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


  • eng

Conference Location

  • United States