Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis

Abstract Background Common mental disorders are frequent psychiatric comorbid conditions among people with HIV/AIDS. The presence of such psychiatric disorders negatively affects the treatment adherence, viral load suppression, quality of life, treatment outcomes and functionality of people with HIV...

Full description

Bibliographic Details
Main Authors: Zelalem Belayneh, Birhanie Mekuriaw, Tsegaye Mehare, Saide Shumy, Mekonnen Tsehay
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-08800-8
_version_ 1819098767960309760
author Zelalem Belayneh
Birhanie Mekuriaw
Tsegaye Mehare
Saide Shumy
Mekonnen Tsehay
author_facet Zelalem Belayneh
Birhanie Mekuriaw
Tsegaye Mehare
Saide Shumy
Mekonnen Tsehay
author_sort Zelalem Belayneh
collection DOAJ
description Abstract Background Common mental disorders are frequent psychiatric comorbid conditions among people with HIV/AIDS. The presence of such psychiatric disorders negatively affects the treatment adherence, viral load suppression, quality of life, treatment outcomes and functionality of people with HIV/AIDS. However, available studies in Ethiopia have a great variation and inconsistency of reported results have been observed regarding the magnitude and associated factors of common mental disorder. Thus, conducting a systematic review and meta-analysis of existing literatures can have a paramount importance to show its summarized figure. Methods Literatures search was performed using databases (PubMed/Medline, Science Direct and PsycINFO. Grey literatures were also searched from Google and Google Scholar. Data were extracted from primary studies using a data extraction format prepared in Microsoft Excel and exported to STATA-version 14 statistical software for analysis. The I2 test was used to assess the heterogeneity of primary articles. The result of the test showed that there was heterogeneity between primary studies. This leads us to execute a random effect meta-analysis to estimate the pooled prevalence of common mental disorder with corresponding 95% confidence interval. Results A total of 13 primary studies comply with the inclusion criteria were included in this systematic review. The pooled prevalence of common mental disorder was found to be 28.83% (95% CI: 17.93, 39.73) among people with HIV/AIDS in Ethiopia. The highest prevalence of common mental disorder (35.20%) was observed among studies in which Kessler-10 was used as a screening tool. Single marital status (OR = 1.83; 95%CI: 1.03, 3.27), HIV/AIDS-related stigma (OR = 2.21; 95%CI: 1.68, 2.90) and current job unavailability (OR = 1.38; 95%CI: 1.01, 1.88) had statistically significant association with common mental disorder. Conclusion The result of this review showed that nearly one among three individuals with HIV/AIDS is suffering from common mental disorder in Ethiopia. This calls a need to integrate the mental health and psycho-social support into the HIV/AIDS care. Trial registration PROSPERO- CRD42019132402 . Registered on 05/08/2019.
first_indexed 2024-12-22T00:36:13Z
format Article
id doaj.art-4cf19d893e8942f491427ef81ab1f577
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-22T00:36:13Z
publishDate 2020-05-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-4cf19d893e8942f491427ef81ab1f5772022-12-21T18:44:48ZengBMCBMC Public Health1471-24582020-05-0120111110.1186/s12889-020-08800-8Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysisZelalem Belayneh0Birhanie Mekuriaw1Tsegaye Mehare2Saide Shumy3Mekonnen Tsehay4Department of Psychiatry, College of Health and Medical Science, Dilla UniversityDepartment of Psychiatry, College of Health and Medical Science, Dilla UniversityBio-Medical Department, College of Health and Medical Science, Dilla UniversityDepartment of Psychiatry, College of Health and Medical Science, Dilla UniversityDepartment of Psychiatry, College of Medicine and Health Science, Wollo UniversityAbstract Background Common mental disorders are frequent psychiatric comorbid conditions among people with HIV/AIDS. The presence of such psychiatric disorders negatively affects the treatment adherence, viral load suppression, quality of life, treatment outcomes and functionality of people with HIV/AIDS. However, available studies in Ethiopia have a great variation and inconsistency of reported results have been observed regarding the magnitude and associated factors of common mental disorder. Thus, conducting a systematic review and meta-analysis of existing literatures can have a paramount importance to show its summarized figure. Methods Literatures search was performed using databases (PubMed/Medline, Science Direct and PsycINFO. Grey literatures were also searched from Google and Google Scholar. Data were extracted from primary studies using a data extraction format prepared in Microsoft Excel and exported to STATA-version 14 statistical software for analysis. The I2 test was used to assess the heterogeneity of primary articles. The result of the test showed that there was heterogeneity between primary studies. This leads us to execute a random effect meta-analysis to estimate the pooled prevalence of common mental disorder with corresponding 95% confidence interval. Results A total of 13 primary studies comply with the inclusion criteria were included in this systematic review. The pooled prevalence of common mental disorder was found to be 28.83% (95% CI: 17.93, 39.73) among people with HIV/AIDS in Ethiopia. The highest prevalence of common mental disorder (35.20%) was observed among studies in which Kessler-10 was used as a screening tool. Single marital status (OR = 1.83; 95%CI: 1.03, 3.27), HIV/AIDS-related stigma (OR = 2.21; 95%CI: 1.68, 2.90) and current job unavailability (OR = 1.38; 95%CI: 1.01, 1.88) had statistically significant association with common mental disorder. Conclusion The result of this review showed that nearly one among three individuals with HIV/AIDS is suffering from common mental disorder in Ethiopia. This calls a need to integrate the mental health and psycho-social support into the HIV/AIDS care. Trial registration PROSPERO- CRD42019132402 . Registered on 05/08/2019.http://link.springer.com/article/10.1186/s12889-020-08800-8Common mental disorderMental distressPsychological distressDistressHIV/AIDSMental illness
spellingShingle Zelalem Belayneh
Birhanie Mekuriaw
Tsegaye Mehare
Saide Shumy
Mekonnen Tsehay
Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
BMC Public Health
Common mental disorder
Mental distress
Psychological distress
Distress
HIV/AIDS
Mental illness
title Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
title_full Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
title_fullStr Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
title_full_unstemmed Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
title_short Magnitude and predictors of common mental disorder among people with HIV/AIDS in Ethiopia: a systematic review and meta-analysis
title_sort magnitude and predictors of common mental disorder among people with hiv aids in ethiopia a systematic review and meta analysis
topic Common mental disorder
Mental distress
Psychological distress
Distress
HIV/AIDS
Mental illness
url http://link.springer.com/article/10.1186/s12889-020-08800-8
work_keys_str_mv AT zelalembelayneh magnitudeandpredictorsofcommonmentaldisorderamongpeoplewithhivaidsinethiopiaasystematicreviewandmetaanalysis
AT birhaniemekuriaw magnitudeandpredictorsofcommonmentaldisorderamongpeoplewithhivaidsinethiopiaasystematicreviewandmetaanalysis
AT tsegayemehare magnitudeandpredictorsofcommonmentaldisorderamongpeoplewithhivaidsinethiopiaasystematicreviewandmetaanalysis
AT saideshumy magnitudeandpredictorsofcommonmentaldisorderamongpeoplewithhivaidsinethiopiaasystematicreviewandmetaanalysis
AT mekonnentsehay magnitudeandpredictorsofcommonmentaldisorderamongpeoplewithhivaidsinethiopiaasystematicreviewandmetaanalysis