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Spiritual and religious aspects influence mental health and viral load

A quantitative study among young people living with HIV in Zimbabwe

Bibliographic Data

ID21881694
AuthorsUrsula Wüthrich-Grossenbacher (0000-0003-4429-0663, University of Basel, corresponding author), Abigail Mutsinze (0000-0003-0668-3343, Research, Zvandiri, Harare, Zimbabwe), Ursula Wolf (0000-0002-1602-1143, University of Bern), Charles C Maponga (0000-0001-6340-5994, University of Zimbabwe), Nicholas Midzi (0000-0002-5789-5277, Ministry of Health and Child Welfare), Masceline Jenipher Mutsaka‐Makuvaza (0000-0003-0868-1173, Ministry of Health and Child Welfare), Masceline Jenipher Mutsaka-Makuvaza (National Institute of Health Researches of Iran), Sonja Merten (0000-0003-4115-106X, Swiss Tropical and Public Health Institute)
Year2023
Volume8
Issue8
Pagese012671
Publication date2023-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012671
PMID37586783
OpenAlexW4385863986
LanguageEN
Citations received3
References cited39

INTRODUCTION: The role of religion and spirituality as social determinants of health has been widely discussed. Studies among people living with HIV describe positive and negative influences of religion and spirituality on health outcomes. With a HIV prevalence of 14.8% for females and 8.6% for males, and 22 000 AIDS-related deaths in 2020, HIV infection remains a life-threatening condition in Zimbabwe, especially in young people. The aim of this research was to measure the influence of religion and spirituality on the health outcomes of young people living with HIV in Zimbabwe. METHODS: A quantitative questionnaire with three different validated measures of religion and spirituality (Belief into Action Scale, Brief Religious Coping Index, Religious and Spiritual Struggles Scale), demographic, cultural, behavioural and health questions was administered to 804 young Zvandiri programme clients in rural, urban and peri-urban Zimbabwe between July and October 2021. Regression analysis established significant relations between the result of the three different measures and mental health and viral load results. RESULTS: Religious coping significantly reduced the probability of common mental disorder, while high religious activity increased the risk. The Religious and Spiritual Struggles Scale proved to be a reliable indicator of higher viral loads, risk for treatment failure and the probability of common mental disorder. CONCLUSIONS: All three measures of religion and spirituality related to health outcomes. More research is needed to generalise and further explore these findings. Because the Religious and Spiritual Struggles Scale was a strong indicator for both, higher viral loads and common mental disorder, we suggest that it should be used and validated in other sub-Saharan contexts. It could serve as a new diagnostic tool for the early detection and prevention of treatment failure as well as of common mental disorder

Mental health · Psychiatry · Public health · Viral load · Medicine · Nursing · Psychology · Religion, Society, and Development · Religion, Spirituality, and Psychology · Resilience and Mental Health · Virology

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Unique citing works3
Citations per year1
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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