Psychological Distress Increases 30-Fold Among People with HIV in the First Year on ART in Nigeria-a Call for Integrated Mental Health Services.
Int J Behav Med
; 30(1): 38-48, 2023 Feb.
Article
en En
| MEDLINE
| ID: mdl-35226343
ABSTRACT
BACKGROUND:
Few studies have longitudinally assessed psychological distress among people with HIV (PWH) initiating ART in resource-limited settings.METHOD:
Baseline, 6-month, and 12-month psychological distress were measured in a Nigerian cohort newly initiating therapy; the relationship between baseline factors and psychological distress at 12 months was assessed; and the association between psychological distress at 12 months and care retention or immunologic failure was determined.RESULTS:
Among 563 patients, median age was 38 years (IQR 33-46 years), 62% were female, and 51% were married. Psychological distress increased from 3% at baseline to 34% at 12 months. Age (aOR 1.28, 95% CI 1.06-1.56), female sex (aOR 2.89, 95% CI 1.93-4.33), lack of disclosure (aOR 4.32, 95% CI 2.48-7.51), and time on ART (6 months [aOR 6.91, 95% CI 3.14-15.18] and 12 months [aOR 32.63, 95% CI 16.54-64.36]) were associated with psychological distress while being married (OR 0.42, 95% CI 0.30-0.61) was associated with reduced odds. Tweve-month psychological distress was associated with increased risk of immunologic failure (aOR 2.22, 95% CI 1.31-3.82).CONCLUSION:
The risk of psychological distress increased 30-fold in the first year on therapy in PWH in Nigeria.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infecciones por VIH
/
Servicios de Salud Mental
Límite:
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
Africa
Idioma:
En
Revista:
Int J Behav Med
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos