Socio-demographic correlates of depression and anxiety among female caregivers living with HIV in rural Uganda

Itziar Familiar, Sarah Murray, Horacio Ruisenor-Escudero, Alla Sikorskii, Noeline Nakasujja, Michael J. Boivin, Robert Opoka, Judith K. Bass

Research output: Contribution to journalArticlepeer-review

Abstract

Women living with HIV are at increased risk for psychosocial distress, especially among social and economically disadvantaged women living in rural areas. Little is known about how social support and wealth impacts the mental health of women caring for young children in low- and middle-income countries. The purpose of this paper was to assess demographic, socio-economic, and social support correlates of depression and anxiety in HIV-infected+ female caregivers living in rural Uganda. Depression and anxiety were assessed using the Hopkins Symptom Checklist (HSCL-25), two-domains of social support (family and community) were measured with the adapted Multidimensional Scale for Perceived Social Support, and wealth was measured using a checklist of material possessions and housing quality among 288 women. Multivariable linear regression models assessed the association of depression and anxiety with demographic and social predictors. Sixty-one percent of women reported clinically significant symptoms of depression or anxiety using the standard HSCL-25 cut-off of >1.75. Lower wealth (p =.01) and family support (p =.01) were significantly associated with more depressive symptoms, with greater family support being more protective of depression in the highest wealth group (top 20%) compared to the lowest. More anxiety symptoms were associated with lower wealth (p =.001), lower family support (p =.02), and higher community support (p =.003). Economic and social support factors are important predictors of caregiver mental health in the face of HIV disease in rural Uganda. Findings suggest that interventions should consider ways to increase economic opportunities and strengthen family support for HIV+ caregivers.

Original languageEnglish (US)
Pages (from-to)1541-1545
Number of pages5
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume28
Issue number12
DOIs
StatePublished - Dec 1 2016

Keywords

  • HIV/AIDS
  • Uganda
  • anxiety
  • caregivers
  • depression

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Public Health, Environmental and Occupational Health

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