Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey
<br><strong>Background: </strong>Psychological distress includes a broader range of experiences, varying from less severe symptoms of depression and anxiety to severe psychiatric disease. Global estimates for depression and anxiety in 2017 were 3.4% and 3.8%, respectively. While fo...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
BMJ Publishing Group
2020
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| _version_ | 1826281048782143488 |
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| author | Garriga-Fuentes, C Gutiérrez Trujillo, L del Romero, J Montero, M Pérez-Elias, MJ Culqui Levano, D Gutierrez, F Gómez-Sirvent, JL Peña-Monje, A Blanco, JR Rodríguez-Arenas, MA |
| author_facet | Garriga-Fuentes, C Gutiérrez Trujillo, L del Romero, J Montero, M Pérez-Elias, MJ Culqui Levano, D Gutierrez, F Gómez-Sirvent, JL Peña-Monje, A Blanco, JR Rodríguez-Arenas, MA |
| author_sort | Garriga-Fuentes, C |
| collection | OXFORD |
| description | <br><strong>Background: </strong>Psychological distress includes a broader range of experiences, varying from less severe symptoms of depression and anxiety to severe psychiatric disease. Global estimates for depression and anxiety in 2017 were 3.4% and 3.8%, respectively. While for people living with HIV, global estimates were 16% and 33%, respectively.</br>
<br><strong>Objective: </strong>We aimed to determine the prevalence of psychological distress by gender and associated characteristics in patients living with HIV.</br>
<br><strong>Methods: </strong>A cross-sectional study was conducted within the Spanish HIV Research Network CoRIS. Participants were interviewed by telephone between 2010 and 2014 about their psychological distress, sociodemographics, drug consumption, self-perceived health and combined antiretroviral therapy (cART) adherence. Laboratory tests and medical history details were collected from CoRIS. Logistic regression was used to identify characteristics associated with psychological distress.</br>
<br><strong>Findings: </strong>We interviewed 99 women and 464 men, both living with HIV. A greater proportion of women (51, 51.5%) reported psychological distress than men (179, 38.6%; p<0.01). Non-adherence to cART (OR 4.6 and 2.3, 95% CI 1.4‒15.1 and 1.3‒4.2) and non-use of cART (8.4 and 1.8, 2.2‒32.4 and 1.1‒2.8) were related to psychological distress in women and men, respectively. Spending little time in leisure-based physical activity was related to psychological distress in women (3.1, 1.1‒9.0). Living alone (2.0, 1.3‒3.0) and being unemployed (2.3, 1.4‒3.6) were related to psychological distress in men.</br>
<br><strong>Conclusions and Clinical implications: </strong>As people living with HIV have a high prevalence of psychological distress, their regular screening appointments should include psychological assessment. A gendered approach is needed to detect and manage psychological distress.</br>
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| first_indexed | 2024-03-07T00:22:55Z |
| format | Journal article |
| id | oxford-uuid:7d293fa1-6e66-432b-9fdb-62a468e09f29 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:22:55Z |
| publishDate | 2020 |
| publisher | BMJ Publishing Group |
| record_format | dspace |
| spelling | oxford-uuid:7d293fa1-6e66-432b-9fdb-62a468e09f292022-03-26T21:01:44ZPsychological distress in women and men living with HIV in Spain: a cross-sectional telephone surveyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7d293fa1-6e66-432b-9fdb-62a468e09f29EnglishSymplectic ElementsBMJ Publishing Group2020Garriga-Fuentes, CGutiérrez Trujillo, Ldel Romero, JMontero, MPérez-Elias, MJCulqui Levano, DGutierrez, FGómez-Sirvent, JLPeña-Monje, ABlanco, JRRodríguez-Arenas, MA<br><strong>Background: </strong>Psychological distress includes a broader range of experiences, varying from less severe symptoms of depression and anxiety to severe psychiatric disease. Global estimates for depression and anxiety in 2017 were 3.4% and 3.8%, respectively. While for people living with HIV, global estimates were 16% and 33%, respectively.</br> <br><strong>Objective: </strong>We aimed to determine the prevalence of psychological distress by gender and associated characteristics in patients living with HIV.</br> <br><strong>Methods: </strong>A cross-sectional study was conducted within the Spanish HIV Research Network CoRIS. Participants were interviewed by telephone between 2010 and 2014 about their psychological distress, sociodemographics, drug consumption, self-perceived health and combined antiretroviral therapy (cART) adherence. Laboratory tests and medical history details were collected from CoRIS. Logistic regression was used to identify characteristics associated with psychological distress.</br> <br><strong>Findings: </strong>We interviewed 99 women and 464 men, both living with HIV. A greater proportion of women (51, 51.5%) reported psychological distress than men (179, 38.6%; p<0.01). Non-adherence to cART (OR 4.6 and 2.3, 95% CI 1.4‒15.1 and 1.3‒4.2) and non-use of cART (8.4 and 1.8, 2.2‒32.4 and 1.1‒2.8) were related to psychological distress in women and men, respectively. Spending little time in leisure-based physical activity was related to psychological distress in women (3.1, 1.1‒9.0). Living alone (2.0, 1.3‒3.0) and being unemployed (2.3, 1.4‒3.6) were related to psychological distress in men.</br> <br><strong>Conclusions and Clinical implications: </strong>As people living with HIV have a high prevalence of psychological distress, their regular screening appointments should include psychological assessment. A gendered approach is needed to detect and manage psychological distress.</br> |
| spellingShingle | Garriga-Fuentes, C Gutiérrez Trujillo, L del Romero, J Montero, M Pérez-Elias, MJ Culqui Levano, D Gutierrez, F Gómez-Sirvent, JL Peña-Monje, A Blanco, JR Rodríguez-Arenas, MA Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title | Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title_full | Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title_fullStr | Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title_full_unstemmed | Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title_short | Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey |
| title_sort | psychological distress in women and men living with hiv in spain a cross sectional telephone survey |
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