Evidence map›Paper›PMID 37081470›Full record

ArticleBMC psychiatry2023

Association between mental disorders and adherence to antiretroviral treatment in health facilities in two Mozambican provinces in 2018: a cross-sectional study.

Flavio M Mandlate, M Claire Greene, Luis F Pereira, Maria Lidia Gouveia, Jair Jesus Mari, Francine Cournos, Cristiane S Duarte, Maria A Oquendo, Marcelo Feijó Mello, Milton L Wainberg

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Flavio M MandlateDepartment of Mental Health, Ministry of Health, Eduardo Mondlane Avenue, nr 1008, Postal Code 264, Maputo, Mozambique. fmachado14@gmail.com.
M Claire GreeneProgram on Forced Migration and Health, Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, USA.
Luis F PereiraNew York State Psychiatric Institute, Columbia University, New York, USA.
Maria Lidia GouveiaDepartment of Mental Health, Ministry of Health, Eduardo Mondlane Avenue, nr 1008, Postal Code 264, Maputo, Mozambique.
Jair Jesus MariDepartment of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
Francine CournosNew York State Psychiatric Institute, Columbia University, New York, USA.
Cristiane S DuarteNew York State Psychiatric Institute, Columbia University, New York, USA.
Maria A OquendoPerelman School of Medicine, University of Pennsylvania, Philadelphia, USA.
Marcelo Feijó Mello *Department of Psychiatry, Federal University of Sao Paulo, Sao Paulo, Brazil.
Milton L Wainberg *New York State Psychiatric Institute, Columbia University, New York, USA.
Columbia University · USMinistry of Health · MZUniversidade Federal de São Paulo · BRNew York Psychoanalytic Society and Institute · USUniversity of Pennsylvania · US

Funding

StepWell: Stepped Care Mental Health and Substance Use Telehealth Services for COVID-19 Affected PatientsU19MH113203 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OQUENDO, MARIA A, WAINBERG, MILTON L · 2017 to 2021
$5.7M
Global Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4M
Community I-STAR Mozambique: Community Implementation of SBIRT using Technology for Alcohol use Reduction in MozambiqueR01AA025947 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI WAINBERG, MILTON L · 2018 to 2023
$3.4M
PALOP MENTAL HEALTH IMPLEMENTATION RESEARCH TRAININGD43TW009675 · FIC · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Lidia Gouveia, Maria A Oquendo · 2014 to 2026
$3.2M
Optimizing implementation of evidence-based mental health interventions to promote reach and retention among migrants in transit in humanitarian emergenciesK01MH129572 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Martha Claire Greene · 2022 to 2026
$880k
FIC NIH HHS D43 TW009675NIAAA NIH HHS R01 AA025947NIMH NIH HHS K01 MH129572NIMH NIH HHS T32 MH096724NIMH NIH HHS U19 MH113203
6 · The paper itself

Abstract

introductionLower adherence to antiretroviral treatment (ART) has been found among people with HIV (PWH) who have comorbid mental disorders like depression and alcohol use in Sub-Saharan African. However, there has been less exploration with regards to other mental disorders.

methodsThis study assessed the association of multiple mental disorders and adherence to ART based on the data from primary/tertiary health care facilities in Maputo and Nampula, Mozambique. We administered a sociodemographic questionnaire, Mini International Neuropsychiatric Interview (MINI) Plus 4.0.0 adapted for use in Mozambique to assess mental conditions, and a 3-item self-report to measure ART adherence.

results395 HIV-positive (self-report) participants on ART, with an average age of 36.7 years (SD = 9.8), and 30.4% were male. The most common mental disorders were major depressive disorder (27.34%) followed by psychosis (22.03%), suicidal ideation/behavior (15.44%), and alcohol-use disorder (8.35%). Higher odds of missing at least one dose in the last 30 days (OR = 1.45, 95% CI: 1.01, 2.10) were found in participants with any mental disorder compared to those without a mental disorder. The highest levels of non-adherence were observed among those with drug use disorders and panic disorder.

conclusionsIn Mozambique, PWH with any co-occurring mental conditions had a lower probability of ART adherence. Integrating comprehensive mental health assessment and treatment and ART adherence interventions tailored to PWH with co-occurring mental disorders is necessary to attain optimal ART adherence and reach the UNAIDS ART target.

Indexed as

HIV InfectionsMajor Depressive DisorderMental DisordersAdultCross-Sectional StudiesFemaleHealth FacilitiesHumansMaleMedication AdherenceMozambiqueART adherenceHIV/AIDS treatmentMental disordersMozambique

Identifiers

PMID37081470
PMCPMC10116733
OpenAlexW4366599173

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.