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The missing link: exploring the intersection of gender, capabilities, and depressive symptoms in the context of chronic HIV
- Source :
- Womenhealth. 59(10)
- Publication Year :
- 2019
-
Abstract
- Depressive symptoms occur frequently among people living with HIV, especially women. These symptoms are associated with human, social, financial, and physical/natural capabilities and life stressors that differ between women and men. However, the link between depressive symptoms and functional limitations/disability is seldom discussed in the context of HIV, especially for gender-specific relationships. A cross-sectional survey of 1042 people living with HIV and using long-term antiretroviral therapy (ART) in South Africa was conducted from June to August 2014 to investigate the associations of disability, human, social, physical/natural, and financial capabilities, health, and adherence to ART, including possible gender-specific factors. Socio-demographic information, capabilities, health indicators, functional limitations/disability, and depressive symptoms (CES-D 10) were measured. We applied descriptive and bivariate statistics and multiple regression. Overall, 26% of people presented with depressive symptoms. Greater functional limitations and health symptoms and lower food security were strongly associated with depressive symptoms, while associations with financial capital and body mass index were gender-specific. The results call for the improvement of comprehensive care, including gender-sensitive mental health interventions. The results further indicate that functional limitations/disability needs to be considered, along with linking rehabilitation and livelihood programs with comprehensive HIV-care, in particular for those who experience depressive symptoms.
- Subjects :
- Adult
Male
medicine.medical_treatment
Psychological intervention
Context (language use)
HIV Infections
Medication Adherence
03 medical and health sciences
South Africa
0302 clinical medicine
Sex Factors
Acquired immunodeficiency syndrome (AIDS)
Financial capital
Antiretroviral Therapy, Highly Active
Activities of Daily Living
medicine
Humans
Disabled Persons
030212 general & internal medicine
Retrospective Studies
030219 obstetrics & reproductive medicine
Rehabilitation
Depression
General Medicine
Middle Aged
medicine.disease
Mental health
Health indicator
Long-Term Care
Cross-Sectional Studies
Mental Health
Anti-Retroviral Agents
Female
Psychology
Body mass index
Clinical psychology
Subjects
Details
- ISSN :
- 15410331
- Volume :
- 59
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Womenhealth
- Accession number :
- edsair.doi.dedup.....7cd1540e76becdbdcb6dc6a84833bea2