Depression and Anxiety Symptoms and Treatment Utilization, and Associated HIV Outcomes among Adults with HIV in Rural Florida.
Persons living with HIV (PLWH) and depression or anxiety in the rural South may have suboptimal HIV outcomes. We sought to examine the proportion of PLWH from rural Florida with symptoms of depression or anxiety, the proportion who received depression or anxiety treatment, and the relationship betwe...
| Publicado en: | AIDS & Behavior Vol. 28; no. 1; pp. 164 - 174 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174953337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174953337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jan2024 vid: 28 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 174953337 174953337 174953337 10.1007/s10461-023-04147-4 174953337 ppf: 164 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Depression and Anxiety Symptoms and Treatment Utilization, and Associated HIV Outcomes among Adults with HIV in Rural Florida. aug: au: Manavalan, Preeti Li, Yancheng Mills, Jon C. Kwara, Awewura Zhou, Zhi Ritter, Alaina S. Spencer, Emma Pence, Brian W. Cook, Robert L. affil: https://ror.org/02y3ad647 Division of Infectious Diseases and Global Medicine, University of Florida, 1600 SW Archer Road, 32610, Gainesville, FL, USA sug: subj: HIV Infections Complications HIV-Positive Persons Psychosocial Factors Rural Areas Florida Depression Symptoms Anxiety Symptoms Depression Epidemiology Anxiety Epidemiology Depression Therapy Anxiety Therapy Outcomes (Health Care) Health Resource Utilization Treatment Outcomes Florida Cross Sectional Studies Surveys Odds Ratio Confidence Intervals Viral Load Bivariate Statistics Mental Health Services Human Male Female Adult Middle Age Funding Source Health Services Accessibility Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Persons living with HIV (PLWH) and depression or anxiety in the rural South may have suboptimal HIV outcomes. We sought to examine the proportion of PLWH from rural Florida with symptoms of depression or anxiety, the proportion who received depression or anxiety treatment, and the relationship between untreated and treated symptoms of depression or anxiety and HIV outcomes. Cross-sectional survey data collected between 2014 and 2018 were analyzed. Among 187 PLWH residing in rural Florida (median age 49 years, 61.5%, male 45.5% Black), 127 (67.9%) met criteria for symptoms of depression and/or anxiety. Among these 127 participants, 60 (47.2%) were not on depression or anxiety treatment. Participants with untreated symptoms of depression and anxiety (OR 3.2, 95% CI 1.2–9.2, p = 0.03) and treated depression and anxiety with uncontrolled symptoms (OR 1.4, 95% CI 0.5–4.0, p = 0.52) were more likely to have viral non-suppression compared to those without depression or anxiety in an unadjusted bivariate analysis. Only the association between untreated symptoms of depression and anxiety and viral non-suppression was statistically significant, and when adjusting for social and structural confounders the association was attenuated and was no longer statistically significant. This suggests that social and structural barriers impact both mental health and HIV outcomes. Our findings support the need for increased mental health services and resources that address the social and structural barriers to care for PLWH in the rural South. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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