minh Communist Youth Union, Hanoi 100000, Vietnam
6
Hanoi Department of Health, Hanoi 100000, Vietnam
7
Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
8
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(12), 2888; https://doi.org/10.3390/ijerph15122888
Received: 10 October 2018 / Revised: 23 November 2018 / Accepted: 10 December 2018 / Published: 17 December 2018
(This article belongs to the Special Issue Adult Psychiatry )
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. View Full-Text
Keywords: depression; quality of life; CD4 cells; early antiretroviral treatment initiation; HIV/AIDS; Vietnam depression; quality of life; CD4 cells; early antiretroviral treatment initiation; HIV/AIDS; Vietnam
MDPI and ACS Style

Tran, B.X.; Dang, A.K.; Truong, N.T.; Ha, G.H.; Nguyen, H.L.T.; Do, H.N.; Nguyen, T.Q.; Latkin, C.A.; Ho, C.S.H.; Ho, R.C.M. Depression and Quality of Life among Patients Living with HIV/AIDS in the Era of Universal Treatment Access in Vietnam. Int. J. Environ. Res. Public Health 2018, 15, 2888.

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