| The mental health impact of AIDS-related mortality in South Africa: a national study. | |
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MedLine Citation:
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PMID: 19074926 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Few data exist on how the HIV/AIDS epidemic may influence population mental health. The associations were examined between knowing someone who died of HIV/AIDS and common mental disorders among South African adults. METHODS: Between 2002 and 2004, a nationally representative sample of 4351 adults were interviewed about personally knowing someone who died of HIV/AIDS, and the World Health Organization Composite International Diagnostic Interview was used to generate psychiatric diagnoses for depression, anxiety and substance abuse disorders during the preceding 12 months based on the Diagnostic and Statistical Manual, 4th edition (DSM-IV). RESULTS: Overall, 42.2% of the sample knew someone who died of HIV/AIDS, and 16.5% met the criteria for at least one DSM-IV diagnosis. Individuals who knew someone who died of HIV/AIDS were significantly more likely to have any DSM-IV defined disorder, including any depressive, anxiety or substance-related disorder (p<0.001 for all associations). In multivariate models adjusted for participant demographic characteristics, life events and socioeconomic status, individual disorders significantly associated with knowing someone who died of HIV/AIDS included generalised anxiety disorder, social phobia and alcohol/drug dependence or abuse. Based on these results, it is estimated that up to 15% of 12-month DSM-IV disorders in the South African adult population may be related to knowing someone who died of HIV/AIDS. CONCLUSION: These novel data suggest that AIDS-related mortality may contribute substantially to the burden of mental disorders in settings of high HIV prevalence. While this finding requires further investigation, these data suggest the need to strengthen mental health services in communities where HIV/AIDS is prevalent. |
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Authors:
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L Myer; S Seedat; D J Stein; H Moomal; D R Williams |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2008-12-15 |
Journal Detail:
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Title: Journal of epidemiology and community health Volume: 63 ISSN: 1470-2738 ISO Abbreviation: J Epidemiol Community Health Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-20 Completed Date: 2010-03-12 Revised Date: 2011-10-28 |
Medline Journal Info:
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Nlm Unique ID: 7909766 Medline TA: J Epidemiol Community Health Country: England |
Other Details:
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Languages: eng Pagination: 293-8 Citation Subset: IM |
Affiliation:
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School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Cape Town, South Africa. landon.myer@uct.ac.za |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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mortality,
psychology* Adolescent Adult Anxiety Disorders / epidemiology, etiology Attitude to Death Depressive Disorder / epidemiology, etiology Diagnostic and Statistical Manual of Mental Disorders Female Health Surveys Humans Male Mental Disorders / epidemiology*, etiology Middle Aged Socioeconomic Factors South Africa / epidemiology Substance-Related Disorders / epidemiology, etiology Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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R01 DA 016558/DA/NIDA NIH HHS; R01 MH 059575/MH/NIMH NIH HHS; R01 MH 069864/MH/NIMH NIH HHS; R01 MH 070884/MH/NIMH NIH HHS; R01 TW 006481/TW/FIC NIH HHS; R13 MH 066849/MH/NIMH NIH HHS |
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