Biopsychosocial approach to understanding determinants of depression among men who have sex with men living with HIV: A systematic review.
Zul Aizat Mohamad FisalHalimatus Sakdiah MinhatNor Afiah Mohd ZulkefliNorliza AhmadPublished in: PloS one (2022)
The determinants of depression with the strongest evidence across studies were enacted HIV-related stigma, unemployment, sleep disturbance, current smoker, black ethnicity, born overseas, ART initiation, and access to mental health care. Despite weaker evidence, the other relevant determinants to be included were older age, internalized stigma, self-efficacy, and social support. Efforts to improve or prevent depression among MSM living with HIV could benefit from addressing the determinants of depression based on the biopsychosocial approach immediately after HIV diagnosis. Integrating mental health screening and care into HIV treatment settings would strengthen HIV prevention and care outcomes and improve access to mental healthcare.
Keyphrases
- hiv testing
- men who have sex with men
- hiv positive
- social support
- depressive symptoms
- mental health
- antiretroviral therapy
- healthcare
- hiv aids
- hiv infected
- sleep quality
- human immunodeficiency virus
- mental illness
- palliative care
- quality improvement
- hepatitis c virus
- south africa
- type diabetes
- insulin resistance
- adipose tissue
- smoking cessation
- pain management
- preterm infants
- affordable care act
- weight loss