Gender, Mental Health, and Entry Into Care with Advanced HIV Among People Living with HIV in Cameroon Under a National 'Treat All' Policy.
Cameroon
Gender
HIV
Mental health
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
accepted:
29
05
2021
pubmed:
7
6
2021
medline:
23
11
2021
entrez:
6
6
2021
Statut:
ppublish
Résumé
Delays in diagnosis and linkage to HIV care persist among people living with HIV (PLWH), even after expanded access to ART worldwide. Mental health may influence timely linkage to HIV care. Greater understanding of the relationship among gender, mental health, and delayed linkage to HIV care can inform strategies to improve the health of PLWH. We interviewed 426 PLWH initiating HIV care in Cameroon between June 2019 and March 2020 to estimate the prevalence of depression, anxiety, and post-traumatic stress disorder (PTSD) and the association between mental health and entry into care with advanced HIV. Separate multivariable log binomial regression models were used to estimate the association between mental health exposure and entry into HIV care with advanced HIV. Stratified analyses were used to assess effect modification by gender. Approximately 20, 15, and 12% of participants reported symptoms of depression, PTSD, and anxiety, respectively. The prevalence of mental health symptoms did not vary significantly by gender. Overall, 53% of participants enrolled in HIV care with advanced HIV: 51% of men and 54% of women. Screening positive for one of the mental health disorders assessed was associated with greater prevalence of enrollment with advanced HIV among men, but not among women. Future research should examine gender-specific pathways between mental health symptoms and entry into care with advanced HIV, particularly for men in Cameroon. The extent to which untreated mental health symptoms drive gender disparities throughout the HIV care continuum should be explored further.
Identifiants
pubmed: 34091803
doi: 10.1007/s10461-021-03328-3
pii: 10.1007/s10461-021-03328-3
pmc: PMC8938985
mid: NIHMS1785038
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4018-4028Subventions
Organisme : National Institute of Allergy and Infectious Diseases
ID : U01AI096299
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : P2CHD050924
Organisme : NIAID NIH HHS
ID : U01 AI096299
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH114721
Pays : United States
Organisme : National Institute of Allergy and Infectious Diseases
ID : P30AI050410
Organisme : NICHD NIH HHS
ID : P2C HD050924
Pays : United States
Organisme : NIMH NIH HHS
ID : K01MH114721
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI050410
Pays : United States
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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