Prevalence of and factors associated with depression among people living with HIV in France

Abstract

The prevalence of depression varied across the different groups of PLWHIV, with levels much higher than in the general population. Moreover, there was a strong association with socioeconomic status and HIV experience.

Factors associated with deaths from suicide in a French nationwide HIV‐infected cohort

“…A history of depressive disorder was observed in 64% of patients who died by suicide, and in 24% of controls. These results are in line with a study on a representative sample of 2392 PLHIV conducted in France in 2011 in whom the prevalence of a major depressive episode during the previous 12 months was 28.1% [26]. Compared with the general population by sex, regardless of sexual orientation and origin, major depressive episode prevalence was 5.1-fold higher in HIV-infected MSM [95% CI 3.9-6.6], 3.1-fold higher in non-sub-Saharan African (SSA) heterosexual men (95% CI 2.2-4.4), 1.6-fold higher in SSA migrant men (95% CI 0.9-2.6), 2.6-fold higher in non-SSA heterosexual women (95% CI 2.1-3.3), and 1.9fold higher in SSA migrant women (95% CI 1.5-2.5) [26].…”

“…These results are in line with a study on a representative sample of 2392 PLHIV conducted in France in 2011 in whom the prevalence of a major depressive episode during the previous 12 months was 28.1% [26]. Compared with the general population by sex, regardless of sexual orientation and origin, major depressive episode prevalence was 5.1-fold higher in HIV-infected MSM [95% CI 3.9-6.6], 3.1-fold higher in non-sub-Saharan African (SSA) heterosexual men (95% CI 2.2-4.4), 1.6-fold higher in SSA migrant men (95% CI 0.9-2.6), 2.6-fold higher in non-SSA heterosexual women (95% CI 2.1-3.3), and 1.9fold higher in SSA migrant women (95% CI 1.5-2.5) [26]. In this same cross-sectional survey, a suicide risk, defined as having either thought about or planned to commit suicide, or attempted suicide during the previous 12 months was reported by 6.3% of PLHIV [25].…”

“…The lack of any decrease in suicide mortality since the onset of the cART era could be explained by the high prevalence of psychiatric morbidity in PLHIV . In line with other studies, we found a high prevalence of depressive disorders, drug abuse, psychotropic drug intake, history of suicide attempts and alcohol abuse, both among patients who died by suicide and among controls . A history of depressive disorder was observed in 64% of patients who died by suicide, and in 24% of controls.…”

Quality of health care and viral suppression among human immunodeficiency virus patients

“…Compared to the general population, more HIV patients are depressed. Up to 30% of HIV-patients suffer from depression [44][45][46] , which is associated with risky behavior and lower adherence to ART 47 . Early detection and treatment of depression are essential components of the health care of HIV patients.…”

Prévalence de la dépression majeure en France en population générale et en populations spécifiques de 2000 à 2018 : une revue systématique de la littérature

“…La dépression chez les personnes vivant avec le VIH a été estimée à 28.1% (allant de 10.9% à 55.7% selon les groupes) (29). En comparaison de la population générale (indépendamment de l'orientation sexuelle et de l'origine), la prévalence de la dépression était 5.1 fois plus élevée chez les hommes ayant des rapports sexuels avec des hommes [intervalle de confiance (IC) à 95% 3.9-6.6], 3.1 fois plus élevé chez les hommes Africains non sub-saharien hétérosexuels (95% IC 2.2-4.4), 1.6 fois plus élevé chez les migrants d'origine sub-saharienne (95% IC 0.9-2.6), 2.6 fois plus élevé chez les femmes hétérosexuelles d'origine non-subsahariennes (95% IC 2.1-3.3), et 1.9 fois plus chez les femmes migrantes d'origine subsaharienne (95% CI 1.5-2.5).…”