Mental health and retention in HIV care: A systematic review and meta-analysis

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
Cherie R Rooks-PeckPrevention Research Synthesis Project

Abstract

Mental health (MH) diagnoses, which are prevalent among persons living with HIV infection, might be linked to failed retention in HIV care. This review synthesized the quantitative evidence regarding associations between MH diagnoses or symptoms and retention in HIV care, as well as determined if MH service utilization (MHSU) is associated with improved retention in HIV care. A comprehensive search of the Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis database of electronic (e.g., MEDLINE, EMBASE, PsycINFO) and manual searches was conducted to identify relevant studies published during January 2002-August 2017. Effect estimates from individual studies were pooled by using random-effects meta-analysis, and a moderator analysis was conducted. Forty-five studies, involving approximately 57,334 participants in total, met the inclusion criteria: 39 examined MH diagnoses or symptoms, and 14 examined MHSU. Overall, a significant association existed between MH diagnoses or symptoms, and lower odds of being retained in HIV care (odds ratio, OR = 0.94; 95% confidence interval [CI] [0.90, 0.99]). Health insurance status (β = 0.004; Z = 3.47; p = .001) significantly modified the association between MH d...Continue Reading

Citations

Jan 24, 2020·International Journal of STD & AIDS·Maximo O BritoRichard M Novak
Apr 27, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Ann-Margaret Dunn NavarraNatalie Neu
May 20, 2020·International Journal of Environmental Research and Public Health·Rui LuoDan Luo
Apr 17, 2020·International Journal of Environmental Research and Public Health·Yunxiang HuangShuiyuan Xiao
May 2, 2019·Open Forum Infectious Diseases·Raina AggarwalKathleen A McManus
Nov 6, 2020·Journal of the American Medical Informatics Association : JAMIA·Tomasz OliwaJessica P Ridgway
Jan 3, 2021·Community Mental Health Journal·Fiona N ConwayKristian V Jones
Jan 8, 2021·Journal of Psychosocial Oncology·Brandon KnettelGita Suneja
Jun 11, 2021·Current HIV/AIDS Reports·Wendee M WechsbergIsa van der Drift
Apr 29, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Brandon A KnettelMichael V Relf
Nov 19, 2021·Current HIV/AIDS Reports·Jacqueline HoareNicole Phillips

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