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Age-varying Associations of Depressive Symptoms and Heavy Episodic Drinking Throughout Adulthood Among People with HIV and Receiving care in Cameroon Within a National "treat all" Policy.
- Source :
- AIDS & Behavior; Jul2023, Vol. 27 Issue 7, p2070-2078, 9p, 1 Diagram, 1 Chart, 3 Graphs
- Publication Year :
- 2023
-
Abstract
- Comorbid depression and heavy episodic drinking (HED) may threaten the success of "treat all" policies in sub-Saharan Africa as the population of people with HIV (PWH) ages. We investigated associations between depressive symptoms and heavy episodic drinking (HED) and the extent the relationship differed across ages among PWH receiving HIV care in Cameroon. We conducted a retrospective analysis of 18-60-year-old PWH on antiretroviral therapy in Cameroon from January 2016 to March 2020. Age-varying effect modelling was conducted to assess associations between depressive symptoms and HED across ages and by gender. Prevalence of depression and HED was highest at ages 20 and 25, respectively. After age 25, the magnitude of the association between depressive symptoms and HED was significant and increased until age 30 (aOR: 1.88, 95% CI: 1.48, 2.39), with associations remaining significant until age 55 (aOR: 1.64, 95% CI: 1.17, 2.29). Women had more variability and higher magnitudes of associations between depressive symptoms and HED than men. The interrelationship between depressive symptoms and HED was significant throughout most of adulthood for PWH receiving HIV care in Cameroon. Understanding age and gender trends in these associations can guide integration efforts in HIV care settings. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL depression risk factors
HIV infections
HEALTH policy
CONFIDENCE intervals
AGE distribution
BINGE drinking
ANTIRETROVIRAL agents
RETROSPECTIVE studies
SEX distribution
RISK assessment
MENTAL depression
RESEARCH funding
DESCRIPTIVE statistics
ODDS ratio
COMORBIDITY
PSYCHOLOGY of HIV-positive persons
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 27
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 163938703
- Full Text :
- https://doi.org/10.1007/s10461-022-03939-4