| Use of outpatient mental health services and psychotropic medications among HIV-infected patients in a multisite, multistate study. | |
| | |
MedLine Citation:
|
PMID: 19892212 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: Although co-occurring psychiatric disorders are highly prevalent among those with HIV, little is known about the use of outpatient mental health services (MHS) and psychotropic medication in the highly active antiretroviral therapy (HAART) era. METHODS: During 2003, 951 patients were interviewed at 14 sites in the HIV Research Network. Patients were questioned about use of MHS and psychotropic medications. Logistic regression was used to identify socio-demographic and clinical factors associated with MHS and psychotropic medication utilization. RESULTS: The sample characteristics were as follows: 68% male, 52% black, 14% Hispanic, median age 46 years (range 20-85), 69% were on HAART. Approximately 34% reported at least one MHS within 6 months and 37% reported use of psychotropic medication for a mental health condition. In multivariate logistic regression, MHS was greater among disabled patients [adjusted odds ratio 2.39 (95% CI 1.53-3.72)], current [2.26 (1.53-3.35)] and former drug users [1.84 (1.24-2.73)], and those with more than seven primary care visits in the past 6 months. Blacks [0.61 (0.41-0.92)] were significantly less likely to use MHS compared to whites. Similarly, usage of psychotropic medications was greater among disabled patients [1.79 (1.14-2.82)], women [1.66 (1.13-2.43)], )] and those with more than seven primary care visits. Blacks [0.37 (0.24-0.58])] and Hispanics [0.39 (0.22-0.72)] were less likely to use a psychotropic medication. HAART utilization was not associated with MHS or psychiatric medication use. CONCLUSIONS: In the HAART era, self-reported rates of mental health service and psychotropic medication utilization are high. Blacks continue to report lower use of MHS and psychotropic medication compared to whites. |
| | |
Authors:
|
Seth Himelhoch; Joshua S Josephs; Geetanjali Chander; P Todd Korthuis; Kelly A Gebo; |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2009-08-27 |
Journal Detail:
|
Title: General hospital psychiatry Volume: 31 ISSN: 1873-7714 ISO Abbreviation: Gen Hosp Psychiatry Publication Date: 2009 Nov-Dec |
Date Detail:
|
Created Date: 2009-11-06 Completed Date: 2010-01-19 Revised Date: 2011-09-26 |
Medline Journal Info:
|
Nlm Unique ID: 7905527 Medline TA: Gen Hosp Psychiatry Country: United States |
Other Details:
|
Languages: eng Pagination: 538-45 Citation Subset: IM |
Affiliation:
|
Department of Psychiatry, University of Maryland, Baltimore, MD 21201, USA. shimelho@psych.umaryland.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Antiretroviral Therapy, Highly Active Community Mental Health Services / utilization* Comorbidity Drug Utilization / statistics & numerical data Female HIV Infections / drug therapy*, epidemiology*, psychology Humans Male Mental Disorders / drug therapy*, epidemiology*, psychology Middle Aged Psychotropic Drugs / therapeutic use* United States Utilization Review / statistics & numerical data Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
290-01-012//PHS HHS; K23 DA019809-03/DA/NIDA NIH HHS; K23 DA019820-04/DA/NIDA NIH HHS; K23- DA019820/DA/NIDA NIH HHS; K23-DA019809/DA/NIDA NIH HHS; R01 AG026250/AG/NIA NIH HHS |
| Chemical | |
Reg. No./Substance:
|
0/Psychotropic Drugs |
| Investigator | |
Investigator/Affiliation:
|
Howard Edelstein / ; Silver Sisneros / ; Richard Rutstein / ; Roberto Corales / ; James Hellinger / ; Sara Allen / ; Norman Markowitz / ; Kelly Gebo / ; George Siberry / ; Allison Agwu / ; Robert Beil / ; Lawrence Hanau / ; Patrick Nemechek / ; Todd Korthuis / ; Philip Keiser / ; Aditya Gaur / ; Victoria Sharp / ; Chararut Somboonwit / ; Stephen Spector / ; W Christopher Mathews / ; Jonathan Cohn / |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Psychiatric management of HIV/HCV-coinfected patients beginning treatment for hepatitis C virus infe...
Next Document: Posttraumatic stress disorder in convalescent severe acute respiratory syndrome patients: a 4-year f...