Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina

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dc.contributor.authorSued, Omar
dc.contributor.authorCecchini, Diego
dc.contributor.authorAbbamonte, John M
dc.contributor.authorRodriguez, Violeta J
dc.contributor.authorMandell, Lissa
dc.contributor.authorCristofari, Nicholas
dc.contributor.authorFigueroa, Maria Inés
dc.contributor.authorCassetti, Isabel
dc.contributor.authorCahn, Pedro
dc.contributor.authorWeiss, Stephen
dc.contributor.authorAlcaide, Maria
dc.contributor.authorCahn, Florencia
dc.contributor.authorCalanni, Liliana
dc.contributor.authorCrinejo, Ana
dc.contributor.authorDavid, Daniel
dc.contributor.authorLupo, Sergio
dc.contributor.authorPérez, Carolina
dc.contributor.authorPérez, Rufina
dc.contributor.authorRodriguez, Claudia
dc.contributor.authorRolón, María José
dc.contributor.authorSisto, Alicia
dc.contributor.authorTrapé, Liliana
dc.contributor.authorJones, Deborah
dc.date.accessioned2024-05-23T23:49:11Z
dc.date.available2024-05-23T23:49:11Z
dc.date.issued2021-06
dc.descriptionFil: Sued O. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.descriptionFil: Cahn P. Fundación Huésped, Buenos Aires; Argentinaes_ES
dc.description.abstractBackground: Cumulative burden of multiple mental health conditions may worsen physical health outcomes in vulnerable populations. Accordingly, identifying cumulative burdens of mental health conditions that may affect HIV treatment and care can guide public health strategies to reduce their impact on HIV-related health outcomes. This study examined the relationship between the cumulative burden of mental health conditions and factors associated with engagement in HIV care in Argentina. Method: Data for this study was obtained at baseline from Conexiones y Opciones Positivas en la Argentina 2 (COPA2). Participants (N = 360) were cisgender patients living with HIV who were lost to care, recruited from seven clinics serving people living with HIV in four Argentine urban centers. Cumulative burden of mental health conditions (i.e., depressive symptoms, problematic substance use, unhealthy alcohol use, and psychotic symptoms) was assessed. Results: Every one-point increase in the number of mental health conditions present was associated with a decrement in patient-provider communication (b = - 0.22, p < .001), self-efficacy (b = - 0.13, p = .012), and motivation for adherence (b = - 0.11, p = .039). Conclusion: This study found cumulative burden of depression, problematic substance use, unhealthy alcohol use, and psychotic symptoms to be negatively associated with factors related to engagement in HIV care. Results highlight the importance of identification and treatment of challenges to mental health, in order to ameliorate their influence on engagement in HIV care.
dc.formatapplication/pdfes_ES
dc.identifier.doihttps://doi.org/10.1007/s12529-020-09921-5
dc.identifier.issn1532-7558 (Electronic)
dc.identifier.issn1070-5503 (Linking)
dc.identifier.urihttps://link.springer.com/article/10.1007/s12529-020-09921-5
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/1323
dc.languageENGes_ES
dc.provenancePublishedes_ES
dc.relation.ispartofseriesInternational Journal of Behavioral Medicine;2021 Jun;28(3):318-327. doi: 10.1007/s12529-020-09921-5
dc.rightsRestrictedAccesses_ES
dc.subjectArgentinaes_ES
dc.subjectComorbidadeses_ES
dc.subjectHIVes_ES
dc.titleCumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentinaes_ES
dc.typeArticuloes_ES

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