Syndemic vulnerability, sexual and injection risk behaviors, and HIV continuum of care outcomes in HIV-positive injection drug users

Mizuno, Yuko; Purcell, David W.; Knowlton, Amy R.; Wilkinson, James D.; Gourevitch, Marc N.; Knight, Kelly R.

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Syndemic vulnerability, sexual and injection risk behaviors, and HIV continuum of care outcomes in HIV-positive injection drug users

Supporting Files

Apr 2015
By Mizuno, Yuko ; Purcell, David W. ; Knowlton, Amy R. ; ...

File Language:

English

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Alternative Title:

AIDS Behav
Personal Author:

Mizuno, Yuko ; Purcell, David W. ; Knowlton, Amy R. ; Wilkinson, James D. ; Gourevitch, Marc N. ; Knight, Kelly R.
Description:

Limited investigations have been conducted on syndemics and HIV continuum of care outcomes. Using baseline data from a multi-site, randomized controlled study of HIV-positive injection drug users (n = 1,052), we examined whether psychosocial factors co-occurred, and whether these factors were additively associated with behavioral and HIV continuum of care outcomes. Experiencing one type of psychosocial problem was significantly (p < 0.05) associated with an increased odds of experiencing another type of problem. Persons with 3 or more psychosocial problems were significantly more likely to report sexual and injection risk behaviors and were less likely to be adherent to HIV medications. Persons with 4 or more problems were less likely to be virally suppressed. Reporting any problems was associated with not currently taking HIV medications. Our findings highlight the association of syndemics not only with risk behaviors, but also with outcomes related to the continuum of care for HIV-positive persons.
Subjects:

Adult Antiretroviral Therapy, Highly Active Article Cohort Studies Continuity Of Patient Care Female HIV-positive Injection Drug Users HIV Continuum Of Care HIV Infections HIV Risk Behaviors Humans Logistic Models Male Medication Adherence Middle Aged Needle Sharing Risk-Taking Substance Abuse, Intravenous Syndemics Unsafe Sex
Source:

AIDS Behav. 19(4):684-693
Pubmed ID:

25249392
Pubmed Central ID:

PMC4636202
Document Type:

Journal Article
Funding:

CC999999/Intramural CDC HHS/United States
Volume:

19
Issue:

4
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:9e22b14d482ef48572a9a514caed9be7314700eaa93f54fb942fe3c6ee486002
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https://stacks.cdc.gov/view/cdc/35682/cdc_35682_DS1.pdf
File Type:

[PDF - 206.21 KB ]

nihms733746.nxml

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File Language:

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