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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Health Outcomes of HIV-Infected People with Mental Illness
AIDS and behavior, v 19(8), pp 1491-1500
01 Aug 2015
PMID: 25931243
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Improving outcomes for people with HIV and mental illness will be critical to meeting the goals of the US
National HIV/AIDS Strategy
. In a retrospective analysis of the 2008–2010 cycles of the locally representative Philadelphia Medical Monitoring Project, we compared the proportions of HIV-infected adults with and without mental illness: (1) retained in care (≥2 primary HIV visits separated by ≥90 days in a 12-month period); (2) prescribed antiretroviral therapy (ART) at any point in a 12-month period; and (3) virally suppressed (HIV-1 RNA ≤200 copies/mL at the last measure in the 12-month period). Multivariable regression assessed associations between mental illness and the outcomes, adjusting for age, gender, race/ethnicity, insurance, alcohol abuse, injection drug use, CD4 count, and calendar year. Of 730 HIV-infected persons, representative of 9409 persons in care for HIV in Philadelphia, 49.0 % had mental illness. In adjusted analyses, there were no significant differences in retention (91.3 vs. 90.3 %; AOR 1.30, 95 % CI 0.63–2.56) and prescription of ART (83.2 vs. 88.7 %; AOR 0.79, 95 % CI 0.49–1.25) between those with and without mental illness. However, mentally ill patients were less likely to achieve viral suppression than those without mental illness (65.9 vs. 74.4 %; AOR 0.64, 95 % CI 0.46–0.90). These findings argue for the need to optimize ART adherence in this population.
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Details
- Title
- Health Outcomes of HIV-Infected People with Mental Illness
- Creators
- Baligh R. Yehia - Philadelphia Veterans Affairs Center for Health Equity Research and PromotionAlisa J. Stephens-Shield - University of PennsylvaniaFlorence Momplaisir - Drexel UniversityLynne Taylor - University of PennsylvaniaRobert Gross - Philadelphia Veterans Affairs Center for Health Equity Research and PromotionBenoit Dubé - University of PennsylvaniaKaren Glanz - University of PennsylvaniaKathleen A. Brady - AIDS Activities Coordinating OfficeLauren C Taylor - WELL Center
- Publication Details
- AIDS and behavior, v 19(8), pp 1491-1500
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
- Web of Science ID
- WOS:000359014800014
- Scopus ID
- 2-s2.0-84938740963
- Other Identifier
- 991019173888504721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health
- Social Sciences, Biomedical