Prevalence and co‐occurrence of symptoms of mental and substance use disorders among people with HIV age 40 and older in low‐ and middle‐income countries: a cross‐sectional study Article Swipe
Angela M. Parcesepe
,
Melissa A. Stockton
,
Charlotte Bernard
,
Tukiya Kanguya
,
Edith Kwobah
,
Álvaro López-Íñiguez
,
Gad Murenzi
,
Jeremy Ross
,
Albert Minga
,
Fernanda Maruri
,
Mpho Tlali
,
Suzanne Goodrich
,
Hugo Perazzo
,
Françoise Musabyimana
,
Smita Nimkar
,
Kathryn E. Lancaster
,
IeDEA Consortium
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1002/jia2.26359
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1002/jia2.26359
Introduction Due to the increased effectiveness of and access to antiretroviral therapy (ART), people with HIV (PWH) are living longer. As a result, the population of older PWH has increased. Mental and substance use disorders (MSDs) are common and frequently co‐occurring among PWH and are associated with poor HIV care outcomes. Research into the prevalence and co‐occurrence of MSDs among ageing PWH remains limited, particularly in low‐ and middle‐income countries (LMICs). Methods We analysed data collected between 2020 and 2022 from the International epidemiology Databases to Evaluate AIDS (IeDEA) Sentinel Research Network cohort of PWH aged 40 years or older on ART at 11 HIV clinics in Brazil, Côte d'Ivoire, India, Kenya, Mexico, Uganda, Rwanda, Togo, Vietnam, Zambia and Zimbabwe. We estimated the prevalence and co‐occurrence of unhealthy alcohol use (AUDIT‐C ≥3 for women, ≥4 for men), unhealthy drug use (ASSIST >3 for cannabis, cocaine, amphetamines, inhalants, sedatives, hallucinogens and/or opioids), and moderate to severe symptoms of depression (PHQ‐9 ≥10), anxiety (GAD‐7 ≥10) and post‐traumatic stress disorder (PTSD) (PCL‐5 ≥33). Psychiatric multimorbidity was defined as having symptoms of two or more disorders assessed. Log binomial models assessed the association between socio‐demographic and HIV care characteristics and symptoms of anxiety, depression, PTSD or unhealthy substance use. Results Of 2821 participants, the prevalence of unhealthy alcohol and drug use was 21% and 5%, respectively. The prevalence of moderate to severe symptoms of depression, anxiety and PTSD was 14%, 9% and 6%, respectively. Overall, the prevalence of psychiatric multimorbidity was 11%. Among those with symptoms of at least one mental health or substance use outcome assessed ( n = 1036), the prevalence of psychiatric multimorbidity was 31%. In binomial models, the prevalence of symptoms of depression and anxiety was higher, while the prevalence of unhealthy alcohol and drug use was lower among women than men. Conclusions Unhealthy alcohol use and symptoms of depression were most commonly reported, among this cohort of PWH aged 40 or older across 11 LMICs. Integration of MSD screening and treatment into HIV care should be prioritized. The effectiveness and implementation of transdiagnostic or multi‐focus mental health treatment approaches in HIV care settings should be examined.
Related Topics
Concepts
Medicine
Psychiatry
Anxiety
Depression (economics)
Cannabis
Alcohol Use Disorders Identification Test
Substance abuse
Cross-sectional study
Population
Cohort
Environmental health
Poison control
Injury prevention
Internal medicine
Economics
Pathology
Macroeconomics
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/jia2.26359
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.26359
- OA Status
- gold
- Cited By
- 3
- References
- 88
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4403174999
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403174999Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/jia2.26359Digital Object Identifier
- Title
-
Prevalence and co‐occurrence of symptoms of mental and substance use disorders among people with HIV age 40 and older in low‐ and middle‐income countries: a cross‐sectional studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-10-01Full publication date if available
- Authors
-
Angela M. Parcesepe, Melissa A. Stockton, Charlotte Bernard, Tukiya Kanguya, Edith Kwobah, Álvaro López-Íñiguez, Gad Murenzi, Jeremy Ross, Albert Minga, Fernanda Maruri, Mpho Tlali, Suzanne Goodrich, Hugo Perazzo, Françoise Musabyimana, Smita Nimkar, Kathryn E. Lancaster, IeDEA ConsortiumList of authors in order
- Landing page
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https://doi.org/10.1002/jia2.26359Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.26359Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/jia2.26359Direct OA link when available
- Concepts
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Medicine, Psychiatry, Anxiety, Depression (economics), Cannabis, Alcohol Use Disorders Identification Test, Substance abuse, Cross-sectional study, Population, Cohort, Environmental health, Poison control, Injury prevention, Internal medicine, Economics, Pathology, MacroeconomicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
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88Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.(PHQ‐9 | 159 |
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| corresponding_author_ids | https://openalex.org/A5057892831 |
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| institutions_distinct_count | 17 |
| corresponding_institution_ids | https://openalex.org/I114027177 |
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