View in EDS

Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda: A Cross-Sectional Study

Saved in:
Bibliographic Details
Title: Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda: A Cross-Sectional Study
Authors: Laura Risbjerg Omann, Valentine Dushimiyimana, Emmanuel Musoni-Rwililiza, Caroline Juhl Arnbjerg, Vivianne Umuhire Niyonkuru, Jean Damascene Iyamuremye, Michel Gasana, Jessica Carlsson, Per Kallestrup, Christian Kraef
Source: AIDS Behav
Omann, L R, Dushimiyimana, V, Musoni-Rwililiza, E, Arnbjerg, C J, Niyonkuru, V U, Iyamuremye, J D, Gasana, M, Carlsson, J, Kallestrup, P & Kraef, C 2024, 'Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda : A Cross-Sectional Study', AIDS & Behavior, vol. 28, no. 8, pp. 2666-2682. https://doi.org/10.1007/s10461-024-04358-3
Omann, L R, Dushimiyimana, V, Musoni-Rwililiza, E, Arnbjerg, C J, Niyonkuru, V U, Iyamuremye, J D, Gasana, M, Carlsson, J, Kallestrup, P & Kraef, C 2024, ' Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda : A Cross-Sectional Study ', AIDS and Behavior, vol. 28, no. 8, pp. 2666-2682 . https://doi.org/10.1007/s10461-024-04358-3
AIDS AND BEHAVIOR
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Adult, Social Stigma, Global health, Social Sciences, HIV Infections, BEHAVIORS, LESSONS, Stress Disorders, Post-Traumatic, ADHERENCE, Risk Factors, Medicine and Health Sciences, Prevalence, Humans, 10. No inequality, Original Paper, Depressive Disorder, Major, Low- and middle-income countries, Sub-Saharan Africa, Mental Disorders, Rwanda, 1. No poverty, WOMEN, CARE, Middle Aged, 16. Peace & justice, Anxiety Disorders, 3. Good health, People living with HIV, INDIVIDUALS, Cross-Sectional Studies, Mental Health, Socioeconomic Factors, DEPRESSIVE DISORDER, Mental health, Female, OUTPATIENTS, Stress Disorders, Post-Traumatic/epidemiology [MeSH], Mental Health [MeSH], Risk Factors [MeSH], Anxiety Disorders/psychology [MeSH], Social Stigma [MeSH], Socioeconomic Factors [MeSH], HIV Infections/epidemiology [MeSH], Male [MeSH], Anxiety Disorders/epidemiology [MeSH], Prevalence [MeSH], Female [MeSH], HIV Infections/psychology [MeSH], Rwanda/epidemiology [MeSH], Adult [MeSH], Humans [MeSH], Stress Disorders, Post-Traumatic/psychology [MeSH], Middle Aged [MeSH], Cross-Sectional Studies [MeSH], Depressive Disorder, Major/epidemiology [MeSH], Mental Disorders/psychology [MeSH], Mental Disorders/epidemiology [MeSH], Depressive Disorder, Major/psychology [MeSH]
Description: While life expectancy of people living with HIV is increasing, their burden of non-communicable diseases, including mental health disorders, is growing as well. The aim of this study is to investigate the prevalence and identify the risk factors associated with mental health disorders among this population in Rwanda. This cross-sectional study enrolled people living with HIV from 12 HIV clinics across Rwanda using random sampling. Trained HIV nurses conducted the Mini International Neuropsychiatric Interview to estimate the prevalence of major depressive episode, post-traumatic stress disorder, and generalized anxiety disorder. Sociodemographic, psychosocial, and HIV-related data were also collected. Associated risk factors for being diagnosed with one of the mental health disorders were assessed using modified Poisson regression with robust error variance. Of 428 participants, 70 (16.4%) had at least one mental health disorder with major depressive episode being most prevalent (n = 60, 14.0%). Almost all participants were adherent to antiretroviral therapy (n = 424, 99.1%) and virally suppressed (n = 412, 96.9%). Of those diagnosed with a mental health disorder, only few were aware of (n = 4, 5.7%) or under treatment for this mental health disorder (n = 5, 7.2%). Mental health disorders were associated with experiences of HIV-related stigma and discrimination (aRR = 2.14, 95%CI 1.30–3.53, p = 0.003). The results demonstrate underdiagnosis and undertreatment of mental health disorders among Rwandan People Living with HIV. Using HIV nurses to diagnose mental health disorders could serve as a low-cost strategy for integrating mental health care with existing HIV services and could inspire the implementation in other low-resource settings.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 1573-3254
1090-7165
DOI: 10.1007/s10461-024-04358-3
Access URL: https://pubmed.ncbi.nlm.nih.gov/38736005
https://pure.au.dk/portal/en/publications/0f1ac9a5-6b34-49d8-9a24-b0207f33409c
https://curis.ku.dk/ws/files/401977366/s10461_024_04358_3.pdf
https://repository.publisso.de/resource/frl:6521159
http://doi.org/10.1007/s10461-024-04358-3
https://biblio.ugent.be/publication/01JN8Q9YKCGV2D0K5RQE46Y6W3
https://biblio.ugent.be/publication/01JN8Q9YKCGV2D0K5RQE46Y6W3/file/01JQ4A6FKA0200QZ13K4V39SK9
http://hdl.handle.net/1854/LU-01JN8Q9YKCGV2D0K5RQE46Y6W3
Rights: CC BY
Accession Number: edsair.doi.dedup.....366937a16e9f7a1a28145878ec75942a
Database: OpenAIRE
Description
Abstract:While life expectancy of people living with HIV is increasing, their burden of non-communicable diseases, including mental health disorders, is growing as well. The aim of this study is to investigate the prevalence and identify the risk factors associated with mental health disorders among this population in Rwanda. This cross-sectional study enrolled people living with HIV from 12 HIV clinics across Rwanda using random sampling. Trained HIV nurses conducted the Mini International Neuropsychiatric Interview to estimate the prevalence of major depressive episode, post-traumatic stress disorder, and generalized anxiety disorder. Sociodemographic, psychosocial, and HIV-related data were also collected. Associated risk factors for being diagnosed with one of the mental health disorders were assessed using modified Poisson regression with robust error variance. Of 428 participants, 70 (16.4%) had at least one mental health disorder with major depressive episode being most prevalent (n = 60, 14.0%). Almost all participants were adherent to antiretroviral therapy (n = 424, 99.1%) and virally suppressed (n = 412, 96.9%). Of those diagnosed with a mental health disorder, only few were aware of (n = 4, 5.7%) or under treatment for this mental health disorder (n = 5, 7.2%). Mental health disorders were associated with experiences of HIV-related stigma and discrimination (aRR = 2.14, 95%CI 1.30–3.53, p = 0.003). The results demonstrate underdiagnosis and undertreatment of mental health disorders among Rwandan People Living with HIV. Using HIV nurses to diagnose mental health disorders could serve as a low-cost strategy for integrating mental health care with existing HIV services and could inspire the implementation in other low-resource settings.
ISSN:15733254
10907165
DOI:10.1007/s10461-024-04358-3