Prevalence and Associations of Psychological Distress, HIV Infection and HIV Care Service Utilization in East Zimbabwe.
Identifieur interne : 000904 ( PubMed/Curation ); précédent : 000903; suivant : 000905Prevalence and Associations of Psychological Distress, HIV Infection and HIV Care Service Utilization in East Zimbabwe.
Auteurs : Malebogo Tlhajoane [Royaume-Uni] ; Jeffrey W. Eaton [Royaume-Uni] ; Albert Takaruza [Zimbabwe] ; Rebecca Rhead [Royaume-Uni] ; Rufurwokuda Maswera [Zimbabwe] ; Nadine Schur [Royaume-Uni] ; Lorraine Sherr [Royaume-Uni] ; Constance Nyamukapa [Royaume-Uni] ; Simon Gregson [Royaume-Uni]Source :
- AIDS and behavior [ 1573-3254 ] ; 2017.
Abstract
The correlation between mental health and sexual risk behaviours for HIV infection remains largely unknown in low and middle income settings. The present study determined the prevalence of psychological distress (PD) in a sub-Saharan African population with a generalized HIV epidemic, and investigated associations with HIV acquisition risk and uptake of HIV services using data from a cross-sectional survey of 13,252 adults. PD was measured using the Shona Symptom Questionnaire. Logistic regression was used to measure associations between PD and hypothesized covariates. The prevalence of PD was 4.5% (95% CI 3.9-5.1%) among men, and 12.9% (95% CI 12.2-13.6%) among women. PD was associated with sexual risk behaviours for HIV infection and HIV-infected individuals were more likely to suffer from PD. Amongst those initiated on anti-retroviral therapy, individuals with PD were less likely to adhere to treatment (91 vs. 96%; age- and site-type-adjusted odds ratio = 0.38; 95% CI 0.15, 0.99). Integrated HIV and mental health services may enhance HIV care and treatment outcomes in high HIV-prevalence populations in sub-Saharan Africa.
DOI: 10.1007/s10461-017-1705-x
PubMed: 28194585
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Eaton</name><affiliation wicri:level="1"><nlm:affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG</wicri:regionArea></affiliation></author><author><name sortKey="Takaruza, Albert" sort="Takaruza, Albert" uniqKey="Takaruza A" first="Albert" last="Takaruza">Albert Takaruza</name><affiliation wicri:level="1"><nlm:affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</nlm:affiliation><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea></affiliation></author><author><name sortKey="Rhead, Rebecca" sort="Rhead, Rebecca" uniqKey="Rhead R" first="Rebecca" last="Rhead">Rebecca Rhead</name><affiliation wicri:level="1"><nlm:affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG</wicri:regionArea></affiliation></author><author><name sortKey="Maswera, Rufurwokuda" sort="Maswera, Rufurwokuda" uniqKey="Maswera R" first="Rufurwokuda" last="Maswera">Rufurwokuda Maswera</name><affiliation wicri:level="1"><nlm:affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</nlm:affiliation><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Biomedical Research and Training Institute, Harare</wicri:regionArea></affiliation></author><author><name sortKey="Schur, Nadine" sort="Schur, Nadine" uniqKey="Schur N" first="Nadine" last="Schur">Nadine Schur</name><affiliation wicri:level="1"><nlm:affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG</wicri:regionArea></affiliation></author><author><name sortKey="Sherr, Lorraine" sort="Sherr, Lorraine" uniqKey="Sherr L" first="Lorraine" last="Sherr">Lorraine Sherr</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Epidemiology and Health, University College London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Epidemiology and Health, University College London, London</wicri:regionArea></affiliation></author><author><name sortKey="Nyamukapa, Constance" sort="Nyamukapa, Constance" uniqKey="Nyamukapa C" first="Constance" last="Nyamukapa">Constance Nyamukapa</name><affiliation wicri:level="1"><nlm:affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG</wicri:regionArea></affiliation></author><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation wicri:level="1"><nlm:affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG</wicri:regionArea></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The correlation between mental health and sexual risk behaviours for HIV infection remains largely unknown in low and middle income settings. The present study determined the prevalence of psychological distress (PD) in a sub-Saharan African population with a generalized HIV epidemic, and investigated associations with HIV acquisition risk and uptake of HIV services using data from a cross-sectional survey of 13,252 adults. PD was measured using the Shona Symptom Questionnaire. Logistic regression was used to measure associations between PD and hypothesized covariates. The prevalence of PD was 4.5% (95% CI 3.9-5.1%) among men, and 12.9% (95% CI 12.2-13.6%) among women. PD was associated with sexual risk behaviours for HIV infection and HIV-infected individuals were more likely to suffer from PD. Amongst those initiated on anti-retroviral therapy, individuals with PD were less likely to adhere to treatment (91 vs. 96%; age- and site-type-adjusted odds ratio = 0.38; 95% CI 0.15, 0.99). Integrated HIV and mental health services may enhance HIV care and treatment outcomes in high HIV-prevalence populations in sub-Saharan Africa.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28194585</PMID><DateCreated><Year>2017</Year><Month>02</Month><Day>14</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-3254</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Feb</Month><Day>13</Day></PubDate></JournalIssue><Title>AIDS and behavior</Title><ISOAbbreviation>AIDS Behav</ISOAbbreviation></Journal><ArticleTitle>Prevalence and Associations of Psychological Distress, HIV Infection and HIV Care Service Utilization in East Zimbabwe.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10461-017-1705-x</ELocationID><Abstract><AbstractText>The correlation between mental health and sexual risk behaviours for HIV infection remains largely unknown in low and middle income settings. The present study determined the prevalence of psychological distress (PD) in a sub-Saharan African population with a generalized HIV epidemic, and investigated associations with HIV acquisition risk and uptake of HIV services using data from a cross-sectional survey of 13,252 adults. PD was measured using the Shona Symptom Questionnaire. Logistic regression was used to measure associations between PD and hypothesized covariates. The prevalence of PD was 4.5% (95% CI 3.9-5.1%) among men, and 12.9% (95% CI 12.2-13.6%) among women. PD was associated with sexual risk behaviours for HIV infection and HIV-infected individuals were more likely to suffer from PD. Amongst those initiated on anti-retroviral therapy, individuals with PD were less likely to adhere to treatment (91 vs. 96%; age- and site-type-adjusted odds ratio = 0.38; 95% CI 0.15, 0.99). Integrated HIV and mental health services may enhance HIV care and treatment outcomes in high HIV-prevalence populations in sub-Saharan Africa.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tlhajoane</LastName><ForeName>Malebogo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK. m.tlhajoane14@imperial.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eaton</LastName><ForeName>Jeffrey W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Takaruza</LastName><ForeName>Albert</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rhead</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maswera</LastName><ForeName>Rufurwokuda</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schur</LastName><ForeName>Nadine</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sherr</LastName><ForeName>Lorraine</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Institute of Epidemiology and Health, University College London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nyamukapa</LastName><ForeName>Constance</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gregson</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department for Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London, W2 1PG, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Biomedical Research and Training Institute, Harare, Zimbabwe.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>13</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AIDS Behav</MedlineTA><NlmUniqueID>9712133</NlmUniqueID><ISSNLinking>1090-7165</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adherence</Keyword><Keyword MajorTopicYN="N">Antiretroviral therapy</Keyword><Keyword MajorTopicYN="N">HIV/AIDS</Keyword><Keyword MajorTopicYN="N">Mental health</Keyword><Keyword MajorTopicYN="N">Treatment cascade</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28194585</ArticleId><ArticleId IdType="doi">10.1007/s10461-017-1705-x</ArticleId><ArticleId IdType="pii">10.1007/s10461-017-1705-x</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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