Depression and PrEP uptake, interruption, and adherence among young women in Uganda.

Journal: AIDS care

Volume: 35

Issue: 9

Year of Publication: 2023

Affiliated Institutions:  Departments of Epidemiology, University of Washington, Seattle, WA, USA. Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda. Global Health, University of Washington, Seattle, WA, USA. Makerere University-Johns Hopkins University Research Collaboration, Kampala, Uganda. Department of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, NY, USA. Department of Medicine, Division of Nephrology, Duke University School of Medicine, Durham, NC, USA.

Abstract summary 

Depression is a common cause of morbidity globally and can impact adherence to medications, posing challenges to medication-based HIV prevention. The objectives of this work are to describe the frequency of depression symptoms in a cohort of 499 young women in Kampala, Uganda and to determine the association of depression symptoms with use of HIV pre-exposure prophylaxis (PrEP). Mild or greater depression, assessed by the patient health questionnaire (PHQ-9), was experienced by 34% of participants at enrollment. Participants with mild depression symptoms tended to uptake PrEP, request PrEP refills, and adhere to PrEP with similar frequency to women with no/minimal signs of depression. These findings highlight opportunities to leverage existing HIV prevention programs to identify women who may benefit from mental health services and may not otherwise be screened. ClinicalTrials.gov identifier: NCT03464266..

Authors & Co-authors:  Zia Yasaman Y Nambala Lydia L Stalter Randy M RM Muwonge Timothy R TR Ssebuliba Timothy T Nakyanzi Agnes A Nampewo Olivia O Boyer Jade J Morrison Susan S Nsubuga Rogers R Bagaya Monica M Nyanzi Robert R Matovu Flavia F Yin Michael M Wyatt Christina C Mujugira Andrew A Heffron Renee R

Study Outcome 

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Statistics
Citations : 
Authors :  17
Identifiers
Doi : 10.1080/09540121.2023.2177250
SSN : 1360-0451
Study Population
Women
Mesh Terms
Humans
Other Terms
Depression;HIV prevention;Mental health;PrEP
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England