DOI: https://doi.org/10.14710/jpki.20.1.66-70

Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta

*Ni Wayan Mutiara Suasti Suta  -  School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Indonesia
Surilena Surilena scopus  -  Department of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Indonesia
Dharmady Agus  -  Department of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Indonesia
Eva Suryani scopus  -  Department of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Indonesia
Open Access Copyright (c) 2025 Authors under http://creativecommons.org/licenses/by-sa/4.0.

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Abstract

Background: The presence of comorbidities in pre-elderly with HIV can worsen the disease symptoms, and disabilities, and lead to the emergence of depressive symptoms. Depression in the pre-elderly can cause a decrease in quality of life and failure to achieve successful aging. This study aims to determine the association between comorbidities and the level of depression among pre-elderly with HIV.

Method: This is an observational analytic study with a cross-sectional method using a characteristic questionnaire (age, gender, education level, occupation, economic status, and marital status), comorbidities questionnaire, and PHQ-9 questionnaire. This study used convenience sampling and obtained 161 pre-elderly respondents (45—59 years) with HIV among pre-elderly with HIV in DKI Jakarta. The data analysis was done using the Fisher Exact test using STATA.

Result: There were 161 pre-elderly with HIV, 74,16% were men, 55,28% were in Senior High School, 72,67% were working, 76,4% had low economic status, and 44,72% were not married. A total of 59,85% have one comorbid condition. There were 81,37% with physical comorbidities, including 40,82% arthritis, 38,27% hypertension, 6,63% diabetes mellitus, and 51,55% with depression including 27,95% mild depression, 16,15% moderate depression, 5,59% moderate severe depression, and 1,86% severe depression. No significant association was found between comorbidities and the levels of depression among pre-elderly with HIV (p=0,341). The presence of physical comorbidities in pre-elderly with HIV can affect the disease progression and its treatment. However, in this study, There is no significant association between comorbidities and the levels of depression among pre-elderly with HIV in DKI Jakarta.  It is recommended that further research be conducted using in-depth interviews to explore the relationship between physical comorbidities and depression in pre-elderly with HIV.

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Keywords: comorbidities; depression; HIV; pre-elderly

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Section: Research Article
Language : EN
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  1. Kemenkes RI. Infodatin HIV AIDS [Internet]. Kementerian Kesehatan Republik Indonesia. Jakarta; 2020. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/infodatin-2020-HIV.pdf
  2. WHO. World health statistics 2022 (Monitoring health of the SDGs) [Internet]. Geneva; 2022. 27–28 p. Available from: http://apps.who.int/bookorders
  3. Kementerian Kesehatan RI. Laporan Situasi Perkembangan HIV AIDS dan PIMS di Indonesia, Triwulan IV Tahun 2021 [Internet]. Jakarta; 2021. Available from: https://siha.kemkes.go.id/portal/files_upload/Laporan_TW4_2021_OK_OK.pdf
  4. Yang X, Zhang J, Chen S, Weissman S, Olatosi B, Li X, et al. health records data in South Carolina. AIDS Care [Internet]. 2021;33(5):594–606. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8068571/
  5. Wing EJ. HIV and aging. Int J Infect Dis. 2016;53:61–8
  6. De Francesco D, Sabin CA, Reiss P. Multimorbidity patterns in people with HIV. Curr Opin HIV AIDS. 2020;15(2):110–7
  7. Farahat FM, Alghamdi YS, Farahat AF, Alqurashi AA, Alburayk AK, Alabbasi AA, et al. The prevalence of comorbidities among adult people diagnosed with HIV infection in a tertiary care hospital in western Saudi Arabia. J Infect Public Health. 2020;13(11):1699–704
  8. WHO. Mental health of older adults [Internet]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults
  9. Zhang H, Wang S, Wang L, Yi X, Jia X, Jia C. Comparison of the Geriatric Depression Scale-15 and the Patient Health Questionnaire-9 for screening depression in older adults. Geriatr Gerontol Int. 2020;20(2):138–43
  10. WHO. Depressive disorder (depression) [Internet]. Available from: https://www.who.int/news-room/fact-sheets/detail/depression
  11. PHQ9_Indonesian for Indonesia. Available from: https://www.phqscreeners.com/images/sites/g/files/g10060481/f/201412/PHQ9 _Indonesian for Indonesia.pdf
  12. Dian CN. Validitas Dan Reliabilitas The Patient Health Questionnaire ( PHQ-9) Versi Indonesia. Tesis. 2020. Available from: https://repositori.usu.ac.id/handle/123456789/29791
  13. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001;16(9):606–13
  14. WHO. Depression. Availbale from: https://www.who.int/news-room/fact-sheets/detail/depression
  15. Hadavandsiri F, Shafaati M, Mohammad Nejad S, Ebrahimzadeh Mousavi M, Najafi A, Mirzaei M, et al. Non-communicable disease comorbidities in HIV patients: diabetes, hypertension, heart disease, and obstructive sleep apnea as a neglected issue. Sci Reports. 2023;3(1):1–8
  16. Pourcher V, Gourmelen J, Bureau I, Bouee S. Comorbidities in people living with HIV: An epidemiologic and economic analysis using a claims database in France. PLoS One. 2020;15(12)
  17. Lorenc A, Ananthavarathan P, Lorigan J, Banarsee R, Jowata M, Brook G. The prevalence of comorbidities among people living with hiv in brent: A diverse London Borough. London J Prim Care (Abingdon). 2014;6(4):84–90
  18. Millar BM, Starks TJ, Gurung S, Parsons JT. The Impact of Comorbidities, Depression, and Substance Use Problems on Quality of Life Among Older Adults Living With HIV. AIDS Behav [Internet]. 2017;21(6):1684
  19. Idris haerawati, Hasri SN. Factors Associated with the Symptom of Depression among Elderly in Indonesian Urban Areas. J Psikol. 2023;50(1):45–64
  20. He K, Zhang X, Yang D, Fu X, Chen Y, Chen Z, et al. Analysis of Factors Influencing Depression in Elderly People Living with HIV/AIDS Based on Structural Equation Model: A Cross-Sectional Study in Guangxi, China. J Multidiscip Healthc. 2023;16:1491–501
  21. Maslim R. Diagnosis Gangguan Jiwa Rujukan PPDGJ III dan DSM V. Jakarta: FK Unika Atma Jaya; 2013:64
  22. Peraturan Menteri Kesehatan Republik Indonesia No. 23 Tahun 2022 tentang Penanggulangan Human Immunodeficiency Virus, Acquired Immunideficiency Syndrome, dan Infeksi Menular Seksual [Iternet]. Available from: https://peraturan.bpk.go.id/Details/245543/permenkes-no-23-tahun-2022
  23. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.0107/MENKES/90/2019 tentang Pedoman Nasional Pelayanan Kedokteran Tatalaksana HIV [Internet]. Available from: https://siha.kemkes.go.id/portal/files_upload/PNPK_HIV_Kop_Garuda__1_.pdf
  24. Liu CC, Lin YT, Cheng KC, Pan HH, Chiou CP. Predictors of Depression Level among Community-Dwelling Elderly Persons. Int J Environ Res Public Health. 2022;19(15)
  25. Rooney AS, Moore RC, Paolillo EW, Gouaux B, Umlauf A, Letendre SL, et al. Depression and aging with HIV: Associations with health-related quality of life and positive psychological factors. J Affect Disord. 2019;251:1

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