Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

Judith A. Cook; Jane K. Burke-Miller; Pamela J. Steigman; Rebecca M. Schwartz; Nancy A. Hessol; Joel Milam; Daniel J. Merenstein; Kathryn Anastos; Elizabeth T. Golub; Mardge H. Cohen

doi:10.1007/s10461-018-2051-3

Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

Judith A. Cook, Jane K. Burke-Miller, Pamela J. Steigman, Rebecca M. Schwartz, Nancy A. Hessol, Joel Milam, Daniel J. Merenstein, Kathryn Anastos, Elizabeth T. Golub, Mardge H. Cohen

Medicine

Research output: Contribution to journal › Article › peer-review

69 Scopus citations

Abstract

We used the World Health Organization’s Composite International Diagnostic Interview to determine the prevalence, comorbidity, and correlates of lifetime and 12-month behavioral health disorders in a multisite cohort of 1027 women living with HIV in the United States. Most (82.6%) had one or more lifetime disorders including 34.2% with mood disorders, 61.6% with anxiety disorders, and 58.3% with substance use disorders. Over half (53.9%) had at least one 12-month disorder, including 22.1% with mood disorders, 45.4% with anxiety disorders, and 11.1% with substance use disorders. Behavioral health disorder onset preceded HIV diagnosis by an average of 19 years. In multivariable models, likelihood of disorders was associated with women’s race/ethnicity, employment status, and income. Women with 12-month behavioral health disorders were significantly more likely than their counterparts to engage in subsequent sexual and substance use HIV risk behaviors. We discuss the complex physical and behavioral health needs of women living with HIV.

Original language	English (US)
Pages (from-to)	3141-3154
Number of pages	14
Journal	AIDS and Behavior
Volume	22
Issue number	10
DOIs	https://doi.org/10.1007/s10461-018-2051-3
State	Published - Oct 1 2018

Keywords

Mental illness
Prevalence of behavioral health disorder
Psychiatric epidemiology
Substance use disorder
Women living with HIV

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-018-2051-3

Cite this

Cook, J. A., Burke-Miller, J. K., Steigman, P. J., Schwartz, R. M., Hessol, N. A., Milam, J., Merenstein, D. J., Anastos, K., Golub, E. T., & Cohen, M. H. (2018). Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV. AIDS and Behavior, 22(10), 3141-3154. https://doi.org/10.1007/s10461-018-2051-3

Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV. / Cook, Judith A.; Burke-Miller, Jane K.; Steigman, Pamela J. et al.
In: AIDS and Behavior, Vol. 22, No. 10, 01.10.2018, p. 3141-3154.

Research output: Contribution to journal › Article › peer-review

Cook, JA, Burke-Miller, JK, Steigman, PJ, Schwartz, RM, Hessol, NA, Milam, J, Merenstein, DJ, Anastos, K, Golub, ET & Cohen, MH 2018, 'Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV', AIDS and Behavior, vol. 22, no. 10, pp. 3141-3154. https://doi.org/10.1007/s10461-018-2051-3

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Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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