Depression and Sexual Trauma Among Adolescent Girls and Young Women in HIV-Prevention Research in Tanzania

Cherenack, Emily M.; Tolley, Elizabeth E.; Kaaya, Sylvia; Headley, Jennifer; Baumgartner, Joy Noel

doi:10.1007/s10995-020-02888-5

Cited by 6 publications

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“…A study of AGYW in Kenya found that 34% of AGYW with moderate to severe depression had a high HIV risk score (indicating high likelihood of HIV acquisition) ( 40 ). One study in Tanzania estimated that 27% of AGYW in an HIV prevention trial had moderate to severe depression, with many reporting experiences of sexual trauma (42%) ( 41 ). Despite the evidence of a high burden of depression in this population, no clinic visits screened for depression or anxiety in the 6 months preceding the SPE training and only 5% of clinic visits screened for depression or anxiety after training.…”

Section: Discussionmentioning

confidence: 99%

Higher rates of mental health screening of adolescents recorded after provider training using simulated patients in a Kenyan HIV clinic: results of a pilot study

Concepcion,

Mogere,

Ngure

et al. 2023

Front. Public Health

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BackgroundKenyan adolescent girls and young women (AGYW) experience a dual burden of HIV and common mental disorders (CMD). HIV clinics are a key entry point for AGYW in need of integrated CMD and HIV care; however, rates of screening and referral for CMDs are low. Our objective was to test an evidence-based provider training strategy, simulated patient encounters (SPEs), on CMD service delivery for AGYW in a Kenyan HIV clinic.MethodsThis pilot study was conducted in a public HIV clinic in Thika, Kenya from January to November 2021. The simulated patient encounter (SPE) implementation strategy included case script development from prior qualitative work, patient actor training, and a three-day SPE training including four standardized mock clinical encounters followed by quantitative surveys assessing provider competencies for each encounter. We abstracted medical record data related to HIV and CMDs such as HIV status, reason for visit, CMD screening test performed, and counselling or referral information. We conducted an interrupted time series analysis using abstracted HIV and CMD screening rates from AGYW ages 16–25 years visiting the clinic 7 months before and 3 months after SPE training. We used generalized linear models to assess changes in CMD screening rates after training.ResultsA total of 10 providers participated in the training. Competency ratings improved across four mock encounters (mean score from 8.1 to 13.7) between first and fourth encounters. We abstracted all medical records (n = 1,154) including from 888 (76%) AGYW seeking HIV treatment, 243 (21%) seeking prevention services, and 34 (3%) seeking other services. CMD screening rates increased immediately following training from 8 to 21% [relative risk (RR) = 2.57, 95% confidence interval (CI) = 1.34–4.90, p < 0.01]. The 3 months following the SPE training resulted in an 11% relative increase in CMD screening proportion compared to the 7 months pre-SPE (RR: 1.11, 95% CI: 1.04–1.17, p < 0.01). Finally, 1% of all pre-SPE screens resulted in referral versus 5% of post-SPE screens (p = 0.07).ConclusionThe SPE model is a promising implementation strategy for improving HIV provider competencies and CMD service delivery for adolescents in HIV clinics. Future research is needed to explore effects on adolescent clinical outcomes in larger trials.

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Section: Discussionmentioning

confidence: 99%

Higher rates of mental health screening of adolescents recorded after provider training using simulated patients in a Kenyan HIV clinic: results of a pilot study

Concepcion,

Mogere,

Ngure

et al. 2023

Front. Public Health

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“…A análise bivariada mostra que, tal como identificado em outros estudos (BOUMPA et al, 2022;CHERENACK et al, 2020;DACHEW et al, 2021;PORRAS-SEGOVIA et al, 2018;TENCONI et al, 2015;WALLENBORN et al, 2019) LIEB et al, 2000). Estilos parentais, sobretudo os de superproteção e rejeição, estiveram associados com a maior chance de desenvolver Fobia Social (LIEB et al, 2000).…”

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Características familiares como fatores de proteção para transtornos mentais em crianças e adolescentes

Fumo

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vi AGRADECIMENTOS À Deus nosso senhor pelo dom da vida Aos meus pais Tiago Fumo (que Deus o tenha) e Helena Fumo que desde cedo me ensinaram que sonhos sem ação, serão somente sonhos. Obrigado por moldarem o meu caráter. Ao meu Orientador, Prof. Dr. Marcelo Hoexter, pela orientação nestes longos anos, pela amizade, por cuidar de mim e da minha família em tempos difíceis. Estará sempre em nossos corações. Ao Prof. Dr. Francisco Lotufo Neto, pela recepção, orientação, cuidado nos primeiros passos da minha caminhada e pelas oportunidades de formação e treinamento em Saúde Mental. Às secretárias da pós -graduação do Departamento e Instituto de Psiquiatria da FMUSP, Isabel Ataíde e Eliza Fukushima, por cuidarem de mim desde o momento que as conheci. Favoritas, foram a minha família e terão um lugar guardado no meu coração. Ao Prof. Dr. Euripedes C. Miguel, pela recepção e oportunidades de participar em diferentes grupos clínicos e de pesquisa. À Prof. Dr. Maria Conceição do Rosário, pela abertura, orientação e ensinamentos durante o meu percurso À Equipe do INPD, por terem me recebido com braços abertos, permitirem que fizesse parte da equipe de forma ativa e pela oportunidade de usar os dados de uma das mais importantes coortes mundiais. À Equipe do PROTOC, por terem me recebido e pela oportunidade de exposição a trabalhos de altíssimo nível. Aos diferentes grupos de trabalho em que tive oportunidade de estar, tais como Programa de Ansiedade (AMBAM), Programa Interdisciplinar de Abuso de Álcool e Drogas (GREA), Psiquiatria Forense e Ambulatório para Crianças e Adolescentes Vítimas de Violência. À Direção do Hospital Central da Beira, por apoiarem e investirem na minha formação.

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Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania

Cherenack

Sikkema

2021

Int.J. Behav. Med.

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Depression and Sexual Trauma Among Adolescent Girls and Young Women in HIV-Prevention Research in Tanzania

Cited by 6 publications

References 46 publications

Higher rates of mental health screening of adolescents recorded after provider training using simulated patients in a Kenyan HIV clinic: results of a pilot study

Higher rates of mental health screening of adolescents recorded after provider training using simulated patients in a Kenyan HIV clinic: results of a pilot study

Características familiares como fatores de proteção para transtornos mentais em crianças e adolescentes

Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania

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