Interventions Integrating Mental Health Services Into HIV Care in Africa; a Scoping Review.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI:10.3389/ijph.2025.1608137

Charlotte Nwogwugwu, Chinedum Favor, Yunting Fu, Theddeus Iheanacho

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引用次数: 0

Abstract

Objectives: This scoping review aims to synthesize existing evidence on mental health (MH) interventions for people living with HIV/AIDS (PLWHA) in Africa. Given the high prevalence of MH disorders in this population and barriers to care, integrating MH services within HIV care settings is explored as a potential strategy to improve patient outcomes.

Methods: Following PRISMA-ScR guidelines, a systematic search was conducted across five databases to identify studies examining MH interventions for PLWHA in African settings. Studies meeting inclusion criteria were reviewed for intervention type, target population, and reported outcomes.

Results: Of 818 studies identified, 16 from six African countries met inclusion criteria, with Zimbabwe and South Africa leading in interventions. Most targeted depression, employing non-pharmacological approaches such as task-sharing and stepped-care models. Findings suggest integrated MH and HIV care improves MH symptoms and adherence to antiretroviral therapy.

Conclusion: Despite limited studies, evidence supports the feasibility and benefits of integrating MH services into HIV care in Africa. Scaling evidence-based interventions is essential to address unmet MH needs in this population.

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将精神卫生服务纳入非洲艾滋病毒护理的干预措施；范围审查。

目的：本范围审查旨在综合非洲艾滋病毒/艾滋病（PLWHA）感染者心理健康（MH）干预措施的现有证据。鉴于这一人群中MH疾病的高患病率和护理障碍，将MH服务整合到艾滋病毒护理环境中作为改善患者预后的潜在策略进行了探索。方法：根据PRISMA-ScR指南，在五个数据库中进行了系统搜索，以确定在非洲环境中检查艾滋病毒感染的MH干预措施的研究。对符合纳入标准的研究进行干预类型、目标人群和报告结果的审查。结果：在确定的818项研究中，来自6个非洲国家的16项研究符合纳入标准，津巴布韦和南非在干预措施方面处于领先地位。大多数针对抑郁症，采用非药物方法，如任务分担和阶梯式护理模式。研究结果表明，综合护理MH和艾滋病毒改善MH症状和坚持抗逆转录病毒治疗。结论：尽管研究有限，但证据支持在非洲将MH服务纳入艾滋病毒护理的可行性和效益。扩大循证干预措施对于解决这一人群中未得到满足的卫生保健需求至关重要。

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 Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

2.20%

发文量

269

审稿时长

12 months

期刊介绍： The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.