Predictors of receiving a diagnosis, referral and treatment of depression in people on antiretroviral therapy in South African primary care:a secondary analysis of data from a randomised trial

, CobALT research team (2020) Predictors of receiving a diagnosis, referral and treatment of depression in people on antiretroviral therapy in South African primary care:a secondary analysis of data from a randomised trial. Tropical Medicine & International Health, 25 (12). pp. 1450-1466. ISSN 1360-2276

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Abstract

Objective: To describe the receipt of a diagnosis, referral and treatment for depression in people receiving antiretroviral therapy (ART), with depressive symptoms and attending primary care clinics in South Africa, and investigate factors associated with receiving these components of care. Methods: This is a secondary analysis of data from a randomised controlled trial of an intervention intended to improve detection and treatment of depression in primary care patients receiving ART. In this analysis, we combined cross-sectional and longitudinal data from the intervention and control arms. Using regression models and adjusting for intra-cluster correlation of outcomes, we investigated associations between socioeconomic characteristics, depressive symptoms, stress, disability and stigma, and receipt of a diagnosis, referral and treatment for depression. Results: Of 2002 participants enrolled, 18% reported a previous diagnosis of depression by a healthcare worker and 10% reported having received counselling from a specialist mental health worker. Diagnosis, referral and counselling during the follow-up period were appropriately targeted, being independently more frequent in participants with higher enrolment scores for depressive symptoms, stress or disability. Participants with higher stigma scores at enrolment were independently less likely to receive counselling. Severe socio-economic deprivation was common but was not associated with treatment. Conclusion: While the receipt of a diagnosis, referral and treatment for depression were uncommon, they seemed to be appropriately targeted. Socio-economic deprivation was not associated with treatment.

Item Type: Article
Additional Information: This article is protected by copyright. All rights reserved.
Uncontrolled Keywords: antiretroviral therapy,depression diagnosis,depression treatment,disability,multimorbidity,stigma,parasitology,public health, environmental and occupational health,infectious diseases ,/dk/atira/pure/subjectarea/asjc/2400/2405
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: LivePure Connector
Date Deposited: 02 Oct 2020 23:56
Last Modified: 11 Dec 2020 00:47
URI: https://ueaeprints.uea.ac.uk/id/eprint/77094
DOI: 10.1111/tmi.13495

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