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- Title
Depression and HIV Care-seeking Behaviors in a Population-based Sample in North West Province, South Africa.
- Authors
Darbes, Lynae A.; El Ayadi, Alison M.; Gilvydis, Jennifer M.; Morris, Jessica; Raphela, Elsie; Naidoo, Evasen; Grignon, Jessica S.; Barnhart, Scott; Lippman, Sheri A.
- Abstract
Depression is associated with key HIV-related prevention and treatment behaviors in sub-Saharan Africa. We aimed to identify the association of depressive symptoms with HIV testing, linkage to care, and ART adherence among a representative sample of 18–49 year-olds in a high prevalence, rural area of South Africa. Utilizing logistic regression models (N = 1044), depressive symptoms were inversely associated with reported ever HIV testing (AOR 0.92, 95% CI 0.85–0.99; p = 0.04) and ART adherence (AOR 0.82, 95% CI: 0.73–0.91; p < 0.01) among women. For men, depressive symptoms were positively associated with linkage to care (AOR: 1.21, 95% CI: 1.09–1.34; p < 0.01). Depression may adversely impact ART adherence for HIV-positive women and reduce the likelihood of HIV testing for women not aware of their HIV status which, in settings with high HIV prevalence, carries severe consequences. For HIV-positive men, findings suggest that depression may encourage help-seeking behavior, thereby impacting their health system interactions. These findings underscore the need for health-care settings to factor mental health, such as depression, into their programs to address health-related outcomes, particularly for women.
- Subjects
SOUTH Africa; HIV infection epidemiology; DIAGNOSIS of HIV infections; CLINICAL drug trials; MENTAL depression risk factors; HIV infections; CONFIDENCE intervals; RURAL conditions; MEDICAL screening; HELP-seeking behavior; MENTAL health; RISK assessment; HEALTH literacy; SEX distribution; DESCRIPTIVE statistics; PATIENT compliance; PATIENT care; LOGISTIC regression analysis; ADULTS; MIDDLE age; ADOLESCENCE
- Publication
AIDS & Behavior, 2023, Vol 27, Issue 12, p3852
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-023-04102-3