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

dc.contributor.authorMyer, Landon
dc.contributor.authorStein, Dan J
dc.contributor.authorGrimsrud, Anna T
dc.contributor.authorHerman, Allen
dc.contributor.authorSeedat, Soraya
dc.contributor.authorMoomal, Hashim
dc.contributor.authorWilliams, David R
dc.date.accessioned2017-04-05T07:30:11Z
dc.date.available2017-04-05T07:30:11Z
dc.date.issued2009
dc.date.updated2016-01-08T07:51:22Z
dc.description.abstractBackground. 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.identifier.apacitationMyer, 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/11427/24156en_ZA
dc.identifier.chicagocitationMyer, 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/11427/24156en_ZA
dc.identifier.citationMyer, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/24156
dc.identifier.vancouvercitationMyer 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.language.isoeng
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.sourceSouth African Medical Journal
dc.source.urihttp://reference.sabinet.co.za/sa_epublication/m_samj
dc.titleDSM-IV-defined common mental disorders:association with HIV testing, HIV-related fears, perceived risk and preventive behaviours among South African adults
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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