Substance abuse and symptoms of mental illness among HIV-positive persons in the Southeast.
Journal Article (Journal Article)
OBJECTIVES: Mental illness and substance abuse have been consistently associated with poor HIV-medication adherence and other negative health outcomes. METHODS: A brief mental health and substance use screening instrument was administered to 1,362 HIV-infected individuals receiving care at two academic medical center Infectious Diseases Clinics in North Carolina. RESULTS: Study results indicated high frequencies of symptoms of mental illness (60%), substance abuse (32%), and co-occurring symptoms of mental illness and substance abuse (23%). Younger age (P = 0.03), male sex (P < 0.001), and higher viral load (P < 0.001) were associated with substance use problems. White race (P = 0.001), younger age (P = 0.023), and higher viral load (P = 0.042) were associated with symptoms of mental illness. CONCLUSIONS: In the Southeast, mental health and substance abuse services are sparse and stigma is high; thus, innovative treatment strategies are needed to address the high levels of co-occurring mental illness and substance abuse. Antiretroviral therapies will not reach their potential for slowing the HIV/AIDS epidemic and prolonging survival if comorbidities that influence patient behavior are not addressed.
Full Text
Duke Authors
Cited Authors
- Whetten, K; Reif, SS; Napravnik, S; Swartz, MS; Thielman, NM; Eron, JJ; Lowe, K; Soto, T
Published Date
- January 2005
Published In
Volume / Issue
- 98 / 1
Start / End Page
- 9 - 14
PubMed ID
- 15678633
International Standard Serial Number (ISSN)
- 0038-4348
Digital Object Identifier (DOI)
- 10.1097/01.SMJ.0000149371.37294.66
Language
- eng
Conference Location
- United States