Childhood trauma, substance use and depressive symptoms in people with HIV during COVID-19
South African Journal of Psychiatry
Field | Value | |
Title | Childhood trauma, substance use and depressive symptoms in people with HIV during COVID-19 | |
Creator | Prosad Singh, Nikita Ntlantsana, Vuyokazi Tomita, Andrew Paruk, Saeeda | |
Description | Background: Adverse childhood experiences (ACEs), substance use, depressive symptoms, and HIV outcomes in people living with HIV (PLWHIV) have not been comprehensively investigated within a single study.Aim: The aim of this study was to investigate the prevalence and association of ACEs, substance use, depressive symptoms and human immunodeficiency virus (HIV) outcomes in PLWHIV accessing HIV care during the coronavirus disease 2019 (COVID-19) pandemic.Setting: District hospital HIV clinic in South Africa.Methods: A total of 196 PLWHIV completed a socio-demographic and clinical questionnaire; an adapted World Health Organization (WHO) Alcohol, Smoking and Substance Involvement Screening Test; WHO ACEs International Questionnaire, and Patient Health Questionnaire.Results: The most common ACEs were having one or no parent, parental separation or divorce (n = 131, 66.8%), exposure to collective (n = 57, 29.1%) and community violence (n = 55, 28.1%), with 40.3% (n = 79) experiencing ≥ 3 ACEs. The most commonly used substances were alcohol (n = 34, 17.3%), tobacco (n = 33, 16.8%), and cannabis (n =13, 6.6%). The prevalence of depressive symptoms was 19.4% (n = 38). Linear regression analyses indicated greater alcohol (adj β = 2.84, p 0.01), tobacco (adj β = 3.64, p 0.01) and cannabis use risk scores (adj β = 2.39, p 0.01) were associated with ≥ 3 ACEs. Logistic regression indicated depressive risk (adjusted odds ratio [OR] = 9.39, 95% confidence interval [CI] 4.78–23.51) was associated with ≥ 3 ACEs.Conclusion: A high prevalence of ACEs, substance use and depressive symptoms exists among PLWHIV, along with an association between cumulative ACEs and both substance use and depressive symptoms.Contribution: Enhanced screening and management services are recommended to address this triple burden in PLWHIV. | |
Publisher | AOSIS | |
Date | 2024-10-08 | |
Identifier | 10.4102/sajpsychiatry.v30i0.2220 | |
Source | South African Journal of Psychiatry; Vol 30 (2024); 8 pages 2078-6786 1608-9685 | |
Language | eng | |
Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajp.org.za/index.php/sajp/article/view/2220/3587
https://sajp.org.za/index.php/sajp/article/view/2220/3588
https://sajp.org.za/index.php/sajp/article/view/2220/3589
https://sajp.org.za/index.php/sajp/article/view/2220/3590
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