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The Association of Mental Health and Substance Use With Retention in HIV Care Among Black Women in Washington, District of Columbia.
- Source :
-
Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2024 May-Jun; Vol. 34 (3), pp. 250-256. Date of Electronic Publication: 2024 Jan 05. - Publication Year :
- 2024
-
Abstract
- Background: Black women with HIV are impacted by mental health and substance use disorders alongside barriers to care. The impact of these disorders on retention in care, a crucial step of the HIV care continuum, has not been well-studied. We examined the association between these disorders and retention in care over a 2-year period.<br />Methods: Data from January 1, 2011, to June 30, 2019, were obtained from the DC Cohort, an observational HIV study in Washington, District of Columbia. We examined the associations between mental health (i.e., mood-related or trauma-related) or substance use disorders, separately, on not being retained in HIV care over a 2-year interval post-enrollment among non-Hispanic Black women with HIV. Multivariate logistic regression with adjusted odds ratios (aORs) for sociodemographic and clinical variables was used to quantify the association of 1) having a confirmed mental health or substance use disorder and 2) not being retained in care.<br />Results: Among the 2,181 women in this analysis, 690 (31.64%) were not retained in care. The prevalence of a mood-related disorder (39.84%) was higher compared with a substance use (16.19%) or trauma-related disorder (7.75%). Age per a 10-year increase (aOR 0.87; confidence interval [CI] 0.80, 0.94) and a mood-related disorder diagnosis (aOR 0.72; CI: 0.59, 0.88) were inversely associated with not being retained in care.<br />Conclusion: Mood-related disorders were prevalent among Black women with HIV in Washington, District of Columbia, but were not associated with worse retention in care. Future studies should examine key facilitators for Black women with HIV and coexisting mood-related disorders and how they impact retention in care.<br /> (Copyright © 2023 Jacobs Institute of Women's Health, George Washington University. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Female
Adult
District of Columbia epidemiology
Middle Aged
Cohort Studies
Mental Disorders epidemiology
Mental Disorders ethnology
HIV Infections ethnology
HIV Infections psychology
HIV Infections epidemiology
Substance-Related Disorders epidemiology
Substance-Related Disorders ethnology
Black or African American statistics & numerical data
Black or African American psychology
Retention in Care statistics & numerical data
Mental Health
Subjects
Details
- Language :
- English
- ISSN :
- 1878-4321
- Volume :
- 34
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Women's health issues : official publication of the Jacobs Institute of Women's Health
- Publication Type :
- Academic Journal
- Accession number :
- 38184379
- Full Text :
- https://doi.org/10.1016/j.whi.2023.11.003