Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV (10-24 years): A Scoping Review

Okonji, Emeka Francis; Mukumbang, Ferdinand C.; Orth, Zaida; Vickerman-Delport, Shelley A.; Wyk, Brian van

doi:10.21203/rs.3.rs-26301/v3

Cited by 9 publications

(11 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…39,40 Social support has also been demonstrated to improve treatment outcomes in PLWHA by encouraging patients to take their medications and hence greater chance of survival. 41 From our study, social-economic factors like education, religion, and marital status were not associated with and social support ostensibly due to the different cultural context compared to other studies. This nding is not consistent with the available literature.…”

Section: Discussioncontrasting

confidence: 72%

Factors associated with poor social support among Persons Living with HIV/AIDS at the Infectious Disease Institute HIV/AIDS clinic in Uganda, 2019: A cross-sectional study

Kitibwakye

Kitutu

Kigongo

et al. 2022

Preprint

View full text Add to dashboard Cite

BackgroundSocial support is known to influence desired health outcomes resulting in decrease in morbidity and mortality. HIV patients with poor social support are at risk of worse health outcomes. Little is known about the determinants of social support in the HIV population in Uganda. This study examined the determinants of social support among HIV patients on Atazanavir-based regimen at the Infectious Disease Institute HIV/AIDS clinic in Uganda.MethodsWe carried out a secondary analysis of data nested in a cross-sectional study to determine the prevalence of clinical jaundice among patients on Atazanavir-based second-line therapy, which was conducted at a specialist HIV center, Infectious Disease Institute (IDI) in Kampala, Uganda from April to May 2019. IDI is a specialist HIV center in Kampala, Uganda with over 7000 patients in care. The primary study consecutively sampled patients on an Atazanavir- based regimen. Social support was assessed by using a 3-item Oslo social scale. Logistic regression was used to determine the association between social support and its correlates.Results Data from 236 participants with the mean age of 40 years ±11 was analyzed. The majority were females (66.5%) and 34% were married. Up to 16.5% (39/236) had other comorbidities and less than 1% (2/236) were depressed. There was a high level of disclosure of status to either a family member, friend, spouse, or children (94%; 221/236). The prevalence of internalized stigma (4%; 9/236) and depression (2/236; 1%) was low. Only disclosure of HIV status was associated with social support (OR= 4.9, 95% CI 1.1 – 21.3, p-value= 0.038). There was no significant association of age, sex, marital status, education status, religion, other chronic comorbidities, depression, drug fatigue, and stigma with social support. Conclusion We found that good/ moderate social support was associated with disclosure of HIV status. However, the relationship between social support and disclosure of HIV status warrants further exploration using qualitative research methods.

show abstract

Section: Discussioncontrasting

confidence: 72%

Factors associated with poor social support among Persons Living with HIV/AIDS at the Infectious Disease Institute HIV/AIDS clinic in Uganda, 2019: A cross-sectional study

Kitibwakye

Kitutu

Kigongo

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Adaptation of available interventions such as those identified in a scoping review by Okonji et al . [105] may be a good starting point. The high burden also calls for the integration of mental healthcare into the existing HIV care packages offered to YLWH in this setting.…”

Section: Resultsmentioning

confidence: 99%

“…The high burden of CMDs in YLWH from SSA highlights the urgent need to test youth-friendly psychological and psychosocial interventions that address CMDs faced by African youths living with HIV. Adaptation of available interventions such as those identified in a scoping review by Okonji et al [105] may be a good starting point. The high burden also calls for the integration of mental healthcare into the existing HIV care packages offered to YLWH in this setting.…”

Section: Implications Of the Findings For Future Research Policy And Practicementioning

confidence: 99%

Prevalence and factors associated with common mental disorders in young people living with HIV in sub‐Saharan Africa: a systematic review

et al. 2021

View full text Add to dashboard Cite

Introduction Common mental disorders (CMDs) particularly depression and anxiety, are highly comorbid with HIV also in young people living with HIV (YLWH). In sub‐Saharan Africa (SSA) where most YLWH reside, there are limited summary data on CMDs among these youths, yet there are previous systematic reviews summarizing data on CMDs among adults living with HIV. We conducted a systematic literature review on the prevalence and correlates of CMDs among YLWH, aged 10 to 24 years, from SSA. Methods We searched African Index Medicus, African Journals Online and five other electronic databases (from database inception up to 31 December 2020) for relevant studies published in English. The key search terms applied were as follows: “Depression OR Anxiety”, “Young people”, “HIV infections” and “sub‐Saharan Africa”. Results and discussion Out of 3989 articles, 31 studies were included in the review. The prevalence of CMDs in YLWH widely varied ranging between 16.0% and 40.8% for major depression, 4.4% and 52.6% for depressive symptoms and 2.2% and 25.0% for anxiety symptoms. Anxiety disorder was estimated at 45.6%. Four of the five included studies with a comparison group of HIV‐negative young people reported significantly higher prevalence estimates of depressive disorders among YLWH. Several sociodemographic, psychosocial and HIV‐related correlates of CMDs were reported but most lacked consensus across studies. Nevertheless, female sex, older age, fewer schooling years, HIV‐positive status, bullying, sexual abuse, HIV‐related stigma, social support and poor antiretroviral therapy adherence were frequently reported (in ≥2 studies) as significant correlates of depressive symptoms among YLWH. Higher social support was the only frequent significant correlate of anxiety symptoms. Conclusions The burden of CMDs among YLWH from SSA is substantial and appears to be significantly higher when compared with HIV‐negative peers, particularly for depressive disorders. However, more comparative research is needed. Importantly, screening for CMDs at the youth HIV‐clinics should be prioritized especially for YLWH at high risk of CMDs, to facilitate early management or referral for treatment. Furthermore, youth‐friendly psychological interventions addressing CMDs in YLWH should urgently be piloted in SSA, incorporating contextual components that may directly or indirectly reduce symptoms of CMDs among YLWH, such as social support.

show abstract

“…Such challenges, on top of the difficulty accepting an HIV diagnosis, impact ART adherence and clinic engagement, with risks for worsening morbidity and mortality. Both adherence support and psychosocial counselling are less accessible to families in low‐and‐middle‐income‐countries (LMIC) [3]. Parents and caregivers struggle with disclosure to their children, often waiting until adolescence to explain how and why they have HIV out of concerns for their reaction and fears that they may disclose the family HIV status to others.…”

mentioning

confidence: 99%

Are we there yet? 40 years of successes and challenges for children and adolescents living with HIV

et al. 2021

View full text Add to dashboard Cite

Psychosocial Support Interventions for Improved Adherence and Retention in ART care for Young People Living with HIV (10-24 years): A Scoping Review

Cited by 9 publications

References 30 publications

Factors associated with poor social support among Persons Living with HIV/AIDS at the Infectious Disease Institute HIV/AIDS clinic in Uganda, 2019: A cross-sectional study

Factors associated with poor social support among Persons Living with HIV/AIDS at the Infectious Disease Institute HIV/AIDS clinic in Uganda, 2019: A cross-sectional study

Prevalence and factors associated with common mental disorders in young people living with HIV in sub‐Saharan Africa: a systematic review

Are we there yet? 40 years of successes and challenges for children and adolescents living with HIV

Contact Info

Product

Resources

About