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Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa

BACKGROUND: The cascade of human immunodeficiency virus (HIV) care in patients with psychiatric disorders is poorly understood. AIM: This study determined the prevalence of HIV and described its cascade of care among patients with psychiatric disorders in the Eastern Cape province, South Africa. The...

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Autores principales: Aboobaker, Adila, Zingela, Zukiswa, Adeniyi, Oladele V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905407/
https://www.ncbi.nlm.nih.gov/pubmed/35281962
http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1753
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author Aboobaker, Adila
Zingela, Zukiswa
Adeniyi, Oladele V.
author_facet Aboobaker, Adila
Zingela, Zukiswa
Adeniyi, Oladele V.
author_sort Aboobaker, Adila
collection PubMed
description BACKGROUND: The cascade of human immunodeficiency virus (HIV) care in patients with psychiatric disorders is poorly understood. AIM: This study determined the prevalence of HIV and described its cascade of care among patients with psychiatric disorders in the Eastern Cape province, South Africa. The study also examined the correlates of HIV comorbidity with psychiatric disorders in the cohort. METHODS: In this cross-sectional study, a total of 368 individuals attending the Psychiatric Outpatients’ Department of Cecilia Makiwane Hospital in Eastern Cape were interviewed with a structured questionnaire. Relevant items on demographics and clinical information were extracted from the medical records. Virologic suppression was defined as viral load < 1000 RNA copies/mL. RESULTS: The HIV prevalence after the intervention was 18.8% and a significant proportion of participants already knew their status (n = 320; 87.0%). Linkage to care and antiretroviral therapy initiation occurred in 61 participants, of those diagnosed with HIV (88.4%), with 84.1% being eligible for viral load monitoring (n = 58) and 53.4% having achieved virologic suppression. Being female (AOR = 5.48; 95% CI 2.61–11.51) and black (adjusted odds ratio [AOR] = 3.85; 95% confidence interval [CI] 1.06–14.03) were independent predictors of HIV comorbidity in individuals living with psychiatric disorders. CONCLUSION: This study found a moderately high prevalence (close to 19%) of HIV in individuals with psychiatric disorders, with a significant correlation with being female and being black people. This study also found a significant gap in the linkage to antiretroviral therapy (ART) initiation and a low rate of virologic suppression of 53.4%. Clinicians, therefore, should monitor and provide interventions for patients with concomitant HIV infection along this cascade of care.
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spelling pubmed-89054072022-03-10 Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa Aboobaker, Adila Zingela, Zukiswa Adeniyi, Oladele V. S Afr J Psychiatr Original Research BACKGROUND: The cascade of human immunodeficiency virus (HIV) care in patients with psychiatric disorders is poorly understood. AIM: This study determined the prevalence of HIV and described its cascade of care among patients with psychiatric disorders in the Eastern Cape province, South Africa. The study also examined the correlates of HIV comorbidity with psychiatric disorders in the cohort. METHODS: In this cross-sectional study, a total of 368 individuals attending the Psychiatric Outpatients’ Department of Cecilia Makiwane Hospital in Eastern Cape were interviewed with a structured questionnaire. Relevant items on demographics and clinical information were extracted from the medical records. Virologic suppression was defined as viral load < 1000 RNA copies/mL. RESULTS: The HIV prevalence after the intervention was 18.8% and a significant proportion of participants already knew their status (n = 320; 87.0%). Linkage to care and antiretroviral therapy initiation occurred in 61 participants, of those diagnosed with HIV (88.4%), with 84.1% being eligible for viral load monitoring (n = 58) and 53.4% having achieved virologic suppression. Being female (AOR = 5.48; 95% CI 2.61–11.51) and black (adjusted odds ratio [AOR] = 3.85; 95% confidence interval [CI] 1.06–14.03) were independent predictors of HIV comorbidity in individuals living with psychiatric disorders. CONCLUSION: This study found a moderately high prevalence (close to 19%) of HIV in individuals with psychiatric disorders, with a significant correlation with being female and being black people. This study also found a significant gap in the linkage to antiretroviral therapy (ART) initiation and a low rate of virologic suppression of 53.4%. Clinicians, therefore, should monitor and provide interventions for patients with concomitant HIV infection along this cascade of care. AOSIS 2022-02-15 /pmc/articles/PMC8905407/ /pubmed/35281962 http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1753 Text en © 2022. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Aboobaker, Adila
Zingela, Zukiswa
Adeniyi, Oladele V.
Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title_full Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title_fullStr Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title_full_unstemmed Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title_short Correlates and cascade of HIV care in patients with psychiatric disorders in the Eastern Cape province, South Africa
title_sort correlates and cascade of hiv care in patients with psychiatric disorders in the eastern cape province, south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8905407/
https://www.ncbi.nlm.nih.gov/pubmed/35281962
http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1753
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