Mental Illness in Adults With HIV and HCV Infection: Indian Health Service, 2001–2020

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Smith, Colin M. ; Kennedy, Jordan L. ; Evans, Mary E. ; Person, Marissa K. ; Haverkate, Rick ; Apostolou, Andria
• Description:
  Introduction:
  
  Mental health disorders (MHDs) and substance use disorders (SUDs) in people living with HIV, hepatitis C virus (HCV) infection, and HIV/HCV coinfection are common and result in significant morbidity. However, there are no national prevalence estimates of these comorbidities in American Indian and Alaska Native (AI/AN) adults with HIV, HCV infection, or HIV/HCV coinfection. This study estimates the prevalence of MHD and SUD diagnoses in AI/AN adults diagnosed with HIV, HCV infection, or HIV/HCV coinfection within the Indian Health Service (IHS).
  
  Methods:
  
  In 2021, a cross-sectional study using data from the National Patient Information Reporting System was completed to identify MHD or SUD diagnoses in AI/AN adults with HIV, HCV infection, or HIV/HCV coinfection within the IHS during fiscal years 2001–2020. Logistic regression was used to compare the odds of MHD or SUD diagnoses, adjusting for age and sex.
  
  Results:
  
  Of AI/AN adults diagnosed with HIV, hepatitis C virus infection, or HIV/HCV coinfection, the period prevalence of MHD or SUD diagnoses ranged from 57.2% to 81.1%. Adjusting for age and sex, individuals with HCV infection had higher odds of receiving a MHD diagnosis (AOR=1.57; 95% CI=1.47, 1.68) or SUD diagnosis (AOR=3.40; 95% CI=3.18, 3.65) than those with HIV, and individuals with HIV/HCV coinfection had higher odds of receiving a MHD diagnosis (AOR=1.60; 95% CI=1.35, 1.89) or SUD diagnosis (AOR=2.81; 95% CI=2.32, 3.41) than those with HIV.
  
  Conclusions:
  
  MHD and SUD diagnoses were common in AI/AN adults diagnosed with HIV, HCV infection, or HIV/HCV coinfection, highlighting the need for culturally appropriate screening and treatment programs sensitive to the diverse strengths of AI/AN populations and structural challenges they endure.
  
  
• Subjects:
  Adult Article Coinfection Cross-Sectional Studies Hepacivirus Hepatitis C HIV Infections Humans Mental Disorders Prevalence United States United States Indian Health Service

  More +
• Source:
  Am J Prev Med. 63(3):e77-e86
• Pubmed ID:
  35589441
• Pubmed Central ID:
  PMC9887638
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  63
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:056f34e3cf21a70857d25005647b3c1a394cb590e904c6699d47eff4869fdf90
• Download URL:
  https://stacks.cdc.gov/view/cdc/124156/cdc_124156_DS1.pdf
• File Type:
  [PDF - 106.28 KB ]