Mental health and ART adherence among adolescents living with HIV in Mozambique

Datos Bibliográficos

ID19443441
AutoresNadia Nguyen (0000-0002-4376-3783, HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, New York State Psychiatric Institute and Vagelos College of Physicians & Surgeons, Columbia University, New York, USA, autor de correspondencia), Kathryn L Lovero (0000-0001-6067-8663, Columbia University), Joana Falcao (0009-0009-3320-2155, ICAP Global Health), Kirsty Brittain (0000-0003-3940-1242, University of Cape Town), Allison Zerbe (0000-0002-3372-6882, ICAP Global Health), Ira B Wilson (0000-0002-0246-738X, Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, USA), Bill G Kapogiannis (0000-0003-0754-9090, Eunice Kennedy Shriver National Institute of Child Health and Human Development), Eduarda Pimentel De Gusmão (0000-0002-7225-3096, ICAP Global Health), Mirriah Vitale (ICAP Global Health), Aleny Couto (0000-0002-2109-198X, National STI, HIV/AIDS Control Program, Maputo, Mozambique), Teresa Beatriz Simione (National STI, HIV/AIDS Control Program, Maputo, Mozambique), Elaine J Abrams (0000-0001-7938-8981, ICAP Global Health), Claude Ann Mellins (0000-0002-1978-7638, HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, New York State Psychiatric Institute and Vagelos College of Physicians & Surgeons, Columbia University, New York, USA)
Año2023
Volumen35
Número2
Páginas182-190
Fecha de publicación2023-02-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAIDS Care (JOURNAL)
Identificadores de la revistaISSN: 0954-0121 • E-ISSN: 1360-0451
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2022.2032574
PMID35277102
OpenAlexW4220888466
IdiomaEN
Citas recibidas11
Referencias citadas61

Little is known about the mental health needs of adolescents living with HIV (ALWH) in Mozambique, including the potential relationship between mental health challenges and poor antiretroviral treatment (ART) adherence. We examined mental health problems (anxiety, depression, post-traumatic stress disorder [PTSD] symptoms and impairment) and their association with self-reported ART adherence among ALWH ages 15–19 in Nampula, Mozambique. The associations between each mental health problem area and sub-optimal adherence were estimated using logistic regression, controlling for age, education, and social support, with interaction by gender. Males had significantly higher anxiety (5.6 vs 4.3, p = 0.01), depression (5.8 vs 4.1, p = 0.005), and PTSD (13.3 vs 9.8, p = 0.02) symptoms and impairment (1.8 vs 0.56, p<0.0001) scores than females. Proportion reporting sub-optimal adherence (65%) did not differ by gender. Higher anxiety, depression, and PTSD symptom and impairment scores were significantly associated with higher odds of sub-optimal ART adherence in males but not females. Among Mozambican ALWH, mental health problems were prevalent and two-thirds had ART adherence less than 90%. Worse mental health was associated with increased odds of sub-optimal ART adherence in males but not females. Interventions are needed to address mental health problems and improve ART adherence in Mozambican ALWH, particularly among males

Environmental health · Family medicine · Mental health · Psychiatry · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology