Mental health service utilization among patients followed up in tertiary HIV/AIDS clinics in Turkey: A need for integrated care.

IF 1.4 4区医学 Q4 IMMUNOLOGY

International Journal of STD & AIDS Pub Date : 2024-11-19 DOI:10.1177/09564624241301491

Ezgi Ince Guliyev, Dilek Yıldız Sevgi, Alper Gündüz, Bilgül Mete, Deniz Büyükgök, Hayat Kumbasar Karaosmanoğlu, Ozlem Altuntaş Aydın, Fatma Ceyhan, Bilge Nur Bilge, Irmak Polat, Fehmi Tabak

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引用次数: 0

Abstract

Objectives: Mental health (MH) care for people living with HIV (PLWH) emerges as an important unmet need, yet there are no integrated HIV-MH clinics in Turkey. Our aim is to determine MH service use and its associated factors in PLWH followed up in the HIV/AIDS outpatient clinics in Istanbul/Turkey.

Methods: A cross-sectional study was conducted at the HIV/AIDS outpatient clinics of the Infectious Diseases (ID) departments in hospitals affiliated with the ACTHIV-IST Study Group. Structured interviews were performed using questionnaires that covered psychiatric state, medical history, and help-seeking behavior.

Results: Out of 172 outpatients, 121 (70.3%) reported MH complaints after infection, and 65.6% felt a need to see MH professionals. Among those, 59% shared their MH distress with the ID team. However, only 20.7% applied to an MH service, and 16.5% received psychiatric treatment. Previous MH diagnoses (AOR = 4.11; 95%CI = 1.26-13.39), sharing the disease with the ID team (AOR = 4.18; 95%CI = 1.24-14.11), and being hospitalized due to HIV (AOR = 6.54; 95%CI = 1.21-35.39) emerged as the predictors of MH service use among those who would like to see an MH professional in logistic regression.

Conclusions: Closer contact with the healthcare system may increase the chances of PLWH receiving MH care. Thus, integrating MH services in HIV/AIDS care would help reach more PLWH who are distressed.

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土耳其三级艾滋病毒/艾滋病诊所随访病人利用心理健康服务的情况：需要综合护理。

目的：为艾滋病病毒感染者（PLWH）提供心理健康（MH）护理是一项尚未得到满足的重要需求，但土耳其没有综合性的艾滋病-心理健康诊所。我们的目的是确定伊斯坦布尔/土耳其艾滋病毒/艾滋病门诊随访的艾滋病毒感染者使用心理健康服务的情况及其相关因素：方法：我们在 ACTHIV-IST 研究小组附属医院传染科的艾滋病门诊部进行了一项横断面研究。研究人员使用调查问卷对患者进行了结构化访谈，内容包括精神状态、病史和求助行为：结果：在 172 名门诊患者中，121 人（70.3%）报告了感染后的心理健康问题，65.6% 的人认为需要看心理健康专业人员。其中 59% 的患者向 ID 团队倾诉了他们的心理健康困扰。然而，只有 20.7% 的人申请了心理健康服务，16.5% 的人接受了精神治疗。在逻辑回归中，既往的心理健康诊断（AOR = 4.11; 95%CI = 1.26-13.39）、与ID团队分享疾病（AOR = 4.18; 95%CI = 1.24-14.11）以及因艾滋病住院（AOR = 6.54; 95%CI = 1.21-35.39）成为希望看心理健康专业人士的人群使用心理健康服务的预测因素：结论：与医疗系统的密切接触可增加 PLWH 接受心理健康护理的机会。因此，将心理和精神健康服务纳入艾滋病护理将有助于帮助更多处于困境中的 PLWH。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of STD & AIDS 医学-传染病学

CiteScore

2.60

自引率

7.10%

发文量

144

审稿时长

3-6 weeks

期刊介绍： The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).