Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk
- PMID: 20133498
- PMCID: PMC3052784
- DOI: 10.1177/1545109709357472
Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk
Abstract
Purpose: To examine health risk behaviors in distressed youth living with HIV (YLH) with problem substance use.
Methods: Assessed distress, antiretroviral (ARV) adherence, and unprotected sex in a racially and geographically diverse sample of 122 YLH.
Results: A total of 87% of distressed YLH reported significantly more past-month ARV nonadherence (odds ratio [OR] = 7.15) and were more likely to have unprotected sex under the influence (OR = 5.14) than nondistressed youth.
Conclusions: Distressed YLH with problem substance use may benefit from interventions to improve adherence and to decrease sexual risk, especially while under the influence of drugs.
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References
-
- Naar-King S, Wright K, Parsons J, Frey M, Templin T, Ondersma S. Transtheoretical Model and condom use in HIV+ youth. Health Psychology. 2006;25:648–652. - PubMed
-
- Murphy DA, Wilson CM, Durako, et al. Antiretroviral medication adherence among the REACH HIV-infected adolescent cohort in the USA. AIDS Care. 2001;13:27–40. - PubMed
-
- Naar-King S, Wright K, Parsons J, Frey M, Templin T, Lam P, Murphy D. Healthy Choices: A motivational enhancement therapy for health risk behaviors in HIV-positive youth. AIDS Education and Prevention. 2006;18:1–11. - PubMed
-
- Naar-King S, Parsons JT, Murphy DA, Chen X, Harris DR, Belzer ME. Improving health outcomes for youth living with the human immunodeficiency virus: A multisite randomized trial of a motivational intervention targeting multiple risk behaviors. Arch Pediatr Adolesc Med. 2009;163 (12):1092–1098. - PMC - PubMed
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