scholarly journals Integrating mental health in global initiatives for HIV/AIDS

2005 ◽  
Vol 187 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Melvyn C. Freeman ◽  
Vikram Patel ◽  
Pamela Y. Collins ◽  
Jose M. Bertolote
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychosocial Interventions ◽  
World Health ◽  
People Living With Hiv ◽  
Infected People ◽  
Mental Health Interventions ◽  
Health Organization ◽  
Living With Hiv ◽  
Hiv Aids

SummaryA more prominent role is needed for mental health interventions in global HIV/AIDS initiatives – such as the World Health Organization ‘3 by 5’ Initiative. Significant numbers of infected people have, or develop, mental health problems, and this often adversely impacts on HIV/AIDS treatment and adherence. Integrating psychiatric and psychosocial interventions should benefit both the mental and the physical health of people living with HIV/AIDS.

scholarly journals Kondisi Psikologi, Sosial, dan Spiritual pada Orang dengan HIV/AIDS Selama Pengobatan Antiretroviral di Komisi Penanggulangan AIDS Kota Bogor Tahun 2019

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Ervan Meidan Ariatama ◽  
Titik Respati ◽  
Eka Nurhayati
Keyword(s):  
Aids Prevention ◽  
World Health ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
World Health Organization Quality ◽  
Organization Quality ◽  
Health Organization ◽  
Living With Hiv ◽  
Hiv Aids

Penyakit HIV/AIDS selain mengakibatkan dampak kesehatan dapat juga mengakibatkan dampak negatif terhadap psikologi, sosial, dan spiritual pada kualitas hidup orang dengan HIV/AIDS (ODHA). Antiretroviral (ARV) merupakan obat penghambat proses replikasi HIV yang merupakan solusi untuk meningkatkan kualitas hidup dan harapan hidup penderita. Tujuan penelitian ini adalah menggambarkan kondisi psikologi, sosial, dan spiritual ODHA selama menjalani pengobatan ARV di Komisi Penanggulangan AIDS (KPA) Kota Bogor periode bulan Agustus–September 2019. Penelitian ini dilakukan menggunakan metode observasi analitik dengan pendekatan cross sectional. Data diambil menggunakan kuesioner World Health Organization Quality of Life-HIV Instrument (WHOQOL-HIV Instrument) yang terdiri atas 120 pertanyaan dan terbagi menjadi 6 domain (psikologi, sosial, spiritual, fisik, lingkungan hidup, dan tingkat kebebasan). Pada penelitian ini hanya diambil 3 domain, yaitu psikologi, sosial, dan spiritual dengan jumlah pertanyaan 52 butir yang dibagikan kepada 80 responden dan dilaksanakan selama bulan Agustus sampai bulan September 2019. Teknik pengambilan sampel menggunakan non-probability sampling jenis consecutive sampling berdasar atas rumus besar estimasi proporsi dengan presisi absolut. Hasil menunjukkan mayoritas kondisi psikologi, sosial, dan spiritual ODHA selama pengobatan antiretroviral di KPA Kota Bogor tahun 2019 dalam kondisi baik dengan persentase kondisi psikologi 96%, sosial 99%, dan spiritual 70%. Simpulan penelitian ini adalah kondisi psikologi, sosial, dan spiritual pada ODHA di Komisi Penanggulangan AIDS Kota Bogor tahun 2019 mayoritas dalam kondisi baik, walaupun kondisi spiritual ODHA masih terdapat hasil kurang baik. PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL CONDITIONS IN PEOPLE LIVING WITH HIV/AIDS DURING ANTIRETROVIRAL TREATMENT AT THE AIDS PREVENTION COMMISSION AT BOGOR CITY IN 2019Apart from having an impact on health, HIV/AIDS can also have a negative psychological, social, and spiritual impact on people living with HIV/AIDS (PLWHA). Antiretroviral (ARV) as drugs that inhibits the process of replication of HIV, which is a solution to improve the quality of life and life expectancy of patients. The purpose of this study was to describe the psychological, social, and spiritual conditions of PLWHA during ARV treatment at the AIDS Prevention Commission in Bogor City in August to September 2019. The study was a cross-sectional study. The research material consisted of primary data taken using the World Health Organization-Quality Instrument HIV questionnaire (WHOQOL-HIV Instrument) consisting of 120 questions and divided into six domains (psychological, social, spiritual, physical, environment, degree of freedom). However, in this study, only three domains studied, which are psychological, social, and spiritual, with 52 questions and then distributed to 80 respondents and carried out from August to September. The sampling technique uses non-probability sampling type consecutive sampling based on large formula of proportion estimation with absolute precision. Results showed the psychological, social, and spiritual condition of PLWHA during antiretroviral treatment at the Bogor City AIDS Commission in 2019 shows a good condition. The majority of good psychological, social, and spiritual domain experienced by 96%, 99%, and 70% of respondents, respectively. The conclusion of this research is the psychological, social, and spiritual conditions of PLWHA in the Bogor AIDS prevention commission in 2019 in the good conditions, even though there was a spiritual condition of ODHA that was still not good.

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.

scholarly journals Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil

2014 ◽  
Vol 30 (12) ◽  
pp. 2578-2586 ◽  
Author(s):  
Katia Cristina Bassichetto ◽  
Denise Pimentel Bergamaschi ◽  
Vania Regina Salles Garcia ◽  
Maria Amélia de Sousa Mascena Veras
Keyword(s):  
Nutritional Status ◽  
Health Department ◽  
Nutritional Risk ◽  
World Health ◽  
People Living With Hiv ◽  
Public Health Services ◽  
Health Organization ◽  
Living With Hiv ◽  
Municipal Health ◽  
Hiv Aids

The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with co-infection it is 3.41 times that obtained among people without co-infection. This indicates how these conditions can harm the maintenance of the nutritional status, and shows that they demand a comprehensive understanding of the mechanisms involved in this phenomenon, as well as the development of strategies to improve the health care of individuals at nutritional risk.

scholarly journals Patterns of Co-occurring Comorbidities in People Living With HIV

2018 ◽  
Vol 5 (11) ◽  
Author(s):  
Davide De Francesco ◽  
Sebastiaan O Verboeket ◽  
Jonathan Underwood ◽  
Emmanouil Bagkeris ◽  
Ferdinand W Wit ◽  
...  
Keyword(s):  
Mental Health ◽  
General Health ◽  
Mental Health Problems ◽  
Principal Component ◽  
The Other ◽  
People Living With Hiv ◽  
Wide Range ◽  
Living With Hiv ◽  
Shared Risk ◽  
Hiv Aids

Abstract Background The aims of this study were to identify common patterns of comorbidities observed in people living with HIV (PLWH), using a data-driven approach, and evaluate associations between patterns identified. Methods A wide range of comorbidities were assessed in PLWH participating in 2 independent cohorts (POPPY: UK/Ireland; AGEhIV: Netherlands). The presence/absence of each comorbidity was determined using a mix of self-reported medical history, concomitant medications, health care resource use, and laboratory parameters. Principal component analysis (PCA) based on Somers’ D statistic was applied to identify patterns of comorbidities. Results PCA identified 6 patterns among the 1073 POPPY PLWH (85.2% male; median age [interquartile range {IQR}], 52 [47–59] years): cardiovascular diseases (CVDs), sexually transmitted diseases (STDs), mental health problems, cancers, metabolic disorders, chest/other infections. The CVDs pattern was positively associated with cancer (r = .32), metabolic disorder (r = .38), mental health (r = .16), and chest/other infection (r = .17) patterns (all P &lt; .001). The mental health pattern was correlated with all the other patterns (in particular cancers: r = .20; chest/other infections: r = .27; both P &lt; .001). In the 598 AGEhIV PLWH (87.6% male; median age [IQR], 53 [48–59] years), 6 patterns were identified: CVDs, chest/liver, HIV/AIDS events, mental health/neurological problems, STDs, and general health. The general health pattern was correlated with all the other patterns (in particular CVDs: r = .14; chest/liver: r = .15; HIV/AIDS events: r = .31; all P &lt; .001), except STDs (r = –.02; P = .64). Conclusions Comorbidities in PLWH tend to occur in nonrandom patterns, reflecting known pathological mechanisms and shared risk factors, but also suggesting potential previously unknown mechanisms. Their identification may assist in adequately addressing the pathophysiology of increasingly prevalent multimorbidity in PLWH.

scholarly journals EXPECTING THE RETURN OF UIN SUMATERA UTARA'S latHIVa IN THE PREVENTION OF HIV AND AIDS IN NORTH SUMATERA

2021 ◽  
Vol 27 (2) ◽  
Author(s):  
Achmad Ramadhan
Keyword(s):  
National Level ◽  
Hiv And Aids ◽  
World Health ◽  
People Living With Hiv ◽  
Aids Epidemic ◽  
Health Organization ◽  
Living With Hiv ◽  
North Sumatra ◽  
Prevention Of Hiv ◽  
Hiv Aids

<p>As a reflection, when latHIVa was established as a non-structural institution at UIN Sumatera Utara (UiN SU) to tackle HIV and AIDS, the discovery of HIV and AIDS cases at the international level were around 34.3 million people living with HIV, while in 2019 it was estimated that 36.9 million people living with HIV. The cases of HIV and AIDS at the national level in 2000 were 1500 people living with HIV / AIDS (PLWHA) while in 2019 there were 349,882 PLWHA in North Sumatra, and in 2000 there were 30 people living with HIV, while the cases of HIV / AIDS at the level of North Sumatra Province up to August 2019 were 9362 PLWHA. The description of the HIV and AIDS case above describes the epidemic process since the formation of the UIN Sumatera Utara's latHIVa until August 2019. The HIV and AIDS epidemic is like an iceberg phenomenon, which means the numbers of HIV and AIDS cases found above are not the actual numbers. HIV and AIDS do exist. Therefore, WHO (World Health Organization) has formulated that to find out the real numbers, the numbers obtained must be multiplied by 100-200. Thus, if 9362 cases of HIV and AIDS in North Sumatra is  multiplied by 100, then there might be 936,200 cases of PLWHA in North Sumatra. Thus, there are around 900 thousand PLWHA who have not been found in North Sumatra.</p>

scholarly journals Pulmonary tuberculosis screening in anti-retroviral treated adults living with HIV in Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jill K. Gersh ◽  
Ruanne V. Barnabas ◽  
Daniel Matemo ◽  
John Kinuthia ◽  
Zachary Feldman ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Preventive Therapy ◽  
World Health ◽  
People Living With Hiv ◽  
Tuberculosis Screening ◽  
Hiv Positive Adults ◽  
Health Organization ◽  
A Prospective Study ◽  
Living With Hiv ◽  
Tuberculosis Prevalence

Abstract Background People living with HIV (PLHIV) who reside in high tuberculosis burden settings remain at risk for tuberculosis disease despite treatment with anti-retroviral therapy and isoniazid preventive therapy (IPT). The performance of the World Health Organization (WHO) symptom screen for tuberculosis in PLHIV receiving anti-retroviral therapy is sub-optimal and alternative screening strategies are needed. Methods We enrolled HIV-positive adults into a prospective study in western Kenya. Individuals who were IPT-naïve or had completed IPT > 6 months prior to enrollment were eligible. We evaluated tuberculosis prevalence overall and by IPT status. We assessed the accuracy of the WHO symptom screen, GeneXpert MTB/RIF (Xpert), and candidate biomarkers including C-reactive protein (CRP), hemoglobin, erythrocyte sedimentation rate (ESR), and monocyte-to-lymphocyte ratio for identifying pulmonary tuberculosis. Some participants were evaluated at 6 months post-enrollment for tuberculosis. Results The study included 383 PLHIV, of whom > 99% were on antiretrovirals and 88% had received IPT, completed a median of 1.1 years (IQR 0.8–1.55) prior to enrollment. The prevalence of pulmonary tuberculosis at enrollment was 1.3% (n = 5, 95% CI 0.4–3.0%): 4.3% (0.5–14.5%) among IPT-naïve and 0.9% (0.2–2.6%) among IPT-treated participants. The sensitivity of the WHO symptom screen was 0% (0–52%) and specificity 87% (83–90%). Xpert and candidate biomarkers had poor to moderate sensitivity; the most accurate biomarker was CRP ≥ 3.3 mg/L (sensitivity 80% (28–100) and specificity 72% (67–77)). Six months after enrollment, the incidence rate of pulmonary tuberculosis following IPT completion was 0.84 per 100 person-years (95% CI, 0.31–2.23). Conclusions In Kenyan PLHIV treated with IPT, tuberculosis prevalence was low at a median of 1.4 years after IPT completion. WHO symptoms screening, Xpert, and candidate biomarkers were insensitive for identifying pulmonary tuberculosis in antiretroviral-treated PLHIV.

scholarly journals Cultural and linguistic adaptation of the multi-dimensional OXCAP-MH for outcome measurement of mental health among people living with HIV/AIDS in Uganda: the Luganda version

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Kenneth R. Katumba ◽  
Yoko V. Laurence ◽  
Patrick Tenywa ◽  
Joshua Ssebunnya ◽  
Agata Laszewska ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Care Providers ◽  
English Version ◽  
Validation Process ◽  
Living With Hiv ◽  
Hiv Aids

Abstract Background It is rare to find HIV/AIDS care providers in sub-Saharan Africa routinely providing mental health services, yet 8–30% of the people living with HIV have depression. In an ongoing trial to assess integration of collaborative care of depression into routine HIV services in Uganda, we will assess quality of life using the standard EQ-5D-5L, and the capability-based OxCAP-MH which has never been adapted nor used in a low-income setting. We present the results of the translation and validation process for cultural and linguistic appropriateness of the OxCAP-MH tool for people living with HIV/AIDS and depression in Uganda. Methods The translation process used the Concept Elaboration document, the source English version of OxCAP-MH, and the Back-Translation Review template as provided during the user registration process of the OxCAP-MH, and adhered to the Translation and Linguistic Validation process of the OxCAP-MH, which was developed following the international principles of good practice for translation as per the International Society for Pharmacoeconomics and Outcomes Research’s standards. Results The final official Luganda version of the OxCAP-MH was obtained following a systematic iterative process, and is equivalent to the English version in content, but key concepts were translated to ensure cultural acceptability, feasibility and comprehension by Luganda-speaking people. Conclusion The newly developed Luganda version of the OxCAP-MH can be used both as an alternative or as an addition to health-related quality of life patient-reported outcome measures in research about people living with HIV with comorbid depression, as well as more broadly for mental health research.

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