ArticleJournal of the International Association of Providers of AIDS Care
Prevalence and Correlates of Depressive Symptoms Among Adolescents Receiving Antiretroviral Therapy in Tema, Ghana: A Cross-Sectional Study.
Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BackgroundDepression undermines adherence to antiretroviral therapy (ART) and is often under-recognized among adolescents living with HIV (ALHIV) in Ghana. We examined the prevalence, associated factors, and lived experiences of depressive symptoms among ALHIV in Accra.MethodsWe conducted a cross-sectional study with an embedded qualitative component at a tertiary hospital. Depressive symptoms were assessed using PHQ-A (score ≥5). Logistic regression identified associations with sociodemographic and clinical factors. In-depth interviews with adolescents screening positive and key informant interviews with healthcare providers were analyzed thematically.ResultsAmong 215 adolescents (mean age 14.1 years; 52.6% male), 9.3% reported depressive symptoms. ART duration <1-year increased odds of depression (AOR 7.2; 95% CI 1.5-36.0). Participants described challenges with guardian-led disclosure, stigma and treatment burden. Counselling and peer support mitigated distress.ConclusionThe study found a low prevalence of depressive symptoms likely attributable to post-counselling exposure. Strengthening structured HIV disclosure could further reduce depression and improve outcomes among ALHIV.
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