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Prevalence and Associations of Psychological Distress, HIV Infection and HIV Care Service Utilization in East Zimbabwe

Bibliographic Data

ID15337460
AuthorsMalebogo Tlhajoane (0000-0002-0601-5516, Imperial College London, corresponding author), John W Eaton (0000-0001-7728-728X, Imperial College London), Jeffrey W Eaton, Albert Takaruza (0000-0003-2998-793X, Biomedical Research and Training Institute), Rebecca Rhead (0000-0002-5863-604X, Imperial College London), Rufurwokuda Maswera (0000-0003-2199-7113, Biomedical Research and Training Institute), Nadine Schur (0000-0002-8313-2820, Imperial College London), Lorraine Sherr (0000-0002-5902-8011, University College London), Constance Nyamukapa (0000-0001-6779-4069, Biomedical Research and Training Institute), Sarah Gregson (0000-0003-2707-0714, Biomedical Research and Training Institute)
Year2017
Volume22
Issue5
Pages1485-1495
Publication date2017-02-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-017-1705-x
PMID28194585
OpenAlexW2588308179
LanguageEN
Citations received6
References cited38

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

Cross-sectional study · Environmental health · Health psychology · Human immunodeficiency virus (HIV · Logistic regression · Men who have sex with men · Mental health · Odds ratio · Population · Psychiatry · Public health · Syphilis · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Mental Health Treatment and Access · Gerontology · Immunology · Internal Medicine

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Unique citing works6
Citations per year1
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6
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