Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA

Detalhes bibliográficos
Autor(a) principal: Parcesepe, A.
Data de Publicação: 2023
Outros Autores: Stockton, M., Bernard, C., Kanguya, T., Kwobah, E., Lopez, A., Murenzi, G., Ross, J., Minga, A., Tlali, M., Goodrich, S., Perazzo, Hugo, Ingabire, C., Nimkar, S., Lancaster, K.
Tipo de documento: Artigo de conferência
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/60634
Resumo: University of North Carolina at Chapel Hill. Chapel Hill, United States.
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spelling Parcesepe, A.Stockton, M.Bernard, C.Kanguya, T.Kwobah, E.Lopez, A.Murenzi, G.Ross, J.Minga, A.Tlali, M.Goodrich, S.Perazzo, HugoIngabire, C.Nimkar, S.Lancaster, K.2023-09-29T19:44:02Z2023-09-29T19:44:02Z2023PARCESEPE, A. et al. Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.https://www.arca.fiocruz.br/handle/icict/60634engPsychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEAMultimorbidade psiquiátrica entre pessoas com HIV com idade> 40 anos em países de baixa e média renda na Rede de Pesquisa Sentinela da Iedeainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObjectUniversity of North Carolina at Chapel Hill. Chapel Hill, United States.Columbia University. New York, United States.University of Bordeaux. National Institute for Health and Medical Research (INSERM). Research Institute for Sustainable Development (IRD). Bordeaux Population Health Research Centre. Bordeaux, France.Centre for Infectious Disease Research in Zambia. Lusaka, Zambia.Moi Teaching and Referral Hospital. Eldoret, Kenya.Instituto Nacional de Ciencias Médicas y Nutrición. Mexico City, Mexico.Research for Development (RD Rwanda) and Rwanda Military Hospital. Kigali, Rwanda.TREAT Asia/amfAR – The Foundation for AIDS Research. Bangkok, Thailand.Centre Médical de Suivi des Donneurs de Sang/ CNTS-CI. Abidjan, Cote D'Ivoire.University of Cape Town. Centre for Infectious Disease Epidemiology & Research (CIDER). Cape Town, South Africa.Indiana University School of Medicine. Indianapolis, United States.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Research for Development (RD Rwanda) and Rwanda Military Hospital. Kigali, Rwanda.Byramjee Jeejeebhoy Government Medical College – Johns Hopkins University Clinical Research Site. Pune, India.The Ohio State University. Columbus, United States.Background: Mental and substance use disorders (MSD) are common among people with HIV (PWH) and have been associated with poor HIV care outcomes. Psychiatric multimorbidity, the presence of two or more co-occurring MSD, has been associated with greater psychiatric symptom severity and worse mental health treatment outcomes. Research into the prevalence of psychiatric multimorbidity among PWH in low- and middle-income countries (LMIC) remains limited. Methods: We analyzed baseline data from the International epidemiology Databases to Evaluate AIDS (IeDEA) Sentinel Research Network (SRN), a cohort of PWH aged >40 years on antiretroviral therapy at eight HIV clinics within the Asia-Pacific, Latin America, and Central, East, Southern, and West Africa IeDEA regions. Baseline data were collected between October 2020 and September 2022. We documented the prevalence and co-occurrence of symptoms of moderate to severe depression (PHQ-9 =10), anxiety (GAD-7 =10), and post-traumatic stress disorder (PTSD) (PCL-5 =33), as well as hazardous alcohol use (AUDIT-C =3 for women, =4 for men) and hazardous drug use (ASSIST >3 for cannabis, cocaine, amphetamines, inhalants, sedatives, hallucinogens, or opioids). Psychiatric multimorbidity was defined as the co-occurrence of symptoms of two or more disorders assessed. Results: Among 2,074 participants, the median age was 50 (IQR: 45-56) years and 54% were female. The prevalence of symptoms of depression, anxiety, and PTSD was 15%, 10%, and 6%, respectively. The prevalence of hazardous alcohol use and hazardous drug use was 20% and 4%, respectively. Overall, the prevalence of psychiatric multimorbidity was 12%. Among those with symptoms of at least one MSD, the prevalence of psychiatric multimorbidity was 35%. The prevalence of symptoms of psychiatric multimorbidity was as follows: hazardous alcohol use 29%, hazardous drug use 62%, depression 60%, anxiety 79%, and PTSD 89%. Conclusions: In this cohort, psychiatric multimorbidity was common among PWH aged >40 across LMIC. 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.HIVPsychiatric multimorbidityMental and substance use disordersinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALPsy_Hugo.pdfPsy_Hugo.pdfapplication/pdf983646https://www.arca.fiocruz.br/bitstream/icict/60634/2/Psy_Hugo.pdf11a323681372d926caeb355d8037012eMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/60634/1/license.txt5a560609d32a3863062d77ff32785d58MD51icict/606342023-09-29 16:45:06.932oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-09-29T19:45:06Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.en_US.fl_str_mv Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
dc.title.alternative.en_US.fl_str_mv Multimorbidade psiquiátrica entre pessoas com HIV com idade> 40 anos em países de baixa e média renda na Rede de Pesquisa Sentinela da Iedea
title Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
spellingShingle Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
Parcesepe, A.
HIV
Psychiatric multimorbidity
Mental and substance use disorders
title_short Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
title_full Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
title_fullStr Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
title_full_unstemmed Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
title_sort Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA
author Parcesepe, A.
author_facet Parcesepe, A.
Stockton, M.
Bernard, C.
Kanguya, T.
Kwobah, E.
Lopez, A.
Murenzi, G.
Ross, J.
Minga, A.
Tlali, M.
Goodrich, S.
Perazzo, Hugo
Ingabire, C.
Nimkar, S.
Lancaster, K.
author_role author
author2 Stockton, M.
Bernard, C.
Kanguya, T.
Kwobah, E.
Lopez, A.
Murenzi, G.
Ross, J.
Minga, A.
Tlali, M.
Goodrich, S.
Perazzo, Hugo
Ingabire, C.
Nimkar, S.
Lancaster, K.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Parcesepe, A.
Stockton, M.
Bernard, C.
Kanguya, T.
Kwobah, E.
Lopez, A.
Murenzi, G.
Ross, J.
Minga, A.
Tlali, M.
Goodrich, S.
Perazzo, Hugo
Ingabire, C.
Nimkar, S.
Lancaster, K.
dc.subject.en.en_US.fl_str_mv HIV
Psychiatric multimorbidity
Mental and substance use disorders
topic HIV
Psychiatric multimorbidity
Mental and substance use disorders
description University of North Carolina at Chapel Hill. Chapel Hill, United States.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-09-29T19:44:02Z
dc.date.available.fl_str_mv 2023-09-29T19:44:02Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/conferenceObject
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status_str publishedVersion
dc.identifier.citation.fl_str_mv PARCESEPE, A. et al. Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/60634
identifier_str_mv PARCESEPE, A. et al. Psychiatric multimorbidity among people with HIV aged >40 years in low- and middle-income countries in the Sentinel Research Network of IeDEA. In: IAS CONFERENCE ON HIV SCIENCE, 12., Brisbane, Australia. [Abstracts...]. Australia, 2023. 1 p.
url https://www.arca.fiocruz.br/handle/icict/60634
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/60634/2/Psy_Hugo.pdf
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