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Syndemic effect of mental illness and substance use on viral suppression among recently-incarcerated, HIV-infected individuals in the CARE+ Corrections study.
- Source :
- AIDS Care; Oct2018, Vol. 30 Issue 10, p1252-1256, 5p, 3 Charts
- Publication Year :
- 2018
-
Abstract
- Few studies on HIV-related syndemics of co-occurring and mutually reinforcing psychosocial conditions have assessed clinical outcomes in criminal justice (CJ)-involved populations. Baseline data from the CARE+ Corrections study were used to quantify co-occurring mental illness and substance use and examine syndemic effects on viral suppression among 106 CJ-involved HIV-infected individuals. Ninety-one (86%) reported a mental illness diagnosis, 30 (28%) reported hazardous alcohol use, and 61 (58%) were drug dependent. Eighteen (17%) experienced all three conditions. Drug dependence was clustered with mental illness (prevalence odds ratio [POR] 3.20, 95% CI 1.01-10.14) and hazardous alcohol use (POR 2.61, 95% CI 1.03-6.56). The association between syndemic score, representing the number of conditions reported by each individual, and viral suppression was not statistically significant, although 86% of participants with none of these conditions were virally suppressed, compared to 56% of those with all three (pā=ā0.56). Mental illness and substance use were concentrated in this sample, indicating a need for integrated care services. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 30
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 131257740
- Full Text :
- https://doi.org/10.1080/09540121.2018.1455961