DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults

 

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dc.contributor.author Myer, Landon
dc.contributor.author Stein, Dan J
dc.contributor.author Grimsrud, Anna T
dc.contributor.author Herman, Allen
dc.contributor.author Seedat, Soraya
dc.contributor.author Moomal, Hashim
dc.contributor.author Williams, David R
dc.date.accessioned 2017-04-05T07:30:11Z
dc.date.available 2017-04-05T07:30:11Z
dc.date.issued 2009
dc.identifier.citation Myer, L., Stein, D. J., Grimsrud, A. T., Herman, A., Seedat, S., Moomal, H., & Williams, D. R. (2009). DSM-IV-defined common mental disorders : Association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among south african adults : Mental health. South African Medical Journal, 99(5), 396-402.
dc.identifier.uri http://hdl.handle.net/11427/24156
dc.description.abstract Background. There are few reports from South Africa on how common mental disorders may be associated with HIVrelated perceptions and behaviours. Methods. Between 2002 and 2004, 4 351 South African adults were interviewed. Psychiatric diagnoses of depression, anxiety and substance abuse disorders were based on the Diagnostic and Statistical Manual, 4th edition (DSM-IV). HIVrelated fears, perceived risk and behaviour change were measured using multi-item scales. We analysed forms of behaviour change that were appropriate for risk reduction (such as changes in sexual behaviour) separately from behaviour changes that were inappropriate to prevent HIV (such as care over things touched or avoiding certain social situations). Results. The presence of any DSM-IV-defined disorder during the previous 12 months was associated with previous HIV testing, increased HIV-related fears, and high levels of perceived risk of HIV. There were no associations between depression, anxiety and substance abuse disorders and appropriate forms of behaviour change for HIV risk reduction. However, individuals with an anxiety or a depressive disorder were more likely to report inappropriate forms of behaviour change. For example, individuals with any depressive and / or anxiety disorders were 1.57 and 1.47 times more likely, respectively, to report avoiding certain social situations to prevent HIV / AIDS compared with those who did not have such disorders (p < 0.01 for both associations). Discussion. The lack of appropriate forms of behaviour change to prevent HIV transmission, despite increased levels of HIV-related fear and perceived risk, underscores the need for HIV risk reduction interventions for individuals living with common mental disorders in South Africa.
dc.language.iso eng
dc.source South African Medical Journal
dc.source.uri http://reference.sabinet.co.za/sa_epublication/m_samj
dc.title DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults
dc.type Journal Article en_ZA
dc.date.updated 2016-01-08T07:51:22Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Myer, L., Stein, D. J., Grimsrud, A. T., Herman, A., Seedat, S., Moomal, H., & Williams, D. R. (2009). DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults. <i>South African Medical Journal</i>, http://hdl.handle.net/11427/24156 en_ZA
dc.identifier.chicagocitation Myer, Landon, Dan J Stein, Anna T Grimsrud, Allen Herman, Soraya Seedat, Hashim Moomal, and David R Williams "DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults." <i>South African Medical Journal</i> (2009) http://hdl.handle.net/11427/24156 en_ZA
dc.identifier.vancouvercitation Myer L, Stein DJ, Grimsrud AT, Herman A, Seedat S, Moomal H, et al. DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults. South African Medical Journal. 2009; http://hdl.handle.net/11427/24156. en_ZA
dc.identifier.ris TY - Journal Article AU - Myer, Landon AU - Stein, Dan J AU - Grimsrud, Anna T AU - Herman, Allen AU - Seedat, Soraya AU - Moomal, Hashim AU - Williams, David R AB - Background. There are few reports from South Africa on how common mental disorders may be associated with HIVrelated perceptions and behaviours. Methods. Between 2002 and 2004, 4 351 South African adults were interviewed. Psychiatric diagnoses of depression, anxiety and substance abuse disorders were based on the Diagnostic and Statistical Manual, 4th edition (DSM-IV). HIVrelated fears, perceived risk and behaviour change were measured using multi-item scales. We analysed forms of behaviour change that were appropriate for risk reduction (such as changes in sexual behaviour) separately from behaviour changes that were inappropriate to prevent HIV (such as care over things touched or avoiding certain social situations). Results. The presence of any DSM-IV-defined disorder during the previous 12 months was associated with previous HIV testing, increased HIV-related fears, and high levels of perceived risk of HIV. There were no associations between depression, anxiety and substance abuse disorders and appropriate forms of behaviour change for HIV risk reduction. However, individuals with an anxiety or a depressive disorder were more likely to report inappropriate forms of behaviour change. For example, individuals with any depressive and / or anxiety disorders were 1.57 and 1.47 times more likely, respectively, to report avoiding certain social situations to prevent HIV / AIDS compared with those who did not have such disorders (p < 0.01 for both associations). Discussion. The lack of appropriate forms of behaviour change to prevent HIV transmission, despite increased levels of HIV-related fear and perceived risk, underscores the need for HIV risk reduction interventions for individuals living with common mental disorders in South Africa. DA - 2009 DB - OpenUCT DP - University of Cape Town J1 - South African Medical Journal LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults TI - DSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults UR - http://hdl.handle.net/11427/24156 ER - en_ZA


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