Psychological distress in women and men living with HIV in Spain: a cross-sectional telephone survey

Fecha de publicación: 01/08/2020 Fecha Ahead of Print: 14/07/2020

Autores de IIS La Fe

Marta Montero Alonso

Autor

Participantes ajenos a IIS La Fe

Garriga, C
Trujillo, LG
Del Romero, J
Perez-Elias, MJ
Levano, DC
Gutierrez, F
Gomez-Sirvent, JL
Pena-Monje, A
Blanco, JR
Rodriguez-Arenas, MA

Grupos

Investigacion clínica en enfermedades crónicas e Infección por el VIH

Abstract

Background 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. Objective We aimed to determine the prevalence of psychological distress by gender and associated characteristics in patients living with HIV. Methods 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. Findings 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. Conclusions and clinical implications 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.

Datos de la publicación

ISSN/ISSNe:: 1362-0347, 1468-960X
Tipo:: Article
Páginas:: 91-99
DOI:: 10.1136/ebmental-2019-300138
PubMed:: 32665249
Factor de Impacto:: 2,282 SCImago ℠
Cuartil:: Q1 SCImago ℠

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Métricas

Filiaciones

Garriga, C:: Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England

Inst Salud Carlos III, Natl Sch Publ Hlth, Madrid, Spain

Inst Salud Carlos III, Natl Ctr Epidemiol, Spanish Field Epidemiol Training Programme FETP P, Madrid, Spain
Trujillo, LG:: Inst Salud Carlos III, Natl Sch Publ Hlth, Madrid, Spain
Del Romero, J:: Ctr Sanitario Sandoval, Madrid, Spain
Montero, M:: Hosp Univ La Fe, Infect Dis Unit, Valencia, Spain
Perez-Elias, MJ:: Hosp Univ Ramon y Cajal, Dept Infect Dis, Madrid, Spain
Levano, DC:: Inst Salud Carlos III, Natl Ctr Epidemiol, Spanish Field Epidemiol Training Programme FETP P, Madrid, Spain

Geriatr Hosp, Ctr Sociosanitario Isabel Roig, Barcelona, Spain
Gutierrez, F:: Hosp Gen Elche, Infect Dis Unit, Alicante, Spain

Univ Miguel Hernandez, Alicante, Spain
Gomez-Sirvent, JL:: Hosp Univ Canarias, Internal & Infect Med Serv, San Cristobal la Laguna, Canarias, Spain
Pena-Monje, A:: Hosp Univ San Cecilio, Infect Dis Unit, Granada, Spain
Blanco, JR:: Hosp Univ San Pedro, Dept Infect Dis, Logrono, Spain
Rodriguez-Arenas, MA:: Inst Salud Carlos III, Natl Sch Publ Hlth, Madrid, Spain

Keywords

depression & mood disorders; anxiety disorders

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