{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T17:02:24Z","timestamp":1765040544885},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,12,22]],"date-time":"2014-12-22T00:00:00Z","timestamp":1419206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Psychiatry Research Trust"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate associations between background characteristics (psychosocial adversity, risk behaviours\/perception of risk and <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010related knowledge, perceptions and beliefs) and psychological and cognitive morbidity among people coming for testing for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> in <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>oa, <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Analysis of cross\u2010sectional baseline data (plus <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status) from a prospective cohort study. Participants were recruited at the time of coming for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Consistent with associations found among general population samples, among our sample of 1934 participants, we found that indicators of psychosocial adversity were associated with <jats:styled-content style=\"fixed-case\">CMD<\/jats:styled-content> (common mental disorder \u2013 major depression, generalised anxiety and panic disorder) among people coming for testing for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>. Similarly, perpetration of intimate partner violence was associated with <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> (alcohol use disorder). Two <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content> symptoms were associated with <jats:styled-content style=\"fixed-case\">CMD<\/jats:styled-content>, and sex with a non\u2010primary partner was associated with <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content>. Suboptimal knowledge about <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> transmission and prevention was associated with low cognitive test scores. In contrast with other studies, we found no evidence of any association between stigma and <jats:styled-content style=\"fixed-case\">CMD<\/jats:styled-content>. There was no evidence of modification of associations by <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among people coming for testing for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content> in Goa, India, we found that <jats:styled-content style=\"fixed-case\">CMD<\/jats:styled-content> occurred in the context of social and economic stressors (violence, symptoms of <jats:styled-content style=\"fixed-case\">STI<\/jats:styled-content>, poor education and food insecurity) and <jats:styled-content style=\"fixed-case\">AUD<\/jats:styled-content> was associated with violence and risky sexual behaviour. Further research is necessary to understand the role of gender, stigma and social norms in determining the relationship between sexual and mental health. Understanding associations between these background characteristics and psychological morbidity may help inform the design of appropriate early interventions for depression among people newly diagnosed <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">AIDS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.12435","type":"journal-article","created":{"date-parts":[[2014,11,25]],"date-time":"2014-11-25T11:56:08Z","timestamp":1416916568000},"page":"397-406","source":"Crossref","is-referenced-by-count":23,"title":["Determinants of common mental disorder, alcohol use disorder and cognitive morbidity among people coming for <scp>HIV<\/scp> testing in <scp>G<\/scp>oa, <scp>I<\/scp>ndia"],"prefix":"10.1111","volume":"20","author":[{"given":"Rosie","family":"Mayston","sequence":"first","affiliation":[{"name":"Health Service &amp; Population Research Department Kings College London London 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