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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Depressive symptoms and their impact on health-seeking behaviors in newly-diagnosed HIV-infected patients in Durban, South Africa
AIDS and Behavior, Volume 16, No. 8, Year 2012
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Description
We evaluated the prevalence and correlates of depressive symptoms prior to HIV diagnosis and determined the effect of these symptoms on seeking HIV care at an urban and rural clinic in Durban, South Africa. Adults were administered a questionnaire which included the 5-item Mental Health Index (MHI-5) before HIV testing. We determined the depressive symptoms among HIV-infected subjects. Of 1,545 newly-diagnosed HIV-infected subjects, 55% had depressive symptoms by MHI-5 score. Enrolling at the urban clinic and decreasing functional activity score were associated with depressive symptoms. Subjects with depressive symptoms who were referred for HIV testing by a healthcare provider were less likely to obtain a CD4 count than those without depressive symptoms who self-referred for testing. Depressive symptoms were common among newly-diagnosed HIV-infected participants and impacted CD4 uptake. Depression screening at the time of HIV diagnosis is critical for improving linkage to mental health and HIV services in South Africa. © Springer Science+Business Media, LLC 2012.
Authors & Co-Authors
Ramirez-Avila, Lynn
United States, Boston
Boston Children's Hospital
United States, Boston
Massachusetts General Hospital
Regan, Susan
United States, Boston
Massachusetts General Hospital
Giddy, Janet
South Africa, Durban
Mccord Hospital
Chetty, S.
South Africa, Durban
Mccord Hospital
Ross, Douglas S.
South Africa, Durban
St. Mary's Hospital
Katz, Jeffrey Neil
United States, Boston
Brigham and Women's Hospital
United States, Boston
Harvard T.h. Chan School of Public Health
Freedberg, Kenneth A.
United States, Boston
Massachusetts General Hospital
United States, Boston
Harvard Medical School
United States, Boston
School of Public Health
Walensky, Rochelle P.
United States, Boston
Harvard Medical School
United States, Boston
Massachusetts General Hospital
United States, Boston
Brigham and Women's Hospital
Losina, Elena
United States, Boston
Brigham and Women's Hospital
United States, Boston
Harvard Medical School
United States, Boston
Boston University
Bassett, Ingrid V.
United States, Boston
Harvard Medical School
United States, Boston
Massachusetts General Hospital
Statistics
Citations: 63
Authors: 10
Affiliations: 9
Identifiers
Doi:
10.1007/s10461-012-0160-y
ISSN:
10907165
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Cross Sectional Study
Study Locations
South Africa