EACS2023: 81 Prevalence and impact of mental health disorders on people living with HIV/AIDS in Nigeria: a systematic review Y. Hassan Wada , O Anjorin , I. Tonye Leggjack , O Anjorin , R Hassan , O. Idogho , J. Anyanti Society for Family Health, Abuja, Nigeria, Kings College, Institute of Psychiatry, Psychology & Neuroscience, London, United Kingdom, University of Ilorin, Kwara, Nigeria General data Abstract category: Access and delivery of care Abstract body Purpose: Mental health disorders faced by people living with HIV/AIDS (PLWHA) is common and associated with comorbidities that affect individual health related quality of life (HRQoL). This systematic review examines the prevalence and impact of mental health disorders on PLWHA in Nigeria, to inform clinical and public health measures. Method: A systematic review of research was conducted for research papers published between 2000 and 2022 which evaluate prevalence and impact of mental health disorders on people living with HIV in Nigeria. PRISMA guideline was followed and systematically searched databases including MEDLINE, CINAHL, Embase PubMed, PsyschINFO, Web of Science, Scopus and Goggle Scholar. Data were extracted on study designs and settings, sample size, diagnostic or screening measures, prevalence, risk factors and outcomes and subsequently appraised using critical appraisal skills programme (CASP) and appraisal tool for cross-sectional studies (AXIS) checklists. Results: The PRISMA-guided search strategy identified a total of 234 articles and only 9 studies met criteria for inclusion. Majority of the studies emanated from the South western region (n=7; 77.8%), predominantly assessing depression (n=6; 66.7%), anxiety (n=5; 55.6%) and other psychological distress. Notably, depression was assessed using multiple scales with diverse scoring systems and a reported prevalence range of 7% -55%. The majority of studies reported risk factors such as poor level of social support, being a female and widowed or unmarried, unemployed, lower education, perceived stigma and discrimination, and advanced stage of the disease for their mental health challenges. Conclusions: We find evidence that there is a high prevalence of mental health disorders among PLWHA. Depression, anxiety, and other psychological distress evidently affects the HRQoL of PLWHA coupled with many modifiable risk factors. This can further help to develop and pilot delivery model of mental healthcare, and to advocate for mental health advancement in HIV policy integration. General conditions 1. I confirm that I previewed this abstract and that all information is correct. I accept that the content of this abstract cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of the abstract constitutes my consent to publication (e.g. conference website, programmes, other promotions, etc.). : Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the abstract. The corresponding author is responsible for informing the other authors about the status of the abstract.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with the privacy policy to provide the services described.: Yes 1 2 1 1 3 1 1 1 2 3 8 19TH EUROPEAN AIDS CONFERENCE | WARSAW 2023
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