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Prevalence and Risks of Depression and Substance Use Among Adults Living with HIV in the Asia-Pacific Region.

Authors
  • Ross, Jeremy L1
  • Jiamsakul, Awachana2
  • Avihingsanon, Anchalee3
  • Lee, Man Po4
  • Ditangco, Rossana5
  • Choi, Jun Yong6
  • Rajasuriar, Reena7
  • Gatechompol, Sivaporn3
  • Chan, Iris4
  • Melgar, Maria Isabel Echanis5, 8
  • Kim, Jung Ho6
  • Chong, Meng Li7
  • Sohn, Annette H9
  • Law, Matthew2
  • 1 TREAT Asia/amfAR - The Foundation for AIDS Research, Bangkok, Thailand. [email protected] , (Thailand)
  • 2 The Kirby Institute, UNSW Sydney, Sydney, Australia. , (Australia)
  • 3 HIV-NAT/ Thai Red Cross AIDS Research Centre, Bangkok, Thailand. , (Thailand)
  • 4 Queen Elizabeth Hospital, Yau Ma Tei, Hong Kong SAR, China. , (China)
  • 5 Research Institute for Tropical Medicine, Muntinlupa City, Philippines. , (Philippines)
  • 6 Division of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea. , (North Korea)
  • 7 University of Malaya, Kuala Lumpur, Malaysia. , (Malaysia)
  • 8 Ateneo de Manila University, Quezon City, Philippines. , (Philippines)
  • 9 TREAT Asia/amfAR - The Foundation for AIDS Research, Bangkok, Thailand. , (Thailand)
Type
Published Article
Journal
AIDS and Behavior
Publisher
Springer-Verlag
Publication Date
Dec 01, 2022
Volume
26
Issue
12
Pages
3862–3877
Identifiers
DOI: 10.1007/s10461-022-03714-5
PMID: 35668223
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Despite the mental health and substance use burden among people living with HIV (PLHIV) in the Asia-Pacific, data on their associations with HIV clinical outcomes are limited. This cross-sectional study of PLHIV at five sites assessed depression and substance use using PHQ-9 and ASSIST. Among 864 participants, 88% were male, median age was 39 years, 97% were on ART, 67% had an HIV viral load available and < 1000 copies/mL, 19% had moderate-to-severe depressive symptoms, and 80% had ever used at least one substance. Younger age, lower income, and suboptimal ART adherence were associated with moderate-to-severe depressive symptoms. Moderate-to-high risk substance use, found in 62% of users, was associated with younger age, being male, previous stressors, and suboptimal adherence. Our findings highlight the need for improved access to mental health and substance use services in HIV clinical settings. © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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