Mental health of women with HIV infection: a study in Paris and London

Abstract

SummaryPsychiatric morbidity was assessed in 55 HIV seropositive women who were attending either an HIV centre in Paris (n = 30) or a genitourinary clinic in London (n = 25). Demographic data and information concerning HIV disease, openness about diagnosis, counselling received, social and family support, sexual behaviour and attitudes towards fertility and pregnancy were recorded using a semi-structured interview. Moderate or severe levels of psychiatric distress were found in 60% of the women in Paris and 28% of those in London. Overall, these rates are higher than those found in comparable studies of HIV seropositive men. Psychiatric disorder was associated with a past history of intravenous drug use and older age. Over half of the women were in regular sexual relationships but safe sex precautions were frequently not used. Sixteen subjects among those of child bearing age were prepared to consider having children.

Factors affecting psychosocial well-being and quality of life among women living with HIV/AIDS

“…When compared to their male counterparts, women living with HIV experience greater stigma (2), significant decline in quality of life (QOL) (3)(4)(5), and greater incidence of psychopathology and psychiatric co-morbidity (6)(7)(8). In the developed world, where HIV has changed from a sub-acute and fatal infection to a chronic illness, largely due to the initiation of highly active antiretroviral therapy (HAART), health priorities now emphasize early identification and m a n a g e m e n t o f psychosocial issues that ensure better treatment and QOL (9).…”