Persons Newly Diagnosed with HIV Infection are at High Risk for Depression and Poor Linkage to Care: Results from the Steps Study

Bhatia, Ramona; Hartman, Christine; Kallen, Michael A.; Graham, James L.; Giordano, Thomas P.

doi:10.1007/s10461-010-9778-9

Cited by 150 publications

(137 citation statements)

References 54 publications

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“…In another Indian study, 20 prevalence rates of depression among HIV sero-positive individuals were ranged from 10% to 40%. In similar studies, Kaharuza et al 21 and Bhatia et al 22 found prevalence of depression to be 47% in Uganda and 45% in USA respectively. Collaborating with these reports, our findings point out that depression could be relatively frequent among HIV/AIDS patients.…”

Section: Discussionmentioning

confidence: 78%

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

Rai

Verma

2015

SE Asia J. Pub. Health

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HIV/AIDS and depression are often thought to be interlinked. HIV positive cases may trigger symptoms of depression which, in turn, may result in risky sexual behavior and spread of HIV. Interviews were conducted in 104 patients of HIV/AIDS at the Anti-Retroviral Therapy (ART) Clinic of a teaching hospital in Uttar Pradesh (India) to study depression and examine its prevalence and association, if any, with some socio-demographic and clinical variables. The tools used to assess anxiety and depression and their severities were General Health Questionnaire (GHQ) 28 and Montgomery-Asberg Depression Rating Scale (MADRS) . The majority of patients were of age 35 years & above (62%), males (67%), married (85%), Hindus (88%), literate (73.1%), unemployed (35%) and of upper-lower socio-economic status (52%). Significant association of depression was found with religion, occupation and socio-economic status. Depression and anxiety were also found to be significantly associated with each other. There was, however, no association of depression with respondents' age, gender, marital status, education, habitat, income, duration of illness from HIV/AIDS and the CD4 count. The high prevalence rate (67.3%) of depression amongst HIV patients in our study may be taken as marker to alert Counsellors of country's ART Clinics for possible risk of depression in HIV patients. The above findings however, should be interpreted in the light of the fact that a parallel control group in the study was not included, studied sample was not large enough and the tools used to study the subjects for depression and anxiety were not adequately standardized.

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Section: Discussionmentioning

confidence: 78%

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

Rai

Verma

2015

SE Asia J. Pub. Health

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“…Depression is common following a diagnosis of HIV and may be worse in areas with high levels of stigma. [14][15] Depression is associated with both reduced linkage to care and impaired adherence to ART, 16 but can be effectively treated with interpersonal support group therapy. 17 The formation of community support groups of patients who have disclosed their HIV status to the group may prevent depression and improve retention in care in newly diagnosed patients.…”

Section: How Should We Care For Patients Who Are Not Yet Eligible Formentioning

confidence: 99%

How should we care for patients who are not yet eligible for ART?

Boyles¹,

Wilkinson²

2011

South. Afr. j. HIV med.

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“…age, sex or gender, income, immigration status) [6][7][8][9][10][11][12], psychosocial factors (e.g. mental health status, substance use, homelessness) [13][14][15], and geographic factors (e.g. rural or remote residence) [16].…”

Section: Introductionmentioning

confidence: 99%

“…rural or remote residence) [16]. Conversely, people are more likely to present to care if they are employed [13].…”

Section: Introductionmentioning

confidence: 99%

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

et al. 2018

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Timely presentation to care for people newly diagnosed with HIV is critical to optimize health outcomes and reduce onward HIV transmission. Studies describing presentation to care following diagnosis during a hospital admission are lacking. We sought to assess the timeliness of presentation to care and to identify factors associated with delayed presentation. We conducted a population-level study using health administrative databases. Participants were all individuals older than 16 and newly diagnosed with HIV during hospital admission in Ontario, Canada, between April 1, 2007 and March 31, 2015. We used modified Poisson regression models to derive relative risk ratios for the association between sociodemographic and clinical variables and the presentation to out-patient HIV care by 90 days following hospital discharge. Among 372 patients who received a primary HIV diagnosis in hospital, 83.6% presented to care by 90 days. Following multivariable analysis, we did not find associations between patient sociodemographic or clinical characteristics and presentation to care by 90 days. In a secondary analysis of 483 patients diagnosed during hospitalization but for whom HIV was not recorded as the principal reason for admission, 73.1% presented to care by 90 days. Following multivariable adjustment, we found immigrants from countries with generalized HIV epidemics (RR 1.265, 95% CI 1.133-1.413) were more likely to present to care, whereas timely presentation was less likely for people with a mental health diagnosis (RR 0.817, 95% CI 0.742-0.898) and women (RR 0.748, 95% CI 0.559-1.001). Future work should evaluate mechanisms to facilitate presentation to care among these populations.

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Persons Newly Diagnosed with HIV Infection are at High Risk for Depression and Poor Linkage to Care: Results from the Steps Study

Cited by 150 publications

References 54 publications

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

A study on depression in people living with HIV/AIDS in South-West part of Uttar Pradesh, India

How should we care for patients who are not yet eligible for ART?

Assessing Timely Presentation to Care Among People Diagnosed with HIV During Hospital Admission: A Population-Based Study in Ontario, Canada

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