Skip Ribbon Commands
Skip to main content

Title

Psychiatric correlates of HAART utilization and viral load among HIV-positive impoverished persons

Authors

Carrico AW, Bangsberg DR, Weiser SD

Network Affiliation

 

Organization

 

Journal Name

AIDS

Publication Date

5/15/2011

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed?term=Psychiatric%20correlates%20of%20HAART%20utilization%20and%20viral%20load%20among%20HIV-positive%20impoverished%20persons%20

Link to full-text

 

PMID

21399478

Abstract

OBJECTIVE:

: Research on the role psychiatric factors in HIV disease management has yielded discrepant findings, possibly because prior studies did not include comprehensive psychiatric screeners. This study administered a validated screener to examine psychiatric correlates of highly active antiretroviral therapy (HAART) utilization and viral load.

DESIGN:

: Community-recruited, HIV-positive impoverished persons provided sociodemographic information, completed a Diagnostic Interview Schedule that screened for psychiatric disorders, and provided a blood sample to measure HIV disease markers.

METHODS:

: In this cross-sectional investigation with 227 participants, a multiple logistic regression model examined correlates of HAART utilization compared to a reference group that was eligible for (i.e. CD4 cell count <350 cells/μl) but not taking HAART. A multiple linear regression model examined correlates of HIV viral load among 147 participants on HAART.

RESULTS:

: Sleeping on the street [adjusted OR (AOR) = 0.06; 95% confidence interval (CI) = 0.01-0.26] and screening positive for a stimulant use disorder (AOR = 0.29; 95% CI = 0.13-0.65) were independently associated with lower odds of HAART utilization. Conversely, enrollment in the AIDS Drug Assistance Program (AOR = 3.94; 95% CI = 1.45-10.73) and receipt of mental health treatment (AOR = 4.78; 95% CI = 1.77-12.87) were independently associated with increased odds of HAART utilization. Among those on HAART, screening positive for a severe mental illness was independently associated with a six-fold higher viral load.

CONCLUSION:

: Providing psychiatric treatment could optimize health outcomes among HIV-positive impoverished persons and boost the effectiveness of 'test and treat' approaches to HIV prevention.

Keywords

 

Topic

Psychiatric evaluations

Attachments

Created at 5/9/2011 11:41 AM by Mooney, Jessica L
Last modified at 5/9/2011 11:41 AM by Mooney, Jessica L