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Assessment of Mental Health and its Needs Among Young People aged 15 to 24 years Old Living with Human Immunodeficiency Virus (HIV) in Selected Health Centers in Kigali City, Rwanda
Date Issued
2023
Author(s)
Samuel Gad Habarurema
University of Global Health Equity
Abstract
Introduction:
This research aims to assess the mental health needs of young people (YP) aged 15 to 24 living with HIV in Kigali. The specific objectives of this research are to assess the prevalence of MH conditions among YPL with HIV in SHCs (Selected Health Centers) Kigali, Rwanda, to examine the risk factors associated with MH conditions among YP aged 15 to 24 living with HIV in SHCs in Kigali, Rwanda, to determine MH services availability and treatment types offered at the health facility to YP aged 15 to 24 years living with HIV in SHCs in Kigali,Rwanda.
Methods:
The research utilized a quantitative cross-sectional design and collected data through a survey questionnaire. Participants were selected using stratified sampling techniques, resulting in a sample of 265 young people living with HIV. Pregnant and breastfeeding YP were excluded from the study. Descriptive and inferential statistics, including bivariate and multivariate analyses, were performed using the latest version of SPSS 26.0.
Results:
The study revealed a high prevalence of mental health conditions among the participants, with depression affecting 45.7% of YP, anxiety affecting 33.2%, and Post-Traumatic Stress Disorder (PTSD) affecting 27.9%. In relation to depression, the study found that individuals who took less than 30 minutes to reach healthcare facilities had a lower likelihood of experiencing depression (OR = 0.546, 95% CI: 0.316 to 0.942). Being bullied more than half the days was strongly associated with increased depression risk (OR = 9.527, 95% CI:1.318 to 68.839). For anxiety, individuals with primary education had a higher likelihood of
experiencing anxiety (OR = 2.047, 95% CI: 0.429 to 9.767). Not engaging in sexual activity in the last three months was associated with a reduced likelihood of PTSD (OR = 0.317, 95% CI:0.144 to 0.700). Having three meals per day was significantly associated with increased PTSD risk (OR = 3.265, 95% CI: 1.481 to 2.461).
Conclusion and recommendations:
The study emphasizes the high prevalence of mental health conditions among young people (YP) living with HIV and highlights the need for tailored mental
health services. Recommendations include integrating mental health services into existing HIV care frameworks is vital to ensure comprehensive support for YP living with HIV.
This research aims to assess the mental health needs of young people (YP) aged 15 to 24 living with HIV in Kigali. The specific objectives of this research are to assess the prevalence of MH conditions among YPL with HIV in SHCs (Selected Health Centers) Kigali, Rwanda, to examine the risk factors associated with MH conditions among YP aged 15 to 24 living with HIV in SHCs in Kigali, Rwanda, to determine MH services availability and treatment types offered at the health facility to YP aged 15 to 24 years living with HIV in SHCs in Kigali,Rwanda.
Methods:
The research utilized a quantitative cross-sectional design and collected data through a survey questionnaire. Participants were selected using stratified sampling techniques, resulting in a sample of 265 young people living with HIV. Pregnant and breastfeeding YP were excluded from the study. Descriptive and inferential statistics, including bivariate and multivariate analyses, were performed using the latest version of SPSS 26.0.
Results:
The study revealed a high prevalence of mental health conditions among the participants, with depression affecting 45.7% of YP, anxiety affecting 33.2%, and Post-Traumatic Stress Disorder (PTSD) affecting 27.9%. In relation to depression, the study found that individuals who took less than 30 minutes to reach healthcare facilities had a lower likelihood of experiencing depression (OR = 0.546, 95% CI: 0.316 to 0.942). Being bullied more than half the days was strongly associated with increased depression risk (OR = 9.527, 95% CI:1.318 to 68.839). For anxiety, individuals with primary education had a higher likelihood of
experiencing anxiety (OR = 2.047, 95% CI: 0.429 to 9.767). Not engaging in sexual activity in the last three months was associated with a reduced likelihood of PTSD (OR = 0.317, 95% CI:0.144 to 0.700). Having three meals per day was significantly associated with increased PTSD risk (OR = 3.265, 95% CI: 1.481 to 2.461).
Conclusion and recommendations:
The study emphasizes the high prevalence of mental health conditions among young people (YP) living with HIV and highlights the need for tailored mental
health services. Recommendations include integrating mental health services into existing HIV care frameworks is vital to ensure comprehensive support for YP living with HIV.
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