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Association Between ART Adherence and Mental Health: Results from a National HIV Sero-Behavioural Survey in South Africa.
- Source :
- AIDS & Behavior; May2022, Vol. 26 Issue 5, p1517-1529, 13p, 3 Charts, 1 Graph
- Publication Year :
- 2022
-
Abstract
- This paper assesses the levels of antiretroviral treatment (ART) adherence and mental health distress among study participants in a national behavioural HIV-sero prevalence study South Africa. The study was a cross-sectional population-based multi-stage stratified cluster random survey, (SABSSM V, 2017). Structured questionnaires were used to collect information on socio-demographics, HIV knowledge, perceptions, HIV testing and HIV treatment history. Study participants were tested for HIV infection, antiretroviral use, viral suppression, and ART drug resistance. A total of 2155 PLHIV aged 15 years or older who were on ART were included in the study. Incidence of either moderate or severe mental health distress was 19.7%. Self-reported ART adherence among study participants with no, mild, moderate, or severe mental distress was 82%, 83%, 86% and 78%, respectively. The adjusted odds ratio for ART non-adherence was 0.58 (95% CI 0.24; 1.40) for mild mental distress, 0.82 (95% CI 0.35; 1.91) for moderate mental distress and 2.19 (95% CI 1.14; 4.19) for severe mental distress groups compared to the no mental health distress group. The other factors that were associated with ART non-adherence in adjusted models included education level, alcohol use and province/region of residence. The study revealed that mental health remains a challenge to ART adherence in South Africa. To improve ART adherence, HIV continuum of care programs should include screening for mental health among people living with HIV. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV
CLINICAL drug trials
HIV infections & psychology
HIV infections
CLUSTER sampling
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
ANTIRETROVIRAL agents
DRUG resistance
HEALTH literacy
PATIENTS' attitudes
DESCRIPTIVE statistics
ALCOHOL drinking
DISEASE prevalence
PATIENT compliance
STATISTICAL sampling
SOCIODEMOGRAPHIC factors
ODDS ratio
RESIDENTIAL patterns
PSYCHOLOGICAL distress
EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 26
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 156245040
- Full Text :
- https://doi.org/10.1007/s10461-021-03505-4