Mental Health in Children, Adolescents, and Youths Living with Perinatally Acquired HIV

At the Crossroads of Psychosocial Determinants of Health

Bibliographic Data

ID15720040
AuthorsÁlvaro Vázquez-Pérez (0000-0003-0250-888X, Hospital Universitario Virgen de las Nieves), Carlos Velo (0000-0001-8826-7743, Hospital General Universitario Gregorio Marañón), Luis Escosa (Hospital La Paz Institute for Health Research), Teresa García-López (Hospital La Paz Institute for Health Research), José Ignacio Bernardino (0000-0003-3501-8529, Hospital La Paz Institute for Health Research), Eulalia Valencia (0000-0001-6902-0120, Hospital La Paz Institute for Health Research), Rafael Micán (0000-0002-6626-4266, Hospital La Paz Institute for Health Research), María José Mellado (0000-0003-2251-9666, Hospital La Paz Institute for Health Research), Talía Sainz (0000-0002-5301-0945, Hospital La Paz Institute for Health Research, corresponding author)
Year2023
Volume10
Issue2
Pages405-405
Publication date2023-02-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children10020405
PMID36832534
OpenAlexW4321372798
LanguageEN
Citations received3
References cited3

Here, we aim to describe mental health (MH) in a cohort of children, adolescents, and young adults living with perinatally acquired HIV (PHIV) in Spain and explore the treatment gap for mental disorders. We also aim to analyze the potential association between MH issues to psychosocial risk factors (PSRFs) and identify management priorities. We conducted a descriptive transversal study that included all cases of PHIV under follow-up in a reference hospital in Madrid. The study included patients undergoing follow-up in the pediatric outpatient clinic and youths transferred from pediatric to adult care units after 1997. Epidemiological, clinical, immunovirological, and treatment-related data were collected, including PSRF and adverse childhood experiences (ACEs). Of the 72 patients undergoing follow-up, 43 (59.7%) had already been transferred to the adult outpatient clinic. The patients' median age was 25 years (IQR 18-29), and 54.2% were women. Most patients were undergoing treatment (94.6%) and were virologically suppressed (84.7%). Although MH issues were present in 30 patients (41.7%), only 17 (56.7%) had been referred for evaluation to the Department of Mental Health, and only 9 (30%) had received a MH diagnosis. PSRFs were common (32% of participants had at least one PSRF) and were associated with MH issues and adherence issues (all p < 0.05). A multidisciplinary approach to address the psychological factors and social determinants of health is urgently needed, particularly during important life development stages, such as adolescence

Adolescent health · Developmental psychology · Family medicine · Human immunodeficiency virus (HIV · Mental health · Psychiatry · Psychosocial · Adolescent and Pediatric Healthcare · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology

Tools

Open DOIOpen Access