College of Osteopathic Medicine Faculty Articles

Title

Mental health in HIV seronegative and seropositive IDUs in South Florida.

ISBN or ISSN

0954-0121

Publication Title

AIDS care

Volume

22

Issue

2

Publication Date / Copyright Date

2-1-2010

First Page

152

Last Page

158

DOI Number

10.1080/09540120903039851

Abstract

About one-third of HIV-infected people in the USA have a history of injection-drug use. Injecting drugs are a primary vector for HIV transmission. Drug and alcohol use are significant contributors to sexual transmission of the virus. In South Florida, urban injection-drug users (IDUs) represent a substantial population at risk for infection. Substance use management in this group is critical. As part of a larger study of at-risk populations in South Florida, we examined mental health differences among IDUs (n=117), HIV seropositive IDUs (n=130), and HIV seronegative non-IDUs (n=169). We explored factors associated with depression and anxiety between groups, and found HIV seronegative and seropositive IDUs not receiving antiretroviral (ARV) treatment to have poorer overall mental health than both HIV seropositive participants on ARVs and non-IDU participants. Our data support systems enhancement to meet the various psychosocial and health care needs among IDUs and highlight the need for resource allocation to target community-based integrated mental health services in urban populations. In addition, our data underscore the need for primary and secondary HIV prevention interventions to address the drug-use risk behaviors among IDUs to reduce the likelihood of HIV infection and transmission in this population.

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

Keywords

Adult, Aged, Anxiety, Depression, Drug Users, Fatigue, Female, Florida, HIV Seronegativity, HIV Seropositivity, Humans, Male, Mental Health, Middle Aged, Physical Fitness, Substance Abuse, Intravenous, United States, Young Adult

This document is currently not available here.

Peer Reviewed

Find in your library

Share

COinS