Evidence map›Paper›PMID 37535703›Full record

ArticleJournal of the International AIDS Society2023

Availability of screening and treatment for common mental disorders in HIV clinic settings: data from the global International epidemiology Databases to Evaluate AIDS (IeDEA) Consortium, 2016-2017 and 2020.

Angela M Parcesepe, Melissa Stockton, Molly Remch, C William Wester, Charlotte Bernard, Jeremy Ross, Andreas D Haas, Rogers Ajeh, Keri N Althoff, Leslie Enane and 11 more

Abstract read
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Article in Journal of the International AIDS Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

21 authors.

Angela M ParcesepeDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Melissa StocktonDepartment of Psychiatry, Columbia University, New York, New York, USA.
Molly RemchDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
C William WesterDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-8375-3926
Charlotte BernardUniversity of Bordeaux, National Institute for Health and Medical Research, Research Institute for Sustainable Development, Bordeaux Population Health Research Centre, Bordeaux, France.ORCID 0000-0003-2677-4023
Jeremy RossTREAT Asia/amfAR, The Foundation for AIDS Research, Bangkok, Thailand.
Andreas D HaasUniversity of Bern, Institute of Social and Preventive Medicine, Bern, Switzerland.
Rogers AjehClinical Research Education and Networking Consultancy, Yaounde, Cameroon.
Keri N AlthoffJohns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA.
Leslie EnaneDepartment of Pediatrics, The Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0001-8390-5881
William PapeGroupe Haitien d''Etude du Sarcome de Kaposi et des Infections Opportunistes (GHESKIO), Port au Prince, Haiti.
Albert MingaCentre Medical de Suivi de Donneurs de Sang/CNTS/PRIMO-CI, Abidjan, Cote D''Ivoire.
Edith KwobahDepartment of Mental Health, Moi Teaching and Referral Hospital, Eldoret, Kenya.
Mpho TlaliCentre for Infectious Disease Epidemiology & Research (CIDER), School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
Junko TanumaDivision of the AIDS Medical Information of AIDS Clinical Care, National Center for Global Health and Medicine, Tokyo, Japan.ORCID 0000-0002-1697-7364
Dominique NsondeCTA Brazzaville, Brazzaville, Congo.
Aimee FreemanJohns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA.
Stephany N DudaDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee, USA.
Denis NashCity University of New York, Institute for Implementation Science in Population Health, New York, New York, USA.
Kathryn LancasterDepartment of Epidemiology, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0003-2389-6973
IeDEA ConsortiumDepartment of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Funding

North American AIDS Cohorts on Collaboration and Design (NAACCORD)U01AI069918 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Keri Nicole Althoff, RICHARD Douglas MOORE · 2006 to 2026
$65.2M
East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
"Enhancing Cancer Research in Central Africa IeDEA"U01AI096299 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Denis Nash, Marcel Yotebieng · 2011 to 2026
$35.8M
WADA (West Africa Database on Antiretroviral Therapy) CollaborationU01AI069919 · NIAID · UNIVERSITY OF BORDEAUX II · PI Didier Koumavi Ekouevi, Antoine Jaquet · 2006 to 2026
$29.9M
Harmonist: A Scalable Toolkit for Standardizing and Coordinating Data Sharing Across International Research NetworksR24AI124872 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephany Norah Duda · 2016 to 2026
$12.5M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Cecile Delille Lahiri, Vasiliki Michopoulos · 2018 to 2026
$12.2M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
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
Developing an Instrument to Assess Adolescent Risk for Disengagement from HIV CareK23HD095778 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI ENANE, LESLIE ANNE · 2018 to 2022
$786k
NIAID NIH HHS R24 AI124872NIAID NIH HHS U01 AI069907NIAID NIH HHS U01 AI069911NIAID NIH HHS U01 AI069918NIAID NIH HHS U01 AI069919NIAID NIH HHS U01 AI069923NIAID NIH HHS U01 AI069924NIAID NIH HHS U01 AI096299NIA NIH HHS U54 AG062334NICHD NIH HHS K23 HD095778NICHD NIH HHS L40 HD103261NICHD NIH HHS P2C HD050924NIMH NIH HHS K01 MH114721NIMH NIH HHS T32 MH096724
6 · The paper itself

Abstract

introductionCommon mental disorders (CMDs) are highly prevalent among people with HIV. Integrating mental healthcare into HIV care may improve mental health and HIV treatment outcomes. We describe the reported availability of screening and treatment for depression, anxiety and post-traumatic stress disorder (PTSD) at global HIV treatment centres participating in the International epidemiology Databases to Evaluate AIDS (IeDEA) Consortium in 2020 and changes in availability at sites in low- or middle-income countries (LMICs) between 2016/2017 and 2020.

methodsIn 2020, 238 sites contributing individual-level data to the IeDEA Consortium and in 2016/2017 a stratified random sample of IeDEA sites in LMICs were eligible to participate in site surveys on the availability of screening and treatment for CMDs. We assessed trends over time for 68 sites across 27 LMICs that participated in both surveys.

resultsAmong the 238 sites eligible to participate in the 2020 site survey, 227 (95%) participated, and mental health screening and treatment data were available for 223 (98%) sites across 41 countries. A total of 95 sites across 29 LMICs completed the 2016/2017 survey. In 2020, 68% of sites were in urban settings, and 77% were in LMICs. Overall, 50%, 14% and 12% of sites reported screening with a validated instrument for depression, anxiety and PTSD, respectively. Screening plus treatment in the form of counselling was available for depression, anxiety and PTSD at 46%, 13% and 11% of sites, respectively. Screening plus treatment in the form of medication was available for depression, anxiety and PTSD at 36%, 11% and 8% of sites, respectively. Among sites that participated in both surveys, screening for depression was more commonly available in 2020 than 2016/2017 (75% vs. 59%, respectively, p = 0.048).

conclusionsReported availability of screening for depression increased among this group of IeDEA sites in LMICs between 2016/2017 and 2020. However, substantial gaps persist in the availability of mental healthcare at HIV treatment sites across global settings, particularly in resource-constrained settings. Implementation of sustainable strategies to integrate mental health services into HIV care is needed.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsStress Disorders, Post-TraumaticAmbulatory Care FacilitiesAnxiety DisordersHumansanxietydepressionHIVintegrationmental healthPTSD

Identifiers

PMID37535703
PMCPMC10399924

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