Mental health and retention in HIV care: A systematic review and meta-analysis.

Rooks-Peck, Cherie; Adegbite, Adebukola H; Wichser, Megan E; Ramshaw, Rebecca R.E.; Mullins, Mary M.; Higa, Darrel H.; Sipe, Theresa Ann

doi:10.1037/hea0000606

Cited by 92 publications

(72 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The fact that HIV infection is accompanied by multiple psychosocial consequences has been well-documented in previous studies [3,37]. Elevated emotional problems, coupled with poor stress management skills, have been found to be associated with greater risk to poor adherence to ART [38], as well as poor linkage and retention in HIV care [39], which may result in poorer health outcome [10,40]. These results suggest the critical importance of being aware of the psychological health consequences among PLWH.…”

Section: Discussionmentioning

confidence: 69%

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

View full text Add to dashboard Cite

This study explored the HIV-related stressors that people living with HIV (PLWH) commonly experience and express as stressful at the time of diagnosis and 1 year later. The factors associated with stress levels and whether social support would moderate the negative effects of stress on psychological health (depressive and anxiety symptoms) were also investigated. Newly diagnosed PLWH were consecutively recruited in this study. Participants rated their stress with the HIV/AIDS Stress Scale at baseline and 1 year later. Social support, depression, and anxiety were also self-reported at both time points. There were significant decreases in stress levels 1 year after diagnosis. Stressors regarding confidentiality, disclosure, emotional distress, fear of infecting others, and excessive attention to physical functions were the most problematic at baseline and 1-year follow-up. A younger age, married status, not living alone, less income, presence of HIV symptoms, and lack of social support were associated with higher levels of stress. No stress-buffering effect of social support on depressive and anxiety symptoms was found in this study. Interventions to reduce stress among PLWH should take into consideration the following priority stressors: confidentiality, discrimination/stigma, serostatus disclosure, distressing emotions, fear of infecting others, and excessive attention to physical functions. More attention should be paid to PLWH with younger age, not living alone, less income, presence of HIV symptoms, and lack of social support.

show abstract

Section: Discussionmentioning

confidence: 69%

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Huang

Luo

Chen

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Depression has been shown to be an important barrier to linkage to care, retention, ART adherence and ultimately long-term viral suppression across the globe [17,[24][25][26][27][28][29]. A bourgeoning body of research in SSA is beginning to demonstrate that depressed individuals are less likely to be linked to ART care or start ART [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi

et al. 2020

View full text Add to dashboard Cite

As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes—retention in HIV care and viral suppression—is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention in HIV care and viral suppression at 6 months between patients with and without depression at ART initiation using tabular comparison and regression models. The prevalence of depression among this population of adults newly initiating ART was 27%. Those with depression had similar HIV care outcomes at 6 months to those without depression. Retention metrics were generally poor for those with and without depression. However, among those completing viral load testing, nearly all achieved viral suppression. Depression at ART initiation was not associated with either retention or viral suppression. Further investigation of the relationship between depression and HIV is needed to understand the ways depression impacts the different aspects of HIV care engagement.

show abstract

“…Mental health morbidity affecting people living with HIV is becoming an increasing concern worldwide with depression and anxiety most prevalent . At the end of September 2018 there were 849,602 people living with HIV in China of whom 41.5% were AIDS patients .…”

Section: Introductionmentioning

confidence: 99%

Longitudinal trajectories of emotional problems and unmet mental health needs among people newly diagnosed with HIV in China

et al. 2019

View full text Add to dashboard Cite

Introduction Concern over mental health morbidity affecting people living with HIV is increasing worldwide. The objective of this study was to describe the longitudinal trajectories of depression and anxiety, and mental health service utilization among people newly diagnosed with HIV. Methods This was an observational cohort study that enrolled people newly diagnosed with HIV consecutively and followed them for one year in Changsha, China. Socio‐demographic, clinical and psychological data were collected at the baseline and at one‐year follow‐up. Participants were recruited between March 1, 2013 and September 30, 2014. The final follow‐up was in September 30, 2015. Results Among 557 people newly diagnosed with HIV enrolled at the baseline, 410 (73.6%) completed the one‐year follow‐up survey (median (interquartile range) age at follow‐up: 29 (25, 39) years; 376 men (91.7%)), and were included in the analysis. 39.3% and 30.2% of the 410 participants were screened with significant symptoms of depression and anxiety at baseline respectively. An overall drop in the prevalence of each condition was found at follow‐up, however, 10.5% and 6.1% of participants were found to have persistent depression and anxiety. The results of mixed‐effect models showed that bisexuality, homosexual transmission, other clinical symptoms (for example, not on antiretroviral therapy (ART)), non‐disclosure, higher levels of HIV/AIDS‐related stress, and lack of social support were associated with significant symptoms of depression and anxiety. One year after diagnosis, 8.3% had visited healthcare providers for emotional or psychological problems. Conclusions Despite the obvious need people newly diagnosed with HIV in China rarely seek professional help. Integrating depression and anxiety screening and referral into HIV care settings is warranted.

show abstract

Mental health and retention in HIV care: A systematic review and meta-analysis.

Abstract: Results indicate that MH diagnoses or symptoms are a barrier to retention in HIV care and emphasize the importance of providing MH treatment to HIV patients in need. (PsycINFO Database Record

Cited by 92 publications

References 82 publications

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study

Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi

Longitudinal trajectories of emotional problems and unmet mental health needs among people newly diagnosed with HIV in China

Contact Info

Product

Resources

About