Prevalence of post-traumatic stress symptoms and associated factors in tuberculosis (TB), TB retreatment and/or TB-HIV co-infected primary public health-care patients in three districts in South Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2012
TITLE AUTHOR(S): K.Peltzer, P.Naidoo, G.Matseke, J.Louw, G.Mchunu, B.Tutshana
KEYWORDS: ALCOHOL USE, HIV/AIDS, POSTTRAUMATIC STRESS DISORDER, PRIMARY HEALTH CARE CENTRES, RISK BEHAVIOUR, TUBERCULOSIS
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7406
HANDLE: 20.500.11910/3274
URI: http://hdl.handle.net/20.500.11910/3274
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
High rates of tuberculosis (TB) and TB/HIV co-infection is often linked with mental health issues such as post-traumatic stress disorder (PTSD) symptoms, which is further associated with poor health outcomes. In a country such as South Africa where rates of these infectious diseases are high, it is concerning that there is limited/no data on prevalence rates of mental disorders such as PTSD and its associated factors. Therefore, the aim of this study was to establish the prevalence of PTSD symptoms and associated factors in TB, TB retreatment and/or TB-HIV co-infected primary public health-care patients in three districts in South Africa. Brief screening self-report tools were used to measure: PTSD symptoms, psychological distress (anxiety and depression) and alcohol misuse. Other relevant measures, such as adherence to medication, stressful life events and sexual risk taking behaviours, were obtained through structured questions. A total of 4900 public primary care adult patients from clinics in high TB burden districts from three provinces in South Africa participated. All the patients screened positive for TB (either new or retreatment cases). The prevalence of PTSD symptoms was 29.6%. Patients who screened positive for PTSD symptoms and psychological distress were more likely to be on antidepressant medication. Factors that predicted PTSD symptoms were poverty, residing in an urban area, psychological distress, suicide attempt, alcohol and/or drug use before sex, unprotected sex, TB-HIV co-infected and the number of other chronic conditions. Health-care systems should be strengthened to improve delivery of mental health care, by focusing on existing programmes and activities, such as those which address the prevention and treatment of TB and HIV.-
Related Research Outputs:
- Intimate partner violence as a factor associated with risky sexual behaviours and alcohol misuse among men
- Behaviour change counselling for ARV adherence support within primary health care facilities in the Western Cape, South Africa
- The efficacy of a brief intervention to reduce alcohol misuse in patients with HIV in South Africa: study protocol for a randomized controlled trial
- Post-traumatic stress prominent in TB and HIV patients
- No association between cumulative traumatic experiences and sex in risk for posttraumatic stress disorder among human immunodeficiency virus-positive adults
- Mental health, childhood abuse and HIV sexual risk behaviour among university students in Ivory Coast
- HIV risk behaviour among public primary healthcare patients with tuberculosis in South Africa
- Concerns over the lack of knowledge about TB and HIV co-infection
- Role of oral candidiasis in TB and HIV co-infection: AIDS clinical trial group protocol A5253
- Perceptions of HIV and sexual risk behaviours among community members in the Northern Cape province of South Africa
- Alcohol expectancies and inhibition conflict as moderators of the alcohol-unprotected sex relationship: event-level findings from a daily diary study among individuals living with HIV in Cape Town, South Africa
- The psychosocial determinants of the intention to avoid sexual engagement when intoxicated among young men in KwaZulu-Natal, South Africa
- Innovation at the intersection of alcohol and HIV research
- Longitudinal analysis of HIV risk behaviour patterns and their predictors among public primary care patients with tuberculosis in South Africa
- Investigating the association between TB transmission and socio-economic risk factors in a high TB and HIV burdened community in Cape Town, South Africa
- Evaluation of the quality of care for sexually transmitted infections in primary health care centres in South Africa
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa
- Perceptions of tuberculosis: attributions of cause, suggested means of risk reduction, and preferred treatment in the Limpopo province, South Africa
- HIV/AIDS, tuberculosis and parasites
- HIV/AIDS/STI/TB knowledge, beliefs and practices of traditional healers in KwaZulu-Natal, South Africa