Document Detail


Patterns of HIV care for patients with serious mental illness.
MedLine Citation:
PMID:  16548714     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Individuals with serious mental illness are at higher risk for HIV than are members of the general population. Although studies have shown that individuals with serious mental illness experience less adequate care and worse physical health outcomes than comparable patients without serious mental illness, little is known about HIV care among individuals with serious mental illness who become infected with HIV. In the present study, we describe patterns of highly active antiretroviral treatment (HAART) use and physician monitoring received by 154 patients with serious mental illness infected with HIV. Participants were recruited from mental health agencies in Los Angeles, California. Data from 762 HIV-only patients from a separate Western U.S. probability sample were used for comparison. High proportions of serious mental illness patients with HIV in our sample appeared to be receiving adequate HIV care. Fifty-one percent of all serious mental illness patients with serious mental illness with HIV were taking HAART, and the majority received close monitoring of their CD4 counts (84%) and viral loads (82%) throughout a 1-year period. HAART use and patterns of CD4 count and viral load monitoring did not differ significantly between patients with both serious mental illness and HIV, and patients with HIV only (all p > 0.05). Specialized programs providing assistance to serious mental illness populations with HIV may be helping to narrow health care disparities as a result of having serious mental illness.
Authors:
Laura M Bogart; Allen M Fremont; Alexander S Young; Philip Pantoja; Matthew Chinman; Sally Morton; Paul Koegel; Greer Sullivan; David E Kanouse
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  AIDS patient care and STDs     Volume:  20     ISSN:  1087-2914     ISO Abbreviation:  AIDS Patient Care STDS     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-21     Completed Date:  2006-04-27     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9607225     Medline TA:  AIDS Patient Care STDS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  175-82     Citation Subset:  IM; X    
Affiliation:
RAND Health, Santa Monica, California 90407-2138, USA. lbogart@rand.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Antiretroviral Therapy, Highly Active*
CD4 Lymphocyte Count
Female
HIV Infections / complications*,  drug therapy*
Humans
Logistic Models
Male
Mental Disorders / complications*
Middle Aged
Quality of Health Care*
Social Class
Viral Load
Grant Support
ID/Acronym/Agency:
P50 MH-54623/MH/NIMH NIH HHS; R01MH55936-05/MH/NIMH NIH HHS; U-01HS08578/HS/AHRQ HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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