Paper Title
Prevalence and Associated Factors of Depression Among HIV Positive Clients at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Abstract
Depression is an important public health problem and one of the leading causes of disease burden worldwide. Depression is one of the most common mental health disorders among people with HIV/AIDS affecting their daily living even though, there is trace evidence. The aim of this study was to assess the prevalence and associated factors of depression among HIV patients attending ART follow up at Yekatit 12 hospital medical college Addis Ababa, Ethiopia. Institution based cross-sectional study was conducted at Yekatit 12 hospital from January 1 to 30, 2017 among 2238 study population. Systematic sampling technique was used to select the 416 participants. Logistic regression analysis with odds ratio and 95 % CI was computed to assess the strength of associations on SPSS version 20 and p-value < 0.05 was considered as statistically significant. In this study the prevalence of depression among HIV patients was 32.9 % (95%CI: 28.5-37.5%). Multivariate analysis Showed that participants who had Age group 30-39 (AOR 2.036, 95%CI: (1.086-3.814)), history of hospital admission (AOR 1.946, 95%CI :(1.146-3.304)), poor medication adherence (AOR 1.794 95% CI: (1.139-2.825)), family history of mental illness (AOR 2.154 95% CI: (1.097-4.232)) and CD4 count <250 (AOR 2.558, 95%CI :(1.537-4.257)) were significantly associated with depression. The prevalence of depression was high. Family history of mental illness, poor medication adherence, history of hospital admission, age 30-39 & CD4<250 were associated with depression. Screening & treatment mechanism of depression among HIV patients should be avail. Health providers should strengthen health education and linking individual who need support and counseling. Index Terms - Anti retroviral therapy, depression, HIV, Yekatit 12 Hospital