Burden and Correlates of Mental Health Symptoms Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men Engaged in HIV Care in Atlanta

Hussen, Sophia A.; Doraivelu, Kamini; Camp, Daniel M.; Moore, Shamia; Kalokhe, Ameeta S.; Wade, Ryan M.; Leong, Traci; Ali, Mohammed K.; Farber, Eugene W.

doi:10.1007/s10461-022-03629-1

Cited by 5 publications

(3 citation statements)

References 57 publications

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“…Additionally, most of these studies focus on a single mental health condition. Findings from the study are consistent with previous research [ 47 , 48 ], indicating a significant negative impact of mental health comorbidities on HIV outcomes.…”

Section: Discussionsupporting

confidence: 90%

The Characteristics and HIV-Related Outcomes of People Living with Co-occurring HIV and Mental Health Conditions in the United States: A Systematic Review of Literature from 2016 to 2021

O’Grady,

Inman,

Younger

et al. 2023

AIDS Behav

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Considering advances in HIV prevention and treatment, jurisdictional efforts to end the HIV/AIDS epidemic, and reduced stigma towards people living with HIV infection and mental health conditions, the authors systematically reviewed studies published between 2016 and 2021 and identified 45 studies that met the eligibility criteria. The review found that stigma towards mental health conditions still acts as a barrier to accessing HIV treatment, which impacts treatment outcomes. Additionally, social determinants of health, such as housing instability and poverty, appear to impact mental health and, therefore, HIV-related outcomes. The review also highlighted the mutually reinforcing effects of HIV, mental health, and substance use conditions, providing valuable insights into the syndemic effects of these co-occurring conditions. Overall, the review highlights the need to address stigma and social determinants of health in HIV prevention and treatment efforts and to integrate mental health services into HIV care to improve outcomes for people living with both HIV and mental health conditions.

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Section: Discussionsupporting

confidence: 90%

The Characteristics and HIV-Related Outcomes of People Living with Co-occurring HIV and Mental Health Conditions in the United States: A Systematic Review of Literature from 2016 to 2021

O’Grady,

Inman,

Younger

et al. 2023

AIDS Behav

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“…We found that screening positive for depression or anxiety was associated with polysubstance use. While studies have reported associations between mental health and single or any substance use [ 12 , 14 , 44 , 45 ], there have been few reports on mental health and polysubstance use in PWH. In one study of PWH aged 18–24 years, those with polysubstance use had greater mental health symptoms, including depression and anxiety [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care

Davy-Mendez,

Sarovar,

Levine-Hall

et al. 2023

PLoS ONE

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We characterized polysubstance use burden and associations with mental health problems across demographic subgroups of PWH. In 2018–2020, as part of a primary care-based intervention study, PWH in care at three medical centers in Kaiser Permanente Northern California were screened for depression (PHQ-9≥10), anxiety (GAD-2≥3), and substance use (Tobacco, Alcohol, Prescription medication, and other Substance use [TAPS]≥1 per substance). We used Poisson regression to estimate prevalence ratios (PRs) comparing polysubstance use prevalence (TAPS≥1 for ≥2 substances) between PWH with positive screens for depression or anxiety vs. neither, among all PWH, and stratified by race/ethnicity and age (restricted to men), adjusting for sociodemographics, CD4, and HIV load. Screened PWH (N = 2865) included 92% men, 56% White, 19% Black, and 15% Hispanic PWH, with a median age of 55 years. Overall, polysubstance use prevalence was 26.4% (95% CI 24.9%-28.1%). PWH with depression or anxiety (n = 515) had an adjusted polysubstance use PR of 1.26 (1.09–1.46) vs. PWH with neither (n = 2350). Adjusted PRs were 1.47 (1.11–1.96), 1.07 (0.74–1.54), and 1.10 (0.85–1.41) among Black, Hispanic, and White men, respectively. Adjusted PRs did not differ by age group. Interventions should consider jointly addressing mental health and substance use problems and potential drivers, e.g. stigma or socioeconomic factors.

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“…Open access mental health outcomes among PLWH by income, education, race/ethnicity, and sexual and gender identity. [10][11][12] The pandemic has further aggregated the pre-existing mental health disparities and relevant risk factors of mental health outcomes. Recent studies report increased alcohol consumption, binge drinking and recreational drug use during the pandemic among men who have sex with men, including those living with HIV.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

UsingAll of Usdata to examine the mental health change during COVID-19 pandemic among people living with HIV: A longitudinal study protocol

Qiao,

Zhang,

Liang

et al. 2023

BMJ Open

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IntroductionThe COVID-19 pandemic has negatively affected people’s mental health around the globe. Such effects may be especially compounded among some vulnerable populations such as people living with HIV (PLWH). However, large-scale data on mental health outcomes among PLWH are limited. Few studies have also identified potential protective factors for mental health outcomes.Methods and analysisGuided by theories of resilience and socioecology, we will leverage multiple datasets from National Institutes of Health’s Cloud-basedAll of UsProgramme including electronic health records (EHRs), a series of COVID-19 Participant Experience (COPE) Surveys conducted from May 2020 to February 2021, and other self-reported survey data to achieve two specific aims: (1) to examine the mental health outcome changes during COVID-19 pandemic among PLWH by employing both EHR data (2018–2022) and survey data (2020–2021) in theAll of UsProgramme; and (2) to identify potential protective factors based on COPE Survey data for mental health outcomes at multiple socioecological levels including individual level (eg, coping strategy), interpersonal level (eg, social support) and health institutional level (eg, health service accessibility), adjusting for pre-existing health conditions including psychiatric disorders and other relevant factors (eg, COVID-19 infection). Interaction terms will be included in the multivariable analysis to identify different socially disadvantaged or stigmatised subgroups.Ethics and disseminationThe study has been approved by the institutional review board at the University of South Carolina (Pro00124044). Study findings will be disseminated through presentations at academic conferences and publications in peer-reviewed journals.

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Burden and Correlates of Mental Health Symptoms Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men Engaged in HIV Care in Atlanta

Cited by 5 publications

References 57 publications

The Characteristics and HIV-Related Outcomes of People Living with Co-occurring HIV and Mental Health Conditions in the United States: A Systematic Review of Literature from 2016 to 2021

The Characteristics and HIV-Related Outcomes of People Living with Co-occurring HIV and Mental Health Conditions in the United States: A Systematic Review of Literature from 2016 to 2021

Racial, ethnic, and age disparities in the association of mental health symptoms and polysubstance use among persons in HIV care

UsingAll of Usdata to examine the mental health change during COVID-19 pandemic among people living with HIV: A longitudinal study protocol

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