Knowledge of HIV status is associated with a decrease in the severity of depressive symptoms among female sex workers in Uganda and Zambia

• Verfasst von: Ortblad, Katrina [VerfasserIn]
• Verfasst von: Musoke, Daniel Kibuuka [VerfasserIn]
• Verfasst von: Chanda, Michael M. [VerfasserIn]
• Verfasst von: Ngabirano, Thomson [VerfasserIn]
• Verfasst von: Velloza, Jennifer [VerfasserIn]
• Verfasst von: Haberer, Jessica E. [VerfasserIn]
• Verfasst von: McConnell, Margaret A. [VerfasserIn]
• Verfasst von: Oldenburg, Catherine E. [VerfasserIn]
• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Titel: Knowledge of HIV status is associated with a decrease in the severity of depressive symptoms among female sex workers in Uganda and Zambia
• Verf.angabe: Katrina F. Ortblad, Daniel Kibuuka Musoke, Michael M. Chanda, Thomson Ngabirano, Jennifer Velloza, Jessica E. Haberer, Margaret McConnell, Catherine E. Oldenburg and Till Bärnighausen
• E-Jahr: 2020
• Jahr: January 1, 2020
• Umfang: 10 S.
• Fussnoten: Gesehen am 14.01.2021
• Titel Quelle: Enthalten in: Journal of acquired immune deficiency syndromes
• Ort Quelle: Philadelphia, Pa. : Lippincott Williams & Wilkins, 1996
• Jahr Quelle: 2020
• Band/Heft Quelle: 83(2020), 1, Seite 37-46
• ISSN Quelle: 1944-7884
• ISSN Quelle: 1077-9450
• DOI: doi:10.1097/QAI.0000000000002224
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1744683565

Abstract

Background: - Knowledge of HIV-positive status may result in depressive symptoms, which may be a concern to scaling novel HIV testing interventions that move testing outside the health system and away from counselor support. - Setting: - Uganda and Zambia. - Methods: - We used longitudinal data from 2 female sex worker (FSW) cohorts in Uganda (n = 960) and Zambia (n = 965). Over 4 months, participants had ample opportunity to HIV testing using standard-of-care services or self-tests. At baseline and 4 months, we measured participants' perceived knowledge of HIV status, severity of depressive symptoms (continuous PHQ-9 scale, 0-27 points), and prevalence of likely depression (PHQ-9 scores ≥10). We estimated associations using individual fixed-effects estimation. - Results: - Compared with unknown HIV status, knowledge of HIV-negative status was significantly associated with a decrease in depressive symptoms of 1.06 points in Uganda (95% CI −1.79 to −0.34) and 1.68 points in Zambia (95% CI −2.70 to −0.62). Knowledge of HIV-positive status was significantly associated with a decrease in depressive symptoms of 1.01 points in Uganda (95% CI −1.82 to −0.20) and 1.98 points in Zambia (95% CI −3.09 to −0.88). The prevalence of likely depression was not associated with knowledge of HIV status in Uganda but was associated with a 14.1% decrease with knowledge of HIV-negative status (95% CI −22.1% to −6.0%) and a 14.3% decrease with knowledge of HIV-positive status (95% CI −23.9% to −4.5%) in Zambia. - Conclusions: - Knowledge of HIV status, be it positive or negative, was significantly associated with a decrease in depressive symptoms in 2 FSW populations. The expansion of HIV testing programs may have mental health benefits for FSWs.