Citation

Beckford Jarrett S, De La Haye W, Miller Z, Figueroa JP, Duncan J, Harvey K. AIDS Care 2018; 30(5): 604-608.

Copyright

(Copyright © 2018, Informa - Taylor and Francis Group)

DOI

10.1080/09540121.2017.1384786

PMID

28971701

Abstract

This cross-sectional study explored the range of psychiatric and substance use disorders and unmet need for mental health care among 84 HIV-positive and 44 HIV-negative public clinic attendees in Jamaica. We used a brief interviewer-administered diagnostic tool, the Client Diagnostic Questionnaire. Two-thirds (65.6%) screened positive for at least one psychiatric disorder; 30.5% screened positive for multiple disorders. The most common disorders were post-traumatic stress disorder (PTSD) (41.4%), alcohol abuse (22.7%), and depressive disorders (21.9%). One in fourteen (7.1%) participants with at least one diagnosis received care in the last 6 months. Adjusting for age and sex, PTSD was associated with non-adherence to antiretroviral treatment (AOR = 5.32), anxiety disorders (AOR = 5.82), depression (AOR = 4.29), and suicidal ideation (AOR = 8.17). Psychiatric and substance use disorders, particularly PTSD, were common among STI/HIV clinic attendees in Jamaica. Such clinics may be efficient places to screen, identify, and treat patients with psychiatric disorders in low- and middle- income countries.

Language: en

Keywords

Humans; Cross-Sectional Studies; Adult; Female; Male; Trauma; Adolescent; Depression; Young Adult; Prevalence; PTSD; Suicidal Ideation; Surveys and Questionnaires; Case-Control Studies; Anxiety Disorders; Alcoholism; Depressive Disorder; Mental Disorders; HIV Infections; Stress Disorders, Post-Traumatic; Jamaica; Anti-Retroviral Agents; Medication Adherence; PLHIV; mental health and HIV; STI Patients