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Knowledge of HIV status is associated with a decrease in the severity of depressive symptoms among female sex workers in Uganda and Zambia

Journal of Acquired Immune Deficiency Syndromes Dec 14, 2019

Ortblad KF, Musoke DK, Chanda MM, et al. - Researchers sought to determine how knowledge of HIV-positive status affects the severity of depressive symptoms as it may assist in developing and delivering HIV testing interventions that will enhance the well-being, social functioning, and safety of FSW populations. Longitudinal data from two female sex worker (FSW) cohorts in Uganda (n = 960) and Zambia (n = 965) who had ample opportunity to HIV testing using standard-of-care services or self-tests over 4 months were obtained. Participants' perceived knowledge of HIV status, severity of depressive symptoms (continuous PHQ-9 scale, 0–27 points), and prevalence of likely depression (PHQ-9 scores ≥ 10) were determined at baseline and 4 months. The analysis revealed a significant association of knowledge of HIV status, be it positive or negative, with a reduction in depressive symptoms in 2 FSW populations. FSWs may attain mental health benefits with the expansion of HIV testing programs.
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