The Mental Health of People Living with HIV in China, 1998-2014: A Systematic Review
- PMID: 27082749
- PMCID: PMC4833336
- DOI: 10.1371/journal.pone.0153489
The Mental Health of People Living with HIV in China, 1998-2014: A Systematic Review
Abstract
Background: Understanding the mental health burdens faced by people living with HIV in China is instrumental in the development of successful targeted programs for psychological support and care.
Methods: Using multiple Chinese and English literature databases, we conducted a systematic review of observational research (cross-sectional, case-control, or cohort) published between 1998 and 2014 on the mental health of people living with HIV in China.
Results: We identified a total of 94 eligible articles. A broad range of instruments were used across studies. Depression was the most widely studied problem; the majority of studies reported prevalence greater than 60% across research settings, with indications of a higher prevalence among women than men. Rates of anxiety tended to be greater than 40%. Findings regarding the rates of suicidality, HIV-related neurocognitive disorders, and substance use were less and varied. Only one study investigated posttraumatic stress disorder and reported a prevalence of 46.2%. Conflicting results about health and treatment related factors of mental health were found across studies.
Conclusions: Despite limitations, this review confirmed that people living with HIV are vulnerable to mental health problems, and there is substantial need for mental health services among this population.
Conflict of interest statement
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References
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- National Health and Family Planning Commission of China. 2014 China AIDS response progress report. 25 June 2014. Available: http://www.unaids.org.cn/cn/index/Document_view.asp?id=860. Accessed 1 July 2015.
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- China News. The total number of alive people living with HIV in China is 497,000. 1 Dec 2014. Available: http://www.chinanews.com/gn/2014/12-01/6832958.shtml. Accessed on October 29th, 2015.
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- Chinese Center for Disease Control and Prevention. 2012 National report on notifiable infectious disease. 15 March 2013. Available: http://www.nhfpc.gov.cn/jkj/s3578/201304/b540269c8e5141e6bb2d00ca539bb9f.... Accessed 16 April 2015.
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- Chinese Center for Disease Control and Prevention. 2014 National report on notifiable infectious disease. 16 Feb 2015. Available: http://www.nhfpc.gov.cn/jkj/s3578/201502/847c041a3bac4c3e844f17309be0cab.... Accessed 16 April 2015.
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