Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina
Background 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...
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| Veröffentlicht in: | International journal of behavioral medicine 2021-06, Vol.28 (3), p.318-327 |
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| creator | Sued, Omar Cecchini, Diego Abbamonte, John M. Rodriguez, Violeta J. Mandell, Lissa N. Cristofari, Nicholas V. Figueroa, Maria Inés Cassetti, Isabel Cahn, Pedro Weiss, Stephen M. Alcaide, Maria L. Cahn, Florencia Calanni, Liliana Crinejo, Ana David, Daniel Lupo, Sergio Pérez, Carolina Pérez, Rufina Rodriguez, Claudia Rolón, María José Sisto, Alicia Trapé, Liliana Jones, Deborah L. |
| description | Background
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
|
| doi_str_mv | 10.1007/s12529-020-09921-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2428418336</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2527360544</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-42a1935e6f0eed99a7effdd839b02954b467067cb3b4f8853fbc17ef77f02e1b3</originalsourceid><addsrcrecordid>eNp9kE1LxDAQhoMoun78AQ8S8OKlOkmapj2ui7rCiiDqNaTtZK206Zq0gv_e6PoBHjzNMPPMm_AQcsjglAGos8C45EUCHBIoCs4SuUEmTAqeKCnzzdiDgkRKEDtkN4RnAJBKwTbZEVzxiGQTcjcbu7E1Q_OK9Hz0NTraW3qDbjAtnaNphyd6aaqh94EaV9MLtzRL7OKeNo7Orx_pzHj86Kd-GaeNM_tky5o24MFX3SMPlxf3s3myuL26nk0XSSWUHJKUG1YIiZkFxLoojEJr6zoXRQm8kGmZZgoyVZWiTG2eS2HLikVGKQscWSn2yMk6d-X7lxHDoLsmVNi2xmE_Bs1TnqcsFyKL6PEf9LkfvYu_01GhEhnINI0UX1OV70PwaPXKN53xb5qB_jCu18Z1NK4_jWsZj46-oseyw_rn5FtxBMQaCHHlluh_3_4n9h2p0Inj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2527360544</pqid></control><display><type>article</type><title>Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina</title><source>SpringerLink Journals - AutoHoldings</source><creator>Sued, Omar ; Cecchini, Diego ; Abbamonte, John M. ; Rodriguez, Violeta J. ; Mandell, Lissa N. ; Cristofari, Nicholas V. ; Figueroa, Maria Inés ; Cassetti, Isabel ; Cahn, Pedro ; Weiss, Stephen M. ; Alcaide, Maria L. ; Cahn, Florencia ; Calanni, Liliana ; Crinejo, Ana ; David, Daniel ; Lupo, Sergio ; Pérez, Carolina ; Pérez, Rufina ; Rodriguez, Claudia ; Rolón, María José ; Sisto, Alicia ; Trapé, Liliana ; Jones, Deborah L.</creator><creatorcontrib>Sued, Omar ; Cecchini, Diego ; Abbamonte, John M. ; Rodriguez, Violeta J. ; Mandell, Lissa N. ; Cristofari, Nicholas V. ; Figueroa, Maria Inés ; Cassetti, Isabel ; Cahn, Pedro ; Weiss, Stephen M. ; Alcaide, Maria L. ; Cahn, Florencia ; Calanni, Liliana ; Crinejo, Ana ; David, Daniel ; Lupo, Sergio ; Pérez, Carolina ; Pérez, Rufina ; Rodriguez, Claudia ; Rolón, María José ; Sisto, Alicia ; Trapé, Liliana ; Jones, Deborah L.</creatorcontrib><description>Background
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.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1007/s12529-020-09921-5</identifier><identifier>PMID: 32725586</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Alcohol use ; Drug use ; Family Medicine ; Full Length Manuscript ; General Practice ; Health Psychology ; HIV ; Human immunodeficiency virus ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Motivation ; Psychosis ; Public health ; Substance use ; Urban environments</subject><ispartof>International journal of behavioral medicine, 2021-06, Vol.28 (3), p.318-327</ispartof><rights>International Society of Behavioral Medicine 2021. corrected publication 2021</rights><rights>International Society of Behavioral Medicine 2021. corrected publication 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-42a1935e6f0eed99a7effdd839b02954b467067cb3b4f8853fbc17ef77f02e1b3</citedby><cites>FETCH-LOGICAL-c375t-42a1935e6f0eed99a7effdd839b02954b467067cb3b4f8853fbc17ef77f02e1b3</cites><orcidid>0000-0001-8543-2061 ; 0000-0001-5818-770X ; 0000-0002-0309-0334 ; 0000-0002-8481-8242 ; 0000-0001-6266-6148 ; 0000-0002-8545-6132 ; 0000-0003-1180-1711</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12529-020-09921-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12529-020-09921-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32725586$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sued, Omar</creatorcontrib><creatorcontrib>Cecchini, Diego</creatorcontrib><creatorcontrib>Abbamonte, John M.</creatorcontrib><creatorcontrib>Rodriguez, Violeta J.</creatorcontrib><creatorcontrib>Mandell, Lissa N.</creatorcontrib><creatorcontrib>Cristofari, Nicholas V.</creatorcontrib><creatorcontrib>Figueroa, Maria Inés</creatorcontrib><creatorcontrib>Cassetti, Isabel</creatorcontrib><creatorcontrib>Cahn, Pedro</creatorcontrib><creatorcontrib>Weiss, Stephen M.</creatorcontrib><creatorcontrib>Alcaide, Maria L.</creatorcontrib><creatorcontrib>Cahn, Florencia</creatorcontrib><creatorcontrib>Calanni, Liliana</creatorcontrib><creatorcontrib>Crinejo, Ana</creatorcontrib><creatorcontrib>David, Daniel</creatorcontrib><creatorcontrib>Lupo, Sergio</creatorcontrib><creatorcontrib>Pérez, Carolina</creatorcontrib><creatorcontrib>Pérez, Rufina</creatorcontrib><creatorcontrib>Rodriguez, Claudia</creatorcontrib><creatorcontrib>Rolón, María José</creatorcontrib><creatorcontrib>Sisto, Alicia</creatorcontrib><creatorcontrib>Trapé, Liliana</creatorcontrib><creatorcontrib>Jones, Deborah L.</creatorcontrib><title>Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina</title><title>International journal of behavioral medicine</title><addtitle>Int.J. Behav. Med</addtitle><addtitle>Int J Behav Med</addtitle><description>Background
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.</description><subject>Alcohol use</subject><subject>Drug use</subject><subject>Family Medicine</subject><subject>Full Length Manuscript</subject><subject>General Practice</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Motivation</subject><subject>Psychosis</subject><subject>Public health</subject><subject>Substance use</subject><subject>Urban 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Omar</creator><creator>Cecchini, Diego</creator><creator>Abbamonte, John M.</creator><creator>Rodriguez, Violeta J.</creator><creator>Mandell, Lissa N.</creator><creator>Cristofari, Nicholas V.</creator><creator>Figueroa, Maria Inés</creator><creator>Cassetti, Isabel</creator><creator>Cahn, Pedro</creator><creator>Weiss, Stephen M.</creator><creator>Alcaide, Maria L.</creator><creator>Cahn, Florencia</creator><creator>Calanni, Liliana</creator><creator>Crinejo, Ana</creator><creator>David, Daniel</creator><creator>Lupo, Sergio</creator><creator>Pérez, Carolina</creator><creator>Pérez, Rufina</creator><creator>Rodriguez, Claudia</creator><creator>Rolón, María José</creator><creator>Sisto, Alicia</creator><creator>Trapé, Liliana</creator><creator>Jones, Deborah L.</creator><general>Springer US</general><general>Springer Nature 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Burden of Mental Health Factors and Engagement in HIV Care in Argentina</title><author>Sued, Omar ; Cecchini, Diego ; Abbamonte, John M. ; Rodriguez, Violeta J. ; Mandell, Lissa N. ; Cristofari, Nicholas V. ; Figueroa, Maria Inés ; Cassetti, Isabel ; Cahn, Pedro ; Weiss, Stephen M. ; Alcaide, Maria L. ; Cahn, Florencia ; Calanni, Liliana ; Crinejo, Ana ; David, Daniel ; Lupo, Sergio ; Pérez, Carolina ; Pérez, Rufina ; Rodriguez, Claudia ; Rolón, María José ; Sisto, Alicia ; Trapé, Liliana ; Jones, Deborah L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-42a1935e6f0eed99a7effdd839b02954b467067cb3b4f8853fbc17ef77f02e1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcohol use</topic><topic>Drug use</topic><topic>Family Medicine</topic><topic>Full Length Manuscript</topic><topic>General Practice</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Motivation</topic><topic>Psychosis</topic><topic>Public health</topic><topic>Substance use</topic><topic>Urban environments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sued, Omar</creatorcontrib><creatorcontrib>Cecchini, Diego</creatorcontrib><creatorcontrib>Abbamonte, John M.</creatorcontrib><creatorcontrib>Rodriguez, Violeta J.</creatorcontrib><creatorcontrib>Mandell, Lissa N.</creatorcontrib><creatorcontrib>Cristofari, Nicholas V.</creatorcontrib><creatorcontrib>Figueroa, Maria Inés</creatorcontrib><creatorcontrib>Cassetti, Isabel</creatorcontrib><creatorcontrib>Cahn, Pedro</creatorcontrib><creatorcontrib>Weiss, Stephen M.</creatorcontrib><creatorcontrib>Alcaide, Maria L.</creatorcontrib><creatorcontrib>Cahn, Florencia</creatorcontrib><creatorcontrib>Calanni, Liliana</creatorcontrib><creatorcontrib>Crinejo, Ana</creatorcontrib><creatorcontrib>David, Daniel</creatorcontrib><creatorcontrib>Lupo, Sergio</creatorcontrib><creatorcontrib>Pérez, Carolina</creatorcontrib><creatorcontrib>Pérez, Rufina</creatorcontrib><creatorcontrib>Rodriguez, Claudia</creatorcontrib><creatorcontrib>Rolón, María José</creatorcontrib><creatorcontrib>Sisto, Alicia</creatorcontrib><creatorcontrib>Trapé, Liliana</creatorcontrib><creatorcontrib>Jones, Deborah L.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sued, Omar</au><au>Cecchini, Diego</au><au>Abbamonte, John M.</au><au>Rodriguez, Violeta J.</au><au>Mandell, Lissa N.</au><au>Cristofari, Nicholas V.</au><au>Figueroa, Maria Inés</au><au>Cassetti, Isabel</au><au>Cahn, Pedro</au><au>Weiss, Stephen M.</au><au>Alcaide, Maria L.</au><au>Cahn, Florencia</au><au>Calanni, Liliana</au><au>Crinejo, Ana</au><au>David, Daniel</au><au>Lupo, Sergio</au><au>Pérez, Carolina</au><au>Pérez, Rufina</au><au>Rodriguez, Claudia</au><au>Rolón, María José</au><au>Sisto, Alicia</au><au>Trapé, Liliana</au><au>Jones, Deborah L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina</atitle><jtitle>International journal of behavioral medicine</jtitle><stitle>Int.J. Behav. Med</stitle><addtitle>Int J Behav Med</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>28</volume><issue>3</issue><spage>318</spage><epage>327</epage><pages>318-327</pages><issn>1070-5503</issn><eissn>1532-7558</eissn><abstract>Background
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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32725586</pmid><doi>10.1007/s12529-020-09921-5</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8543-2061</orcidid><orcidid>https://orcid.org/0000-0001-5818-770X</orcidid><orcidid>https://orcid.org/0000-0002-0309-0334</orcidid><orcidid>https://orcid.org/0000-0002-8481-8242</orcidid><orcidid>https://orcid.org/0000-0001-6266-6148</orcidid><orcidid>https://orcid.org/0000-0002-8545-6132</orcidid><orcidid>https://orcid.org/0000-0003-1180-1711</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1070-5503 |
| ispartof | International journal of behavioral medicine, 2021-06, Vol.28 (3), p.318-327 |
| issn | 1070-5503 1532-7558 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2428418336 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Alcohol use Drug use Family Medicine Full Length Manuscript General Practice Health Psychology HIV Human immunodeficiency virus Medicine Medicine & Public Health Mental disorders Mental health Motivation Psychosis Public health Substance use Urban environments |
| title | Cumulative Burden of Mental Health Factors and Engagement in HIV Care in Argentina |
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