HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia

Tilahun Belete Mossie; Addisu Workineh Kassa; Minale Tareke Tegegne

doi:doi:10.11648/j.ajpn.20140202.11

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HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia

Tilahun Belete Mossie, Addisu Workineh Kassa, Minale Tareke Tegegne

Published in American Journal of Psychiatry and Neuroscience (Volume 2, Issue 2)

Received: 30 June 2014 Accepted: 18 July 2014 Published: 30 July 2014

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Abstract

Background: HIV dementia which impairs life by causing learning, memory, behavioral and motor disabilities is still a particular problem in the HAART era. It has been prevalent particularly in the third world and specifically in sub Saharan Africa where limited access to diagnosis, treatment, care and support has been common. Hence the assessment of HIV dementia in one of the sub Saharan countries, namely Ethiopia, particularly in Debre markos referral hospital is important. Methods: A cross- sectional study design with descriptive and analytical components was employed on 423 participants with systematic random sampling technique (with proportional allocation). Data was collected by face to face interview, observation and document review using International HIV dementia scale translated into local language (Amharic version); then it was analyzed using SPSS window 20. The level of association was dealt using confidence interval and odds ratio. Result: the prevalence of HIV dementia was 24.8%. Having no education (AOR=3.11, 95% CI (1.37, 7.04)), older age of 50 years or above (AOR=4.25, 95% CI (1.05, 17.18)), having co morbid opportunistic infection (AOR=7.48, 95% CI (4.1, 13.64)) and substance use (AOR=4.64, 95% CI (2.3, 9.36)) were significantly associated with HIV dementia. Conclusion: Despite wide spread use of HAART, HIV dementia among HIV positive people is high when compared to worldwide figure. Having no education, older age of 50 years or more, being on HAART, having co morbid opportunistic infection, being in late stages of the illness and substance use were significantly associated with HIV dementia. Recommendation: starting HAART in those who developed opportunistic infection and in those 50 years or older PLHA should be considered regardless of the CD4 count.

Published in	American Journal of Psychiatry and Neuroscience (Volume 2, Issue 2)
DOI	10.11648/j.ajpn.20140202.11
Page(s)	18-24
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

HIV Dementia, Neuro Cognitive Deficit, Neuro AIDS

References

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APA Style

Tilahun Belete Mossie, Addisu Workineh Kassa, Minale Tareke Tegegne. (2014). HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. American Journal of Psychiatry and Neuroscience, 2(2), 18-24. https://doi.org/10.11648/j.ajpn.20140202.11

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ACS Style

Tilahun Belete Mossie; Addisu Workineh Kassa; Minale Tareke Tegegne. HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. Am. J. Psychiatry Neurosci. 2014, 2(2), 18-24. doi: 10.11648/j.ajpn.20140202.11

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AMA Style

Tilahun Belete Mossie, Addisu Workineh Kassa, Minale Tareke Tegegne. HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. Am J Psychiatry Neurosci. 2014;2(2):18-24. doi: 10.11648/j.ajpn.20140202.11

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@article{10.11648/j.ajpn.20140202.11,
  author = {Tilahun Belete Mossie and Addisu Workineh Kassa and Minale Tareke Tegegne},
  title = {HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {2},
  number = {2},
  pages = {18-24},
  doi = {10.11648/j.ajpn.20140202.11},
  url = {https://doi.org/10.11648/j.ajpn.20140202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20140202.11},
  abstract = {Background: HIV dementia which impairs life by causing learning, memory, behavioral and motor disabilities is still a particular problem in the HAART era. It has been prevalent particularly in the third world and specifically in sub Saharan Africa where limited access to diagnosis, treatment, care and support has been common. Hence the assessment of HIV dementia in one of the sub Saharan countries, namely Ethiopia, particularly in Debre markos referral hospital is important. Methods: A cross- sectional study design with descriptive and analytical components was employed on 423 participants with systematic random sampling technique (with proportional allocation). Data was collected by face to face interview, observation and document review using International HIV dementia scale translated into local language (Amharic version); then it was analyzed using SPSS window 20. The level of association was dealt using confidence interval and odds ratio. Result: the prevalence of HIV dementia was 24.8%. Having no education (AOR=3.11, 95% CI (1.37, 7.04)), older age of 50 years or above (AOR=4.25, 95% CI (1.05, 17.18)), having co morbid opportunistic infection (AOR=7.48, 95% CI (4.1, 13.64)) and substance use (AOR=4.64, 95% CI (2.3, 9.36)) were significantly associated with HIV dementia. Conclusion: Despite wide spread use of HAART, HIV dementia among HIV positive people is high when compared to worldwide figure. Having no education, older age of 50 years or more, being on HAART, having co morbid opportunistic infection, being in late stages of the illness and substance use were significantly associated with HIV dementia. Recommendation: starting HAART in those who developed opportunistic infection and in those 50 years or older PLHA should be considered regardless of the CD4 count.},
 year = {2014}
}

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TY  - JOUR
T1  - HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia
AU  - Tilahun Belete Mossie
AU  - Addisu Workineh Kassa
AU  - Minale Tareke Tegegne
Y1  - 2014/07/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajpn.20140202.11
DO  - 10.11648/j.ajpn.20140202.11
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 18
EP  - 24
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20140202.11
AB  - Background: HIV dementia which impairs life by causing learning, memory, behavioral and motor disabilities is still a particular problem in the HAART era. It has been prevalent particularly in the third world and specifically in sub Saharan Africa where limited access to diagnosis, treatment, care and support has been common. Hence the assessment of HIV dementia in one of the sub Saharan countries, namely Ethiopia, particularly in Debre markos referral hospital is important. Methods: A cross- sectional study design with descriptive and analytical components was employed on 423 participants with systematic random sampling technique (with proportional allocation). Data was collected by face to face interview, observation and document review using International HIV dementia scale translated into local language (Amharic version); then it was analyzed using SPSS window 20. The level of association was dealt using confidence interval and odds ratio. Result: the prevalence of HIV dementia was 24.8%. Having no education (AOR=3.11, 95% CI (1.37, 7.04)), older age of 50 years or above (AOR=4.25, 95% CI (1.05, 17.18)), having co morbid opportunistic infection (AOR=7.48, 95% CI (4.1, 13.64)) and substance use (AOR=4.64, 95% CI (2.3, 9.36)) were significantly associated with HIV dementia. Conclusion: Despite wide spread use of HAART, HIV dementia among HIV positive people is high when compared to worldwide figure. Having no education, older age of 50 years or more, being on HAART, having co morbid opportunistic infection, being in late stages of the illness and substance use were significantly associated with HIV dementia. Recommendation: starting HAART in those who developed opportunistic infection and in those 50 years or older PLHA should be considered regardless of the CD4 count.
VL  - 2
IS  - 2
ER  -

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Author Information

Tilahun Belete Mossie

Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia
Addisu Workineh Kassa

Amhara Region Health Bureau, Bahir Dar, Ethiopia
Minale Tareke Tegegne

Dessie Referral Hospital, Dessie, Ethiopia

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APA Style

Tilahun Belete Mossie, Addisu Workineh Kassa, Minale Tareke Tegegne. (2014). HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. American Journal of Psychiatry and Neuroscience, 2(2), 18-24. https://doi.org/10.11648/j.ajpn.20140202.11

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ACS Style

Tilahun Belete Mossie; Addisu Workineh Kassa; Minale Tareke Tegegne. HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. Am. J. Psychiatry Neurosci. 2014, 2(2), 18-24. doi: 10.11648/j.ajpn.20140202.11

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AMA Style

Tilahun Belete Mossie, Addisu Workineh Kassa, Minale Tareke Tegegne. HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia. Am J Psychiatry Neurosci. 2014;2(2):18-24. doi: 10.11648/j.ajpn.20140202.11

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@article{10.11648/j.ajpn.20140202.11,
  author = {Tilahun Belete Mossie and Addisu Workineh Kassa and Minale Tareke Tegegne},
  title = {HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {2},
  number = {2},
  pages = {18-24},
  doi = {10.11648/j.ajpn.20140202.11},
  url = {https://doi.org/10.11648/j.ajpn.20140202.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20140202.11},
  abstract = {Background: HIV dementia which impairs life by causing learning, memory, behavioral and motor disabilities is still a particular problem in the HAART era. It has been prevalent particularly in the third world and specifically in sub Saharan Africa where limited access to diagnosis, treatment, care and support has been common. Hence the assessment of HIV dementia in one of the sub Saharan countries, namely Ethiopia, particularly in Debre markos referral hospital is important. Methods: A cross- sectional study design with descriptive and analytical components was employed on 423 participants with systematic random sampling technique (with proportional allocation). Data was collected by face to face interview, observation and document review using International HIV dementia scale translated into local language (Amharic version); then it was analyzed using SPSS window 20. The level of association was dealt using confidence interval and odds ratio. Result: the prevalence of HIV dementia was 24.8%. Having no education (AOR=3.11, 95% CI (1.37, 7.04)), older age of 50 years or above (AOR=4.25, 95% CI (1.05, 17.18)), having co morbid opportunistic infection (AOR=7.48, 95% CI (4.1, 13.64)) and substance use (AOR=4.64, 95% CI (2.3, 9.36)) were significantly associated with HIV dementia. Conclusion: Despite wide spread use of HAART, HIV dementia among HIV positive people is high when compared to worldwide figure. Having no education, older age of 50 years or more, being on HAART, having co morbid opportunistic infection, being in late stages of the illness and substance use were significantly associated with HIV dementia. Recommendation: starting HAART in those who developed opportunistic infection and in those 50 years or older PLHA should be considered regardless of the CD4 count.},
 year = {2014}
}

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TY  - JOUR
T1  - HIV Dementia among HIV Positive People at Debre Markos Hospital, Northwest Ethiopia
AU  - Tilahun Belete Mossie
AU  - Addisu Workineh Kassa
AU  - Minale Tareke Tegegne
Y1  - 2014/07/30
PY  - 2014
N1  - https://doi.org/10.11648/j.ajpn.20140202.11
DO  - 10.11648/j.ajpn.20140202.11
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 18
EP  - 24
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20140202.11
AB  - Background: HIV dementia which impairs life by causing learning, memory, behavioral and motor disabilities is still a particular problem in the HAART era. It has been prevalent particularly in the third world and specifically in sub Saharan Africa where limited access to diagnosis, treatment, care and support has been common. Hence the assessment of HIV dementia in one of the sub Saharan countries, namely Ethiopia, particularly in Debre markos referral hospital is important. Methods: A cross- sectional study design with descriptive and analytical components was employed on 423 participants with systematic random sampling technique (with proportional allocation). Data was collected by face to face interview, observation and document review using International HIV dementia scale translated into local language (Amharic version); then it was analyzed using SPSS window 20. The level of association was dealt using confidence interval and odds ratio. Result: the prevalence of HIV dementia was 24.8%. Having no education (AOR=3.11, 95% CI (1.37, 7.04)), older age of 50 years or above (AOR=4.25, 95% CI (1.05, 17.18)), having co morbid opportunistic infection (AOR=7.48, 95% CI (4.1, 13.64)) and substance use (AOR=4.64, 95% CI (2.3, 9.36)) were significantly associated with HIV dementia. Conclusion: Despite wide spread use of HAART, HIV dementia among HIV positive people is high when compared to worldwide figure. Having no education, older age of 50 years or more, being on HAART, having co morbid opportunistic infection, being in late stages of the illness and substance use were significantly associated with HIV dementia. Recommendation: starting HAART in those who developed opportunistic infection and in those 50 years or older PLHA should be considered regardless of the CD4 count.
VL  - 2
IS  - 2
ER  -

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