학술논문

Mental health and adherence to antiretroviral therapy among Mexican people living with HIV during the COVID-19 pandemic
Document Type
article
Source
AIDS Research and Therapy, Vol 20, Iss 1, Pp 1-12 (2023)
Subject
HIV/AIDS
Mental health
ART adherence
COVID-19 pandemic
Immunologic diseases. Allergy
RC581-607
Language
English
ISSN
1742-6405
Abstract
Abstract Background The mental health and medical follow-up of people living with HIV (PLWH) have been disrupted by the COVID-19 pandemic. The objectives of this study were to assess anxiety, depression and substance use in Mexican PLWH during the pandemic; to explore the association of these symptoms with adherence to antiretroviral therapy (ART), and to compare patients with and without vulnerability factors (low socioeconomic level, previous psychological and/or psychiatric treatment). Methods We studied 1259 participants in a cross-sectional study, PLWH receiving care at the HIV clinic in Mexico City were contacted by telephone and invited to participate in the study. We included PLWH were receiving ART; answered a structured interview on sociodemographic data and adherence to ART; and completed the psychological instruments to assess depressive and anxiety symptoms and substance use risk. Data collection was performed from June 2020 to October 2021. Results 84.7% were men, 8% had inadequate ART adherence, 11% had moderate-severe symptoms of depression, and 13% had moderate-severe symptoms of anxiety. Adherence was related to psychological symptoms (p