@article{ref1,
title="High prevalence of psychiatric and substance use disorders among persons seeking treatment for HIV and other STIs in Jamaica: a short report",
journal="AIDS care",
year="2018",
author="Beckford Jarrett, Sharlene and De La Haye, Winston and Miller, Zahra and Figueroa, J. Peter and Duncan, Jacqueline and Harvey, Kevin",
volume="30",
number="5",
pages="604-608",
abstract="This cross-sectional study explored the range of psychiatric and substance use disorders and unmet need for mental health care among 84 HIV-positive and 44 HIV-negative public clinic attendees in Jamaica. We used a brief interviewer-administered diagnostic tool, the Client Diagnostic Questionnaire. Two-thirds (65.6%) screened positive for at least one psychiatric disorder; 30.5% screened positive for multiple disorders. The most common disorders were post-traumatic stress disorder (PTSD) (41.4%), alcohol abuse (22.7%), and depressive disorders (21.9%). One in fourteen (7.1%) participants with at least one diagnosis received care in the last 6 months. Adjusting for age and sex, PTSD was associated with non-adherence to antiretroviral treatment (AOR = 5.32), anxiety disorders (AOR = 5.82), depression (AOR = 4.29), and suicidal ideation (AOR = 8.17). Psychiatric and substance use disorders, particularly PTSD, were common among STI/HIV clinic attendees in Jamaica. Such clinics may be efficient places to screen, identify, and treat patients with psychiatric disorders in low- and middle- income countries.<p /><p>Language: en</p>",
language="en",
issn="0954-0121",
doi="10.1080/09540121.2017.1384786",
url="http://dx.doi.org/10.1080/09540121.2017.1384786"
}