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psychological distress and associated factors in hiv

Marco Pereira, Renata Fialho
This study compared the quality of life (QoL) of HIV-infected patients with and without hepatitis C and examined the sociodemographic, HIV-related and psychological symptoms associated with the QoL domains in patients with HIV/HCV co-infection. The sample consisted of 248 HIV/HCV co-infected patients (18-74 years, 81.5 % male) and 482 patients only with HIV (24-78 years, 62.7 % male). Participants completed the WHOQOL-HIV-Bref questionnaire and the Brief Symptom Inventory. The HIV/HCV co-infected patients reported significantly lower QoL in all domains, as well as significantly lower scores in 10 of the 17 specific facets...
October 2016: Journal of Behavioral Medicine
Tyler J O'Neill, Janet M Raboud, Jill Tinmouth, Sean B Rourke, Sandra Gardner, Curtis Cooper, Sergio Rueda, Trevor A Hart, Anita Rachlis, Ann N Burchell
In the modern antiretroviral (ARV) era, there is limited knowledge about the prevalence and risk factors for HIV patient-reported gastrointestinal (GI) symptoms (diarrhoea/soft stool, nausea/vomiting, bloating/painful abdomen, loss of appetite, and weight loss/wasting) and distress. We prospectively analysed data (2007-2014) on distressing GI symptoms from the Ontario HIV Treatment Network Cohort Study, which follows people attending HIV clinics. Using generalized estimating equations with a logit link, we estimated the associations of psychosocial, demographic, behavioural, and clinical factors with each GI symptoms compared to asymptomatic and non-bothersome symptoms...
July 25, 2016: AIDS Care
Siyan Yi, Sovannary Tuot, Pheak Chhoun, Khuondyla Pal, Sok Chamreun Choub, Gitau Mburu
BACKGROUND: Compared to the general population, drug users are at increased risk of both poor mental health and HIV infection. The aim of this study was to determine the prevalence and correlates of high psychological distress among drug users in Cambodia. METHODS: In April 2014, a two-stage cluster sampling method was used to randomly select 169 drug users from hotspots in Phnom Penh. Psychological distress was measured using General Health Questionnaire (GHQ-12)...
October 2016: International Journal on Drug Policy
Victory Le, Sean Arayasirikul, Yea-Hung Chen, Harry Jin, Erin C Wilson
INTRODUCTION: Transfemale youth (TFY) are an underserved and understudied population at risk for numerous poor physical and mental health outcomes, most notably HIV. Research suggests that parental acceptance and social support may serve as protective factors against HIV and other risks for TFY; however, it is unclear whether TFY receive primary social support from parents with or without parental acceptance of their gender identity. This study examines differences in parental acceptance, mental health and the HIV risk factors of history of sex work, age at sexual debut and engagement in condomless anal intercourse between TFY with two types of primary social support - non-parental primary social support (NPPSS) and parental primary social support (PPSS)...
2016: Journal of the International AIDS Society
Enbal Shacham, Amy L Estlund, Amanda E Tanner, Rachel Presti
Regardless of medical advancements, new HIV infections persist. Young adults are most often newly infected, thus research is needed to assess medication adherence barriers specific to young adults with HIV. The data were abstracted from medical charts to include both self-reported behavioral and psychological distress data and HIV parameters in 2013 among patients aged 18-30 years. Descriptive and logistic regression analyses were conducted to identify factors related to viral suppression and sexually transmitted infection (STI) status...
July 11, 2016: AIDS Care
J A McGowan, L Sherr, A J Rodger, M Fisher, A Miners, J Anderson, M A Johnson, J Elford, S Collins, G Hart, A N Phillips, A Speakman, F C Lampe
OBJECTIVES: An increasing proportion of people living with HIV are older adults, who may require specialized care. Adverse physical and psychological effects of HIV infection may be greatest among older people or those who have lived longer with HIV. METHODS: The ASTRA study is a cross-sectional questionnaire study of 3258 HIV-diagnosed adults (2248 men who have sex with men, 373 heterosexual men and 637 women) recruited from UK clinics in 2011-2012. Associations of age group with physical symptom distress (significant distress for at least one of 26 symptoms), depression and anxiety symptoms (scores ≥ 10 on PHQ-9 and GAD-7, respectively), and health-related functional problems (problems on at least one of three domains of the Euroqol 5D-3L)) were assessed, adjusting for time with diagnosed HIV infection, gender/sexual orientation and ethnicity...
July 7, 2016: HIV Medicine
Karl Peltzer
OBJECTIVE: The relationship between tuberculosis and common mental disorders over time is under researched. The aim of this investigation was to estimate the prevalence of common mental disorders and its predictors among tuberculosis patients over a period of six months. METHODS: A longitudinal investigation was carried out with new tuberculosis and tuberculosis retreatment patients systematically selected from 40 primary health care facilities and had screened positive for hazardous or harmful alcohol use in South Africa...
April 2016: International Journal of Psychiatry in Medicine
Bryan A Kutner, Kimberly M Nelson, Jane M Simoni, John A Sauceda, John S Wiebe
We present results from a cross-sectional, clinic-based survey of border-region Latino men who have sex with men (MSM) and who also are living with HIV in the El Paso-Ciudad Juárez area. Among the 66 participants who reported serodiscordant anal or vaginal intercourse, we examined levels of psychological distress and substance use and the association of these variables with condomless sex. Bivariate analyses indicated that MSM who reported condomless sex with a serodiscordant partner were more likely to report higher scores on measures of anxiety, depression, and trauma...
June 8, 2016: AIDS and Behavior
Katherine Quinn, Dexter R Voisin, Alida Bouris, Kate Jaffe, Lisa Kuhns, Rebecca Eavou, John Schneider
This study is among the first to examine the association between multiple domains of HIV-related stigma and health-related correlates including viral load and medication adherence among young Black men who have sex with men (N = 92). Individual logistic regressions were done to examine the hypothesized relationships between HIV-related stigma and various health and psychosocial outcomes. In addition to examining total stigma, we also examined four domains of HIV stigma. Findings revealed the various domains of stigma had differential effects on health-related outcomes...
May 27, 2016: AIDS and Behavior
Denis Nash, Olga Tymejczyk, Tsigereda Gadisa, Sarah Gorrell Kulkarni, Susie Hoffman, Muluneh Yigzaw, Batya Elul, Robert H Remien, Maria Lahuerta, Shalo Daba, Wafaa El Sadr, Zenebe Melaku
INTRODUCTION: Most HIV-positive persons in sub-Saharan Africa initiate antiretroviral therapy (ART) with advanced infection (late ART initiation). Intervening on the drivers of late ART initiation is a critical step towards achieving the full potential of HIV treatment scale-up. This study aimed to identify modifiable factors associated with late ART initiation in Ethiopia. METHODS: From 2012 to 2013, Ethiopian adults (n=1180) were interviewed within two weeks of ART initiation...
2016: Journal of the International AIDS Society
Quynh T Vo, Susie Hoffman, Denis Nash, Wafaa M El-Sadr, Olga A Tymejczyk, Tsigereda Gadisa, Zenebe Melaku, Sarah G Kulkarni, Robert H Remien, Batya Elul
Health-related quality of life (HRQoL) is an important outcome to assess among persons living with HIV/AIDS, but few studies have been conducted in sub-Saharan Africa. We examined HRQoL among 1180 ART-initiating adults from six clinics in Ethiopia in 2012-2013, and compared the correlates of two subscale scores between women and men. Women scored significantly higher than men on both overall function (8.4 points higher) and life satisfaction (6.3 points higher). In multivariable models, psychological distress, low CD4+ count, unemployment, and food insecurity were associated with lower quality of life scores among women and men...
August 2016: AIDS and Behavior
Siyan Yi, Sovannary Tuot, Pheak Chhoun, Khuondyla Pal, Sok Chamreun Choub, Gitau Mburu
BACKGROUND: Poor mental health contributes to poor HIV prevention, treatment and care outcomes. This paper documents factors associated with psychological distress among men who have sex with men (MSM) in Cambodia and discusses potential ways in which routine mental health management could be integrated into HIV services. METHODS: A cross-sectional study was conducted in 2014 among 394 MSM randomly selected from two provinces using a two-stage cluster sampling method...
2016: International Journal for Equity in Health
B O Olley, M J Ogunde, P O Oso, A Ishola
Although links between HIV-related stigma and self-disclosure of HIV status among people living with HIV have been well established, it is unclear whether levels of perceived discrimination are differentially associated with self-disclosure. The present study using a multi-factorial survey design investigated the role of stigma and other self-related factors (e.g., anticipated discrimination, self-esteem, HIV-related factors [e.g., drug use combination; knowledge of duration of HIV diagnosis] and socio-demographic factors [e...
2016: AIDS Care
Carinne Brody, Pheak Chhoun, Sovannary Tuot, Khuondyla Pal, Kolab Chhim, Siyan Yi
BACKGROUND: In Cambodia, there has been an increase in entertainment work as a result of the breakdown of the traditional brothel-based sex industry, presenting new challenges to addressing the health issues and needs of people working in the entertainment industry. This study aims to identify factors associated with psychological distress among female entertainment workers (FEWs) in Cambodia. METHODS: A two-stage cluster sampling method was used to randomly select 657 FEWs from entertainment establishments in Phnom Penh and Siem Reap in April and May 2014 for interviews using a structured questionnaire...
2016: BMC Public Health
Nancy Xiaonan Yu, Jianxin Zhang, Cecilia L W Chan
Dignity-related distress is overlooked in patients with HIV (PHIV). The dignity model, which elucidates the key features of dignity-related distress, has not been applied to the context of stigmatized diseases. By targeting the stigmatized disease of HIV among a Chinese sample, the present study examined the roles of health care neglect and perceived discrimination in dignity-related distress. In this cross-sectional study, 119 Chinese PHIV completed measures of dignity-related distress, psychological symptoms, physical symptoms, health care neglect, and perceived discrimination...
February 2016: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
Habteyes Hailu Tola, Davoud Shojaeizadeh, Gholamreza Garmaroudi, Azar Tol, Mir Saeed Yekaninejad, Luche Tadesse Ejeta, Abebaw Kebede, Mehrdad Karimi, Desta Kassa
BACKGROUND: Psychological distress is the major comorbidity among tuberculosis (TB) patients. However, its magnitude, associated factors, and effect on treatment outcome have not been adequately studied in low-income countries. OBJECTIVE: This study aimed to determine the magnitude of psychological distress and its effect on treatment outcome among TB patients on treatment. DESIGN: A follow-up study was conducted in Addis Ababa, Ethiopia, from May to December 2014...
2015: Global Health Action
Julie K O'Donnell, Bradley N Gaynes, Stephen R Cole, Andrew Edmonds, Nathan M Thielman, E Byrd Quinlivan, Kristen Shirey, Amy D Heine, Riddhi Modi, Brian W Pence
BACKGROUND: Suicidal ideation is the most proximal risk factor for suicide and can indicate extreme psychological distress; identification of its predictors is important for possible intervention. Depression and stressful or traumatic life events (STLEs), which are more common among HIV-infected individuals than the general population, may serve as triggers for suicidal thoughts. METHODS: A randomized controlled trial testing the effect of evidence-based decision support for depression treatment on antiretroviral adherence (the SLAM DUNC study) included monthly assessments of incident STLEs, and quarterly assessments of suicidal ideation (SI)...
January 15, 2016: Journal of Affective Disorders
Shenell D Evans, Bryman E Williams, Cheng-Shiun Leu
Individuals diagnosed with HIV face a host of challenges post-diagnosis. At risk for negative psychological outcomes, persons living with HIV/AIDS may also experience posttraumatic growth (i.e., positive cognitive and emotional changes that may occur following HIV diagnosis). African Americans, in particular, experience poorer psychosocial and behavioral outcomes and greater HIV-related health disparities, and also tend to report more posttraumatic growth than European Americans. This exploratory study examined demographic, psychosocial, and behavioral correlates of posttraumatic growth among 45 African American adults living with HIV in Mississippi...
2013: Online journal of rural and urban research
Maria Lopez-Patton, Mahendra Kumar, Deborah Jones, Marla Fonseca, Adarsh M Kumar, Charles B Nemeroff
Methamphetamine (METH) has become one of the most widely abused drugs in South Florida, particularly among MSM who may or may not be HIV seropositive. High rates of childhood trauma have been reported among HIV-infected MSM (Chartier et al., 2010), but, the association of childhood trauma, and mood disorders with methamphetamine use in HIV-infected men, has not been comprehensively explored. A better understanding of the association between these factors could improve existing substance abuse treatment intervention strategies and medical treatment programs (e...
January 2016: Journal of Psychiatric Research
Ezer Kang, Darcie A P Delzell, Paul E McNamara, Joel Cuffey, Anil Cherian, Saira Matthew
Poor mental health functioning among persons living with HIV (PLHIV) has gained considerable attention particularly in low-income countries that disproportionately carry the global HIV/AIDS burden. Fewer studies, however, have examined the relationship between poverty indicators and mental health among PHLIV in India. Based on this cross-sectional study of 196 HIV-seropositive adults who received medical services at Shalom AIDS Project in Delhi, India, structural equation modeling and mediation analysis were employed to estimate the associations between poverty indices (household asset index, food security, unemployment, water treatment, sanitation), HIV-health factors (illness in the past 3 months, co-morbid medical conditions), and psychological distress...
2016: AIDS Care
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