Psychosocial correlates of HIV-monoinfection and HIV/HCV-coinfection among men who have sex with men

被引：0
作者：
David W. Pantalone
Danielle M. Hessler
Sarah M. Bankoff
Brijen J. Shah
机构：
[1] Suffolk University,Department of Psychology
[2] University of California,Department of Family and Community Medicine, School of Medicine
[3] Mount Sinai School of Medicine,Department of Medicine
来源：
Journal of Behavioral Medicine | 2012年 / 35卷
关键词：
HIV; HCV; MSM; Medication adherence; Mental health; Patient care;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Rates of hepatitis C virus (HCV) among HIV-positive men who have sex with men (MSM) appear to be high and rising. In other demographic groups, HIV/HCV-coinfection is associated with poor physical and psychological outcomes. In this study, we examined health-related and psychosocial correlates of HIV/HCV-coinfection in a clinic sample of MSM. Cross-sectional data were collected from 171 MSM. One-third of the sample was coinfected. Higher rates of depressive and PTSD symptoms were observed in coinfected patients. Coinfected men were more likely to report perfect 30-day medication adherence, but exhibited lower CD4 cell counts and more past year emergency room visits. Despite consistent engagement with care and higher rates of medication adherence, HIV/HCV-coinfected MSM exhibited significantly more mental health problems. Medical and mental health providers should be especially attentive to the mental health status of HIV/HCV-coinfected MSM, despite adequate health behaviors and physical health status.
引用
收藏
页码：520 / 528
页数：8
相关论文
共 166 条
  • [1] Backus LI(2005)HIV, hepatitis C and HIV/hepatitis C virus coinfection in vulnerable populations AIDS 19 S13-S19
  • [2] Boothroyd D(2008)Quality of life, symptomatology and healthcare utilization in HIV/HCV co-infected drug users in Miami Journal of Addictive Diseases 27 37-48
  • [3] Deyton LR(2006)Differences in access to care among injection drug users infected either with HIV and hepatitis C or hepatitis C alone AIDS Care 18 690-693
  • [4] Baum MK(2005)The neuropsychological and neurological impact of hepatitis C virus coinfection in HIV-infected subjects AIDS 19 S64-S71
  • [5] Jayaweera DT(1960)A new scale of social desirability independent of psychopathology Journal of Consulting Psychology 24 349-354
  • [6] Duan R(2002)Coinfection with hepatitis viruses and outcome of initial antiretroviral regimens in previously naïve HIV-infected subjects Archives of Internal Medicine 162 2125-2132
  • [7] Sales S(2008)The effect of pegylated interferon-alpha2b and ribavirin on posttraumatic stress disorder symptoms Psychosomatics 49 225-229
  • [8] Lai S(1999)Hepatitis C virus and human immunodeficiency virus: Clinical issues in coinfection American Journal of Medicine 107 79S-84S
  • [9] Rafie C(2005)Addressing tri-morbidity (hepatitis C, psychiatric disorders, and substance use): The importance of routine mental health screening as a component of a comanagement model of care Clinical Infectious Diseases 40 S286-S291
  • [10] Campa A(2004)Health-related quality of life of patients with HIV disease: Impact of hepatitis C coinfection Clinical Infectious Diseases 38 572-578
12345678910