Anxiety and depression among women living with HIV in Kazakhstan

Mishkin K. Nugmanova Z. Urbaeva J. Nugumanova G. Abdumananova M. Kim E. Lazariu V. McNutt L.-A.
2021 Routledge

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
2021 #33 Issue 2 172 - 179 pp.

An increase in new HIV infections among women in Kazakhstan has motivated efforts to improve access to comprehensive health services. This study estimates anxiety and depression frequency among women seeking HIV services. A cross-sectional survey was administered to women seen at the Almaty AIDS Center. Bivariable analyses (e.g., Chi-square, means with 95% confidence intervals) were performed to assess the relationship between anxiety (score of 10 or more on the Generalized Anxiety Disorder-7 Scale (GAD-7)), major depression (Patient Health Questionnaire 8 (PHQ-8)), and comorbid anxiety and major depression with sociodemographic characteristics, health functioning, and medication history. Of the 410 participants, 62 (15.1%) had a GAD-7 ≥ 10; 52 (12.7%) met major depression criteria; 35 (8.5%) met both criteria, and 79 (19.3%) met GAD-7, major depression, or both criteria. Women reporting depression or anxiety were more likely to lack food security (p < 0.01), not finish secondary school (p < 0.01), speak Russian at home (p < 0.01), perceive their health to be poor (p < 0.01), and report poorer physical and mental health functioning (p < 0.05). No medications approved for the treatment of anxiety or depression were reported. The considerable number of women reporting major depression and anxiety symptoms suggests a need for improving access to mental health care.

anxiety , depression , HIV , Kazakhstan , women

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Department of Health Policy, Management, and Behavior, University at Albany, NY, United States
Division of HIV Infection, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
School of Social Welfare, University at Albany, NY, United States
Almaty AIDS Center, Almaty, Kazakhstan
Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, SUNY, NY, United States
Institute for Health and the Environment, University at Albany, United States

Department of Health Policy
Division of HIV Infection
School of Social Welfare
Almaty AIDS Center
Department of Epidemiology and Biostatistics
Institute for Health and the Environment

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