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. 2018 Oct;22(10):3141-3154.
doi: 10.1007/s10461-018-2051-3.

Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

Judith A Cook  1 , Jane K Burke-Miller  2 , Pamela J Steigman  2 , Rebecca M Schwartz  3 , Nancy A Hessol  4 , Joel Milam  5 , Daniel J Merenstein  6 , Kathryn Anastos  7 , Elizabeth T Golub  8 , Mardge H Cohen  9
Affiliations

Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

Judith A Cook et al. AIDS Behav. 2018 Oct.

Abstract
in English, Spanish

We used the World Health Organization's Composite International Diagnostic Interview to determine the prevalence, comorbidity, and correlates of lifetime and 12-month behavioral health disorders in a multisite cohort of 1027 women living with HIV in the United States. Most (82.6%) had one or more lifetime disorders including 34.2% with mood disorders, 61.6% with anxiety disorders, and 58.3% with substance use disorders. Over half (53.9%) had at least one 12-month disorder, including 22.1% with mood disorders, 45.4% with anxiety disorders, and 11.1% with substance use disorders. Behavioral health disorder onset preceded HIV diagnosis by an average of 19 years. In multivariable models, likelihood of disorders was associated with women's race/ethnicity, employment status, and income. Women with 12-month behavioral health disorders were significantly more likely than their counterparts to engage in subsequent sexual and substance use HIV risk behaviors. We discuss the complex physical and behavioral health needs of women living with HIV.

Utilizamos la Entrevista Diagnóstica Internacional Compuesta de la Organización Mundial de la Salud para determinar la prevalencia, la comorbilidad y los correlatos de trastornos de salud conductual de la vida y de 12 meses en una cohorte multisitio de 1.027 mujeres que viven con VIH en los Estados Unidos. La mayoría (82.6%) tuvo uno o más trastornos en su vida, incluyendo 34.2% con trastornos del estado de ánimo, 61.6% con trastornos de ansiedad y 58.3% con trastornos por el uso de las sustancias. Más de la mitad (53.9%) tuvo al menos un trastorno en los últimos 12 meses, incluyendo 22.1% con trastornos del estado de ánimo, 45.4% con trastornos de ansiedad y 11.1% con trastornos por el uso de las sustancias. El inicio del trastorno de salud conductual precedió el diagnóstico de VIH en un promedio de 19 años. En modelos multivariables, la probabilidad de trastornos se asoció con la raza/etnia de las mujeres, el estado de empleo y los ingresos. Las mujeres con trastornos de salud conductual de 12 meses fueron considerablemente más probable que sus homólogas a participar en comportamientos de riesgo de VIH como el uso de las sustancias y conductas sexuales de riesgo. Discutimos las necesidades complejas de salud física y conductual de las mujeres que viven con el VIH.

Keywords: Mental illness; Prevalence of behavioral health disorder; Psychiatric epidemiology; Substance use disorder; Women living with HIV.

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References

    1. Arendt G. Affective disorders in patients with HIV infection. CNS Drug Rev. 2006;20(6):507–518. doi: 10.2165/00023210-200620060-00005. - DOI - PubMed
    1. Chander G, Himelhoch S, Moore RD. Substance abuse and psychiatric disorders in HIV-positive patients. Drugs. 2006;66(6):769–789. doi: 10.2165/00003495-200666060-00004. - DOI - PubMed
    1. Klinkenberg WD, Sacks S, The HIV/AIDS treatment adherence, health outcomes and cost study group Mental disorders and drug abuse in persons living with HIV/AIDS. AIDS Care. 2004;16(sup1):22–42. doi: 10.1080/09540120412331315303. - DOI - PubMed
    1. Bozzette SA, Berry SH, Duan N, et al. The care of HIV-infected adults in the United States. New Engl J Med. 1998;339(26):1897–1904. doi: 10.1056/NEJM199812243392606. - DOI - PubMed
    1. Bing EG, Burnam MA, Longshore D, et al. Psychiatric disorders and drug use among human immunodeficiency virus–infected adults in the United States. Arch Gen Psychiatry. 2001;58(8):721–728. doi: 10.1001/archpsyc.58.8.721. - DOI - PubMed