Mental health and retention in HIV care: A systematic review and meta-analysis.
Mental health and retention in HIV care: A systematic review and meta-analysis.
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DOI：
10.1037/hea0000606
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Prevention Research Synthesis Project
中科院分区：
文献类型：
--
作者：
Rooks-Peck CR;Adegbite AH;Wichser ME;Ramshaw R;Mullins MM;Higa D;Sipe TA;Prevention Research Synthesis Project
人类免疫缺陷病毒（HIV）感染者中普遍存在心理健康（MH）诊断，这可能与未能保留艾滋病毒护理有关。本综述综合了有关 MH 诊断或症状与 HIV 护理保留率之间关联的定量证据，并确定了 MH 服务利用 (MHSU) 是否与 HIV 护理保留率的改善相关。对美国疾病控制与预防中心的艾滋病毒/艾滋病预防研究综合数据库的电子（例如 MEDLINE、EMBASE、PsycINFO）和手动检索进行了全面检索，以确定 2002 年 1 月至 2017 年 8 月期间发表的相关研究。通过使用随机效应荟萃分析汇总各个研究的效果估计，并进行调节分析。总共涉及约 57,334 名参与者的 45 项研究符合纳入标准：39 项检查了 MH 诊断或症状，14 项检查了 MHSU。总体而言，MH 诊断或症状与继续接受 HIV 护理的较低几率之间存在显着相关性（比值比 [OR] = 0.94；95% 置信区间 [CI] = 0.90–0.99）。健康保险状况（β = 0.004；Z = 3.47；p = 0.001）显着改变了 MH 诊断或症状与 HIV 护理保留之间的关联。此外，MHSU 与继续接受 HIV 护理的几率增加相关（OR = 1.84；95% CI = 1.45–2.33）。结果表明，MH 诊断或症状是保留 HIV 护理的障碍，并强调为有需要的 HIV 患者提供 MH 治疗的重要性。
Mental health (MH) diagnoses, which are prevalent among persons living with human immunodeficiency virus (HIV) infection, might be linked to failed retention in HIV care. This review synthesized the quantitative evidence regarding associations between MH diagnoses or symptoms and retention in HIV care, as well as determined if MH service utilization (MHSU) is associated with improved retention in HIV care. A comprehensive search of the Centers for Disease Control and Prevention’s HIV/AIDS Prevention Research Synthesis database of electronic (e.g., MEDLINE, EMBASE, PsycINFO) and manual searches was conducted to identify relevant studies published during January 2002–August 2017. Effect estimates from individual studies were pooled by using random-effects meta-analysis, and a moderator analysis was conducted. Forty-five studies, involving approximately 57,334 participants in total, met the inclusion criteria: 39 examined MH diagnoses or symptoms, and 14 examined MHSU. Overall, a significant association existed between MH diagnoses or symptoms and lower odds of being retained in HIV care (odds ratio [OR] = 0.94; 95% confidence interval [CI] = 0.90–0.99). Health insurance status (β = 0.004; Z = 3.47; p = 0.001) significantly modified the association between MH diagnoses or symptoms and retention in HIV care. In addition, MHSU was associated with an increased odds of being retained in HIV care (OR = 1.84; 95% CI = 1.45–2.33). Results indicate that MH diagnoses or symptoms are a barrier to retention in HIV care and emphasize the importance of providing MH treatment to HIV patients in need.
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DOI：
10.1097/qai.0000000000001242
发表时间：
2017-02-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Colasanti J;Stahl N;Farber EW;Del Rio C;Armstrong WS
通讯作者：
Armstrong WS
DOI：
10.1056/nejmoa1600693
发表时间：
2016-09-01
期刊：
The New England journal of medicine
影响因子：
--
作者：
Cohen MS;Chen YQ;McCauley M;Gamble T;Hosseinipour MC;Kumarasamy N;Hakim JG;Kumwenda J;Grinsztejn B;Pilotto JH;Godbole SV;Chariyalertsak S;Santos BR;Mayer KH;Hoffman IF;Eshleman SH;Piwowar-Manning E;Cottle L;Zhang XC;Makhema J;Mills LA;Panchia R;Faesen S;Eron J;Gallant J;Havlir D;Swindells S;Elharrar V;Burns D;Taha TE;Nielsen-Saines K;Celentano DD;Essex M;Hudelson SE;Redd AD;Fleming TR;HPTN 052 Study Team
通讯作者：
HPTN 052 Study Team
影响因子：
4.2
作者：
Crepaz, Nicole;Passin, Warren F.;Wolitski, Richard J.
通讯作者：
Wolitski, Richard J.
影响因子：
4.9
作者：
Buchberg, Meredith K.;Fletcher, Faith E.;Bell, Tanvir K.
通讯作者：
Bell, Tanvir K.
影响因子：
33.9
作者：
DeGroote, Nicholas P.;Korhonen, Lauren C.;Bradley, Heather
通讯作者：
Bradley, Heather