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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

BMC Psychiatry 1/2017

Prevalence and correlates for ADHD and relation with social and academic functioning among children and adolescents with HIV/AIDS in Uganda

Zeitschrift:
BMC Psychiatry > Ausgabe 1/2017
Autoren:
Richard Stephen Mpango, Eugene Kinyanda, Godfrey Zari Rukundo, Jonathan Levin, Kenneth D. Gadow, Vikram Patel
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12888-017-1488-7) contains supplementary material, which is available to authorized users.

Abstract

Background

Aim of this study was to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD), its associated correlates and relations with clinical and behavioural problems among children and adolescents with HIV/AIDS (CA-HIV) attending five HIV clinics in central and South Western Uganda.

Methods

This study used a quantitative design that involved a random sample of 1339 children and adolescents with HIV and their caregivers. The Participants completed an extensive battery of measures including a standardized DSM-5 referenced rating scale, the parent version (5–18 years) of the Child and Adolescent Symptom Inventory-5 (CASI-5). Using logistic regression, we estimated the prevalence of ADHD and presentations, correlates and its impact on negative clinical and behavioural factors.

Results

The overall prevalence of ADHD was 6% (n = 81; 95%CI, 4.8–7.5%). The predominantly inattentive presentation was the most common (3.7%) whereas the combined presentation was the least prevalent (0.7%). Several correlates were associated with ADHD: socio-demographic (age, sex and socio-economic status); caregiver (caregiver psychological distress and marginally, caregiver educational attainment); child’s psychosocial environment (quality of child-caregiver relationship, history of physical abuse and marginally, orphanhood); and HIV illness parameters (marginally, CD4 counts). ADHD was associated with poor academic performance, school disciplinary problems and early onset of sexual intercourse.

Conclusions

ADHD impacts the lives of many CA-HIV and is associated with poorer academic performance and earlier onset of sexual intercourse. There is an urgent need to integrate the delivery of mental health services into routine clinical care for CA-HIV in Sub-Saharan Africa.
Zusatzmaterial
Additional file 1: Table S1. Data collection tools for the study. (DOCX 30 kb)
12888_2017_1488_MOESM1_ESM.docx
Additional file 2: Table S2. Characteristics of study participants. (DOC 47 kb)
12888_2017_1488_MOESM2_ESM.doc
Additional file 3: Table S3. Clinical correlates of ADHD. (DOCX 14 kb)
12888_2017_1488_MOESM3_ESM.docx
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