Background. Depressive symptoms are the most common mental illness among people living with HIV/AIDS. Depressive symptoms impact negatively on the course of HIV infection and can lead to suicide and increased risk of mortality when it is a severe form. Although depressive symptoms are common among HIV/AIDS patients, only a few studies have been conducted in Ethiopia and no study, particularly at Nekemte town public hospitals. Therefore, this study was aimed at assessing the prevalence and risk factors for depressive symptoms among people living with HIV/AIDS attending Nekemte town public hospitals, Western Ethiopia. Methods. An institution-based cross-sectional study design was conducted on 425 HIV/AIDS patients at Nekemte town public hospitals, from March 30 to May 30, 2019. Data were collected through interviews and patient document reviews. The nine-item Patient Health Questionnaire (PHQ-9) was used to collect information concerning depressive symptoms and was defined by a PHQ-9 . HIV stigma and discrimination scales were used to measure stigma. Social support was described by a sum score of the Oslo3 social support scale (OSS-3). The collected data was entered into EpiData Windows version 4.1 and then exported to Statistical Package for the Social Sciences (SPSS) Windows version 24.0 for analysis. All variables found to be significant at the bivariable level ( value < 0.25) were entered into a multivariable logistic regression model. values of <0.05 and 95% confidence level were used to determine statistical significance. Results. Out of the total of 384 study participants who participated in the study, 165 (42.96%) had depressive symptoms. Self-reported sleeping problems (, 95% CI: 3.23, 15.33), CD4 level of <200 (, 95% CI: 2.06, 14.42), poor social support (, 95% CI: 1.17, 6.67), and perceived stigma (, 95% CI: 1.17, 17.33) were significantly associated with depressive symptoms among HIV/AIDS patients at Nekemte town public hospitals. Conclusion. The level of depressive symptoms among HIV/AIDS patients in this study was high. Self-reported sleeping problems, CD4 level, social support, and perceived stigma were found to be significantly associated with depressive symptoms among HIV patients. Health care professionals should have to strengthen the linkage of mental health with antiretroviral therapy (ART) clinic to early detect and treat depressive symptoms.

中文翻译：

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2021 年在埃塞俄比亚西部 Nekemte 镇公立医院就诊的 HIV 感染者的抑郁症状及其相关因素的流行情况

背景。抑郁症状是艾滋病毒/艾滋病感染者中最常见的精神疾病。抑郁症状对 HIV 感染过程产生负面影响，严重时可导致自杀和死亡风险增加。虽然抑郁症状在艾滋病毒/艾滋病患者中很常见，但在埃塞俄比亚只进行了少数研究，也没有进行研究，尤其是在 Nekemte 镇公立医院。因此，本研究旨在评估在埃塞俄比亚西部 Nekemte 镇公立医院就诊的 HIV/AIDS 感染者中抑郁症状的患病率和危险因素。方法. 2019 年 3 月 30 日至 5 月 30 日，对 Nekemte 镇公立医院的 425 名 HIV/AIDS 患者进行了基于机构的横断面研究设计。数据通过访谈和患者文件审查收集。九项患者健康问卷 (PHQ-9) 用于收集有关抑郁症状的信息，并由 PHQ-9 定义. HIV 污名和歧视量表用于衡量污名。社会支持由 Oslo3 社会支持量表 (OSS-3) 的总分描述。将收集的数据输入 EpiData Windows 4.1 版，然后导出到社会科学统计包 (SPSS) Windows 24.0 版进行分析。在双变量水平（值<0.25）发现的所有变量都被输入到多变量逻辑回归模型中。<0.05 和 95% 置信水平的值用于确定统计学意义。结果。在参与研究的 384 名研究参与者中，165 人（42.96%）有抑郁症状。自我报告的睡眠问题（, 95% CI: 3.23, 15.33), CD4 水平 <200 (, 95% CI: 2.06, 14.42), 社会支持差 (, 95% CI: 1.17, 6.67) 和感知污名 (, 95% CI: 1.17, 17.33) 与 Nekemte 镇公立医院 HIV/AIDS 患者的抑郁症状显着相关。结论。本研究中 HIV/AIDS 患者的抑郁症状水平较高。发现自我报告的睡眠问题、CD4 水平、社会支持和感知的耻辱感与 HIV 患者的抑郁症状显着相关。卫生保健专业人员应加强心理健康与抗逆转录病毒治疗 (ART) 诊所的联系，以及早发现和治疗抑郁症状。