Determinants of psychological distress among individuals who are aware of their HIV serostatus in South Africa: findings from the 2017 national HIV prevalence, incidence, behavior, and communication survey

Psychological distress is a growing public health challenge among people living with HIV. This study investigated the prevalence of psychological distress among individuals who know their HIV positive or negative serostatus in South Africa using 2017 data from a nationwide cross-sectional household-...

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Bibliographic Details
Published in:Frontiers in public health 2024-05, Vol.12, p.1387878
Main Authors: Vondo, Noloyiso, Mabaso, Musawenkosi, Ginyana, Thembelihle, Malope, Lesiba, Moyo, Sizulu, Zungu, Nompumelelo, Shisana, Olive
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cross-Sectional Studies
Female
HIV Infections - epidemiology
HIV Infections - psychology
HIV negative
HIV positive
HIV Seropositivity - epidemiology
HIV Seropositivity - psychology
HIV serostatus
Humans
Incidence
Male
Middle Aged
Prevalence
Psychological Distress
Public Health
Risk Factors
South Africa
South Africa - epidemiology
Stress, Psychological - epidemiology
Stress, Psychological - psychology
Surveys and Questionnaires
Young Adult
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Summary:Psychological distress is a growing public health challenge among people living with HIV. This study investigated the prevalence of psychological distress among individuals who know their HIV positive or negative serostatus in South Africa using 2017 data from a nationwide cross-sectional household-based population survey. The data for this secondary analysis was collected using a multi-stage stratified cluster randomized sampling design. Multivariable backward stepwise generalized linear regression models were fitted to determine factors associated with psychological distress as measured by the Kessler Scale (K10) among HIV-positive and HIV-negative individuals who know their serostatus in South Africa. Of 18,662 participants, psychological distress was 27.4% (95% CI: 25.3-29.7) among those HIV-positive and 20.1% (95% C: 18.8-21.4) among those HIV-negative. The odds of psychological distress were significantly higher among HIV-positive individuals who rated their health as fair/poor [AOR = 1.22 (95% CI: 1.09-1.35),  
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2024.1387878