Mental health in HIV seronegative and seropositive IDUs in South Florida

Deborah L. Jones, Drenna Waldrop-Valverde, Peggy Gonzalez, Alison MacK, Adarsh M. Kumar, Ray Ownby, Stephen M. Weiss, Mahendra Kumar

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

About one-third of HIV-infected people in the USA have a history of injection-drug use. Injecting drugs are a primary vector for HIV transmission. Drug and alcohol use are significant contributors to sexual transmission of the virus. In South Florida, urban injection-drug users (IDUs) represent a substantial population at risk for infection. Substance use management in this group is critical. As part of a larger study of at-risk populations in South Florida, we examined mental health differences among IDUs (n=117), HIV seropositive IDUs (n=130), and HIV seronegative non-IDUs (n=169). We explored factors associated with depression and anxiety between groups, and found HIV seronegative and seropositive IDUs not receiving antiretroviral (ARV) treatment to have poorer overall mental health than both HIV seropositive participants on ARVs and non-IDU participants. Our data support systems enhancement to meet the various psychosocial and health care needs among IDUs and highlight the need for resource allocation to target community-based integrated mental health services in urban populations. In addition, our data underscore the need for primary and secondary HIV prevention interventions to address the drug-use risk behaviors among IDUs to reduce the likelihood of HIV infection and transmission in this population.

Original languageEnglish (US)
Pages (from-to)152-158
Number of pages7
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume22
Issue number2
DOIs
StatePublished - Feb 2010

Keywords

  • HIV
  • IDU
  • Mental health
  • Prevention
  • Urban

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

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