Prevalencia de ansiedad, depresión y redes de apoyo social en pacientes con VIH/SIDA: estudio transversal

Abstract

Objective: to determine the prevalence
of anxiety, depression, and identify
social support networks in patients
with hiv/aids during the covid-19
pandemic, in a second-level Hospital
of the Mexican Institute of Social Security
(imss). Methods: cross-sectional
analytical study, 420 hiv-positive
patients who attended the hiv Clinic
of the grh No.1 Vicente Guerrero, in
Acapulco, Mexico, from October 2021
to February 2022. A sociodemographic
questionnaire was applied to obtain general
information, the Gráffar-Méndez
Castellanos scale, the Hospital Anxiety
and Depression Scale (hads), and the
Duke. unc-11 functional social support
questionnaire. Descriptive statistics,
bivariate analysis, and logistic regression
by the Mantel-Haenszel process
were performed with the data obtained.
Results: the prevalence of anxiety was
7.1%, and depression 5.2%. 89% of
the patients perceived to have sufficient
total social support. An association between
depression, and cd4 lymphocyte
count <500 cells/mm3 (ora 2.54, 95%
ci 1.06-6.12) was found, as well as,
insufficient perceived total social support
(ora 15.98, 95% ci 7.68-33.22).
Conclusion: Nine out of ten patients
perceived to have sufficient total social
support, which may be related to the low
prevalence of anxiety and depression. cd4
T lymphocyte counts below 500 cells/
mm3 were associated with depression.
Social support strategies and adherence
to antiretroviral treatment are key to the
well-being of the population living with
hiv/aids during, and in the new normality
of the covid-19 pandemic.