Clinical correlates of HIV-associated neurocognitive disorders in South Africa.

Journal: AIDS and behavior

Volume: 14

Issue: 2

Year of Publication: 2010

Affiliated Institutions:  Department of Psychiatry and Mental Health, University of Cape Town, South Africa, Anzio Road, Observatory, Cape Town , South Africa. John.Joska@uct.ac.za

Abstract summary 

Human immunodeficiency virus-associated neurocognitive disorders (HAND) occurs globally and across different genetic clades of the virus. However, few studies have examined HAND in South Africa, despite the prevalence of HIV in this region of the world, and the predominance of clade C. The present study examined the relationship between a number of demographic and clinical variables in a sample of 536 patients attending HIV clinics in South Africa. HAND was present in 23.5% of the sample and was associated with older age, a low educational level among those with post-traumatic stress disorder (PTSD) and alcohol abuse among those with many months since diagnosis. These results suggest that HAND is common among patients in South Africa, and is associated with clinical variables such as PTSD and alcohol abuse. This underlines the impact of HIV on the nervous system and the importance of screening for co morbid mental health conditions.

Authors & Co-authors:  Joska John A JA Fincham Dylan S DS Stein Dan J DJ Paul Robert H RH Seedat Soraya S

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1007/s10461-009-9538-x
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
AIDS Dementia Complex
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States