TY - JOUR
T1 - Longitudinal Associations of Psychiatric Risk Factors with Non-psychiatric Hospitalization in a Large Cohort of People Living with HIV in New York City
AU - Breslow, Aaron S.
AU - Fazzari, Melissa
AU - Franz, Peter J.
AU - Hanna, David B.
AU - Felson, Uriel R.
AU - Cavic, Elizabeth
AU - Fisher, Marla R.
AU - Bauman, Laurie
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/10
Y1 - 2023/10
N2 - Hospitalizations among people living with HIV (PLWH) are frequent and costly. This study examined the association between psychiatric, HIV-related, and demographic factors and hospitalization rates among PLWH using data from the Einstein–Rockefeller-City University of New York Center for AIDS Research Clinical Cohort Database. Of the 10,215 PLWH included in the sample, 45% had at least one non-psychiatric hospitalization between 2009 and 2018, with significant risk factors including prior psychiatric outpatient visits, depression, or alcohol-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. Additionally, 14% had an HIV-related hospitalization, with significant risk factors including prior psychiatric outpatient visits, alcohol- and substance-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. The study emphasizes the need for tailored interventions, including integrated treatment and comprehensive case management, for PLWH with comorbid psychiatric disorders, women, and older adults.
AB - Hospitalizations among people living with HIV (PLWH) are frequent and costly. This study examined the association between psychiatric, HIV-related, and demographic factors and hospitalization rates among PLWH using data from the Einstein–Rockefeller-City University of New York Center for AIDS Research Clinical Cohort Database. Of the 10,215 PLWH included in the sample, 45% had at least one non-psychiatric hospitalization between 2009 and 2018, with significant risk factors including prior psychiatric outpatient visits, depression, or alcohol-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. Additionally, 14% had an HIV-related hospitalization, with significant risk factors including prior psychiatric outpatient visits, alcohol- and substance-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. The study emphasizes the need for tailored interventions, including integrated treatment and comprehensive case management, for PLWH with comorbid psychiatric disorders, women, and older adults.
KW - Depression
KW - HIV/AIDS
KW - Hospitalization
KW - Mental health
UR - http://www.scopus.com/inward/record.url?scp=85153281241&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85153281241&partnerID=8YFLogxK
U2 - 10.1007/s10461-023-04064-6
DO - 10.1007/s10461-023-04064-6
M3 - Article
C2 - 37084105
AN - SCOPUS:85153281241
SN - 1090-7165
VL - 27
SP - 3487
EP - 3497
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 10
ER -