scholarly journals Association between social capital and mental health among older people living with HIV: The Sichuan Older HIV-Infected Cohort Study (SOHICS)

2020 ◽  
Author(s):  
Jiayu Han ◽  
Peng Jia ◽  
Yuling Huang ◽  
Bo Gao ◽  
Bin Yu ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Cohort Study ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems ◽  
People Living With Hiv ◽  
The Individual ◽  
Living With Hiv ◽  
Probable Depression

Abstract Background: Mental health problems are common among older people living with HIV and associated with poorer health outcomes. Social capital is an important determinant of mental health problems but under-studied in this population. This study investigated the association between social capital and mental health problems among older people living with HIV in China. Methods: The study was based on the baseline data of a cohort study investigating mental health among older people living with HIV in Sichuan, China during November 2018 to February 2019. Participants were people living with HIV aged ≥50 years living in Sichuan province. Stratified multi-stage cluster sampling was used to recruit participants from 30 communities/towns; 529 out of 556 participants being approached completed the face-to-face interview. Social capital was measured by two validated health-related social capital scales: the Individual and Family scale and the Community and Society scale. Presence of probable depression (CES-D-10 score ≥10) and probable anxiety (GAD-7 score ≥5) were used as dependent variables. Two-level logistic regression models were applied to examine the association between social capital and probable depression/anxiety. Results: The prevalence of probable depression and probable anxiety was 25.9% (137/529) and 36.3% (192/529) , respectively. After adjusting for significant covariates, the individual/family level of social capital was inversely associated with both probable depression (odds ratios (OR): 0.89, 95%CI: 0.84-0.93, p <0.001) and probable anxiety (OR: 0.90, 95%CI: 0.86-0.95, p <0.001). The community/society level social capital was associated with probable depression (OR: 0.91, 95%CI: 0.84-0.99, p <0.001) but not probable anxiety ( p >0.05). Conclusions: Interventions building up social capital should be considered to improve mental health of older people living with HIV. Some useful strategies include cognitive processing therapy, improving community networking and engagement, and promoting social bonding with neighborhood.

scholarly journals Association between social capital and mental health among older people living with HIV: The Sichuan Older HIV-Infected Cohort Study (SOHICS)

2020 ◽  
Author(s):  
Jiayu Han ◽  
Peng Jia ◽  
Yuling Huang ◽  
Bo Gao ◽  
Bin Yu ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Cohort Study ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems ◽  
People Living With Hiv ◽  
The Individual ◽  
Living With Hiv ◽  
Probable Depression

Abstract Background: Mental health problems are common among older people living with HIV and associated with poorer health outcomes. Social capital is an important determinant of mental health problems but under-studied in this population. This study investigated the association between social capital and mental health problems among older people living with HIV in China.Methods: The study was based on the baseline data of a cohort study investigating mental health among older people living with HIV in Sichuan, China during November 2018 to February 2019. Participants were people living with HIV aged ≥50 years living in Sichuan province. Stratified multi-stage cluster sampling was used to recruit participants from 30 communities/towns; 529 out of 556 participants being approached completed the face-to-face interview. Social capital was measured by two validated health-related social capital scales: the Individual and Family scale and the Community and Society scale. Presence of probable depression (CES-D-10 score ≥10) and probable anxiety (GAD-7 score ≥5) were used as dependent variables. Two-level logistic regression models were applied to examine the association between social capital and probable depression/anxiety. Results: The prevalence of probable depression and probable anxiety was 25.9% (137/529) and 36.3% (192/529), respectively. After adjusting for significant covariates, the individual/family level of social capital was inversely associated with both probable depression (odds ratios (OR): 0.89, 95%CI: 0.84-0.93, p<0.001) and probable anxiety (OR: 0.90, 95%CI: 0.86-0.95, p<0.001). The community/society level social capital was associated with probable depression (OR: 0.91, 95%CI: 0.84-0.99, p<0.001) but not probable anxiety (p>0.05).Conclusions: Interventions building up social capital should be considered to improve mental health of older people living with HIV. Some useful strategies include cognitive processing therapy, improving community networking and engagement, and promoting social bonding with neighborhood.

scholarly journals Association between social capital and mental health among older people living with HIV: The Sichuan Older HIV-Infected Cohort Study (SOHICS)

2020 ◽  
Author(s):  
Jiayu Han ◽  
Peng Jia ◽  
Yuling Huang ◽  
Bo Gao ◽  
Bin Yu ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Cohort Study ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems ◽  
People Living With Hiv ◽  
The Individual ◽  
Living With Hiv ◽  
Probable Depression

Abstract Background: Mental health problems are common among older people living with HIV and associated with poorer health outcomes. Social capital is an important determinant of mental health problems but under-studied in this population. This study investigated the association between social capital and mental health problems among older people living with HIV in China. Methods: The study was based on the baseline data of a cohort study investigating mental health among older people living with HIV in Sichuan, China during November 2018 to February 2019. Participants were people living with HIV aged ≥50 years living in Sichuan province. Stratified multi-stage cluster sampling was used to recruit participants from 30 communities/towns; 529 out of 556 participants being approached completed the face-to-face interview. Social capital was measured by two validated health-related social capital scales: the Individual and Family scale and the Community and Society scale. Presence of probable depression (CES-D-10 score ≥10) and probable anxiety (GAD-7 score ≥5) were used as dependent variables. Two-level logistic regression models were applied to examine the association between social capital and probable depression/anxiety. Results: The prevalence of probable depression and probable anxiety was 25.9% (137/529) and 36.3% (192/529) , respectively. After adjusting for significant covariates, the individual/family level of social capital was inversely associated with both probable depression (odds ratios (OR): 0.89, 95%CI: 0.84-0.93, p <0.001) and probable anxiety (OR: 0.90, 95%CI: 0.86-0.95, p <0.001). The community/society level social capital was associated with probable depression (OR: 0.91, 95%CI: 0.84-0.99, p <0.001) but not probable anxiety ( p >0.05). Conclusions: Interventions building up social capital should be considered to improve mental health of older people living with HIV. Some useful strategies include cognitive processing therapy, improving community networking and engagement, and promoting social bonding with neighborhood.

scholarly journals Association between social capital and mental health among older people living with HIV: The Sichuan Older HIV-Infected Cohort Study (SOHICS)

2020 ◽  
Author(s):  
Jiayu Han ◽  
Peng Jia ◽  
Yuling Huang ◽  
Bo Gao ◽  
Bin Yu ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Cohort Study ◽  
Older People ◽  
Mental Health Problems ◽  
Health Problems ◽  
People Living With Hiv ◽  
The Individual ◽  
Living With Hiv ◽  
Probable Depression

Abstract Background: Mental health problems are common among older people living with HIV and associated with poorer health outcomes. Social capital is an important determinant of mental health problems but under-studied in this population. This study investigated the association between social capital and mental health problems among older people living with HIV in China. Methods: The study was based on the baseline data of a cohort study investigating mental health among older people living with HIV in Sichuan, China during November 2018 to February 2019. Participants were people living with HIV aged ≥50 years living in Sichuan province. Stratified multi-stage cluster sampling was used to recruit participants from 30 communities/towns; 529 out of 556 participants being approached completed the face-to-face interview. Social capital was measured by two validated health-related social capital scales: the Individual and Family scale and the Community and Society scale. Presence of probable depression (CES-D-10 score ≥10) and probable anxiety (GAD-7 score ≥5) were used as dependent variables. Two-level logistic regression models were applied to examine the association between social capital and probable depression/anxiety. Results: The prevalence of probable depression and probable anxiety was 25.9% (137/529) and 36.3% (192/529) , respectively. After adjusting for significant covariates, the individual/family level of social capital was inversely associated with both probable depression (Adjusted odds ratios (AOR): 0.89, 95%CI: 0.84-0.93, p <0.001) and probable anxiety (AOR: 0.90, 95%CI: 0.86-0.95, p <0.001). The community/society level social capital was associated with probable depression (AOR: 0.91, 95%CI: 0.84-0.99, p <0.001) but not probable anxiety ( p >0.05). Conclusions: Interventions building up social capital should be considered to improve mental health of older PLWH. Some useful strategies include cognitive processing therapy, improving community networking and engagement, and promoting social bonding with neighborhood.

scholarly journals Associations between antiretroviral therapy-related experiences and mental health status among people living with HIV in China: a prospective observational cohort study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jinzhao Xie ◽  
Zixin Wang ◽  
Quanmin Li ◽  
Qiangsheng He ◽  
Guohong Xu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Status ◽  
People Living With Hiv ◽  
Self Confidence ◽  
Living With Hiv ◽  
Severe Anxiety ◽  
Probable Depression

Abstract Background Mental health problems (e.g., depression and anxiety) are among the most commonly reported comorbidities of HIV. Antiretroviral therapy (ART) coverage has increased sharply. The purposes of this prospective cohort study were to investigate the ART-related experiences and whether they were associated with mental health problems among a sample of people living with HIV undergoing ART in China. Methods The participants were 400 people living with HIV who had started ART for the first time in Guangzhou city. They were followed-up 1-year after ART initiation. Probable depression and moderate/severe anxiety were measured at baseline and Month 12, while experiences related to ART (e.g., side effects and regained self-confidence) were measured at Month 6. Univariate and multivariate logistic regressions were used to explore the associations between baseline characteristics, ART-related experiences and mental health status. Results Among the 300 participants (75.0%) who completed all three surveys, a significant decline in prevalence of probable depression (23.0% at baseline vs. 14.0% at Month 12, P = 0.002) and moderate/severe anxiety (14.7% at baseline vs. 8.7% at Month 12, P = 0.023) was observed during the follow-up period. After adjustment for mental health status and potential confounders at baseline, a number of ART-related experiences at Month 6 were associated with probable depression and/or moderate/severe anxiety measured at Month 12. Improved physical health, relationships with sexual partners, and self-confidence were associated with decreased mental health issues, while the side effects of ART, AIDS-related symptoms, and inconvenience in daily life due to ART use were associated with increased mental health issues. Conclusions ART-related experiences were associated with mental health problems, tailored mental health promotion interventions targeting these experiences are needed.

scholarly journals Associations between antiretroviral therapy–related experiences and mental health status among people living with HIV in China: A prospective observational cohort study

2021 ◽  
Author(s):  
Jinzhao Xie ◽  
Zixin Wang ◽  
Quanmin Li ◽  
Qiangsheng He ◽  
Guohong Xu ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Mental Health Problems ◽  
Health Problems ◽  
Mental Health Status ◽  
People Living With Hiv ◽  
Self Confidence ◽  
Living With Hiv ◽  
Severe Anxiety ◽  
Probable Depression

Abstract Background: Mental health problems (e.g., depression and anxiety) are among the most commonly reported comorbidities of HIV. Antiretroviral therapy (ART) coverage has increased sharply. The purposes of this prospective cohort study were to investigate the ART-related experiences and whether they were associated with mental health problems among a sample of people living with HIV undergoing ART in China.Methods: The participants were 400 people living with HIV who had started ART for the first time in Guangzhou city. They were followed-up one-year after ART initiation. Probable depression and moderate/severe anxiety were measured at baseline and Month 12, while experiences related to ART (e.g., side effects and regained self-confidence) were measured at Month 6. Univariate and multivariate logistic regressions were used to explore the associations between baseline characteristics, ART-related experiences and mental health status.Results: Among the 300 participants (75.0%) who completed all three surveys, a significant decline in prevalence of probable depression (23.0% at baseline vs. 14.0% at Month 12, P = 0.002) and moderate/severe anxiety (14.7% at baseline vs. 8.7% at Month 12, P = 0.023) was observed during the follow-up period. After adjustment for mental health status and potential confounders at baseline, a number of ART-related experiences at Month 6 were associated with probable depression and/or moderate/severe anxiety measured at Month 12. Improved physical health, relationships with sexual partners, and self-confidence were associated with decreased mental health issues, while the side effects of ART, AIDS-related symptoms, and inconvenience in daily life due to ART use were associated with increased mental health issues.Conclusions: ART-related experiences were associated with mental health problems, tailored mental health promotion interventions targeting these experiences are needed.

scholarly journals The impact of social capital and mental health on medication adherence among older people living with HIV (PLWH)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lei He ◽  
Bin Yu ◽  
Jun Yu ◽  
Jun Xiong ◽  
Yuling Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Medication Adherence ◽  
Older People ◽  
Penalized Regression ◽  
People Living With Hiv ◽  
Hiv Medication ◽  
The Individual ◽  
Living With Hiv ◽  
The Impact

Abstract Background The number of older people living with HIV (PLWH) is increasing. Although there are many studies affecting medication adherence, research on the impact of social capital and mental health on medication adherence in this particular population is limited. Method Data were collected from an ongoing observational prospective cohort study, starting from November 2018, among older PLWH in Sichuan province, China. Five hundred twenty-one participants were interviewed. Social capital consists of the individual and family (IF) scale, and the community and society (CS) scale. The presence of probable depression and probable anxiety were assessed using the CES-D-10 and GAD-7 scales. Adherence was defined as taking ≥80% of prescribed HIV medication in 4 days prior to the interview. Two sets of Firth’ penalized regression analyses were used to estimate the association between social capital, mental health, and medication adherence. Results The prevalence of non-adherence was 18.2% (95/521) among older PLWH in this study. After adjusting for significant factors, the CS social capital (OR: 0.92, 95%CI:0.85–0.99, p < 0.05) and probable anxiety (OR:1.73, 95%CI:1.07–2.80, p < 0.05) were associated with non-adherence. Conclusion This study highlighted that the effects of social capital and mental health on older PLWH’s adherence, which implied that the need to develop interventions to concern for mental health and enhance CS social capital to help the older PLWH better manage HIV medication adherence.

scholarly journals Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yulia Shenderovich ◽  
Mark Boyes ◽  
Michelle Degli Esposti ◽  
Marisa Casale ◽  
Elona Toska ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Cohort Study ◽  
Mental Health Problems ◽  
Health Problems ◽  
Sub Saharan Africa ◽  
Depression Symptoms ◽  
Sub Saharan ◽  
Positive Caregiving ◽  
Living With Hiv

Abstract Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10–19 initiated on antiretroviral treatment in government health facilities (n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n=926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97–0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98–1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92–0.97, p<.0001) and anxiety (0.91, 95% CI 0.89–0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

scholarly journals Mental health problems in people living with HIV: changes in the last two decades: the London experience 1990–2014

AIDS Care ◽  
2016 ◽  
Vol 28 (sup1) ◽  
pp. 56-59 ◽  
Author(s):  
Catherine Adams ◽  
Shilpa Zacharia ◽  
Lisa Masters ◽  
Caroline Coffey ◽  
Pepe Catalan
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
People Living With Hiv ◽  
Living With Hiv

Implications of the global mental health and the HIV syndemic on HIV prevention and care

2018 ◽  
pp. 337-344
Author(s):  
Joseph T. F. Lau ◽  
Jinghua Li ◽  
Rui She ◽  
Yoo Na Kim
Keyword(s):  
Mental Health ◽  
Hiv Prevention ◽  
Mental Health Problems ◽  
Global Mental Health ◽  
Health Problems ◽  
Health Improvement ◽  
People Living With Hiv ◽  
Risk Behaviours ◽  
Mental Health Interventions ◽  
Living With Hiv

HIV is known as a ‘social disease’, as its transmission is attributable to risk behaviours which are influenced by cultural and psychosocial environments. It is important to consider the HIV syndemic, defined here as the co-occurrence of HIV and other illness/health conditions (e.g. mental health problems, substance use). Mental health problems are prevalent both among key populations for HIV prevention and people living with HIV (PLWH), and can influence HIV-related risk behaviours, interact synergistically, and compromise the effectiveness of HIV prevention, treatment, and care. Structural, interpersonal, and individual factors associated with mental health problems among PLWH, and the impact of such problems on HIV prevention, are discussed. Promising approaches, such as positive psychology interventions, are explored. Finally, gaps in current mental health interventions, services, and personnel are highlighted, to suggest areas for improvement. Mental health improvement in affected populations is a prerequisite of controlling the global HIV epidemic.

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