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Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013.

Publication ,  Journal Article
Ogburn, DF; Schoenbach, VJ; Edmonds, A; Pence, BW; Powers, KA; White, BL; Dzialowy, N; Samoff, E
Published in: AIDS Behav
April 2019

Depression among persons with HIV is associated with antiretroviral therapy (ART) interruption and discontinuation, virological failure, and poor clinical and survival outcomes. Case management services can address needs for emotional counseling and other supportive services to facilitate HIV care engagement. Using 2009-2013 North Carolina Medical Monitoring Project data from 910 persons engaged in HIV care, we estimated associations of case management utilization with "probable current depression" and with 100% ART dose adherence. After weighting, 53.2% of patients reported receiving case management, 21.7% reported depression, and 87.0% reported ART adherence. Depression prevalence was higher among those reporting case management (24.9%) than among other patients (17.6%) (p < 0.01). Case management was associated with depression among patients living above the poverty level [adjusted prevalence ratio (aPR), 2.05; 95% confidence interval (CI) 1.25-3.36], and not among other patients (aPR, 1.01; 95% CI 0.72-1.43). Receipt of case management was not associated with ART adherence (aPR, 1.00; 95% CI 0.95-1.05). Our analysis indicates a need for more effective depression treatment, even among persons receiving case management services. Self-reported ART adherence was high overall, though lower among persons experiencing depression (unadjusted prevalence ratio, 0.92; 95% CI 0.86-0.99). Optimal HIV clinical and prevention outcomes require addressing psychological wellbeing, monitoring of ART adherence, and effective case management services.

Duke Scholars

Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

April 2019

Volume

23

Issue

4

Start / End Page

1004 / 1015

Location

United States

Related Subject Headings

  • Self Report
  • Quality of Health Care
  • Public Health
  • Program Evaluation
  • Prevalence
  • Patient Acceptance of Health Care
  • North Carolina
  • Middle Aged
  • Medication Adherence
  • Male
 

Citation

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ICMJE
MLA
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Ogburn, D. F., Schoenbach, V. J., Edmonds, A., Pence, B. W., Powers, K. A., White, B. L., … Samoff, E. (2019). Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013. AIDS Behav, 23(4), 1004–1015. https://doi.org/10.1007/s10461-018-2365-1
Ogburn, Damon F., Victor J. Schoenbach, Andrew Edmonds, Brian W. Pence, Kimberly A. Powers, Becky L. White, Nicole Dzialowy, and Erika Samoff. “Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013.AIDS Behav 23, no. 4 (April 2019): 1004–15. https://doi.org/10.1007/s10461-018-2365-1.
Ogburn DF, Schoenbach VJ, Edmonds A, Pence BW, Powers KA, White BL, et al. Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013. AIDS Behav. 2019 Apr;23(4):1004–15.
Ogburn, Damon F., et al. “Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013.AIDS Behav, vol. 23, no. 4, Apr. 2019, pp. 1004–15. Pubmed, doi:10.1007/s10461-018-2365-1.
Ogburn DF, Schoenbach VJ, Edmonds A, Pence BW, Powers KA, White BL, Dzialowy N, Samoff E. Depression, ART Adherence, and Receipt of Case Management Services by Adults with HIV in North Carolina, Medical Monitoring Project, 2009-2013. AIDS Behav. 2019 Apr;23(4):1004–1015.
Journal cover image

Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

April 2019

Volume

23

Issue

4

Start / End Page

1004 / 1015

Location

United States

Related Subject Headings

  • Self Report
  • Quality of Health Care
  • Public Health
  • Program Evaluation
  • Prevalence
  • Patient Acceptance of Health Care
  • North Carolina
  • Middle Aged
  • Medication Adherence
  • Male