Antidepressant Treatment and Adherence to Antiretroviral Medications Among Privately Insured Persons with HIV/AIDS

In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) d...

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Bibliographic Details
Published in:AIDS and behavior 2011-11, Vol.15 (8), p.1819-1828
Main Authors: Akincigil, Ayse, Wilson, Ira B., Walkup, James T., Siegel, Michele J., Huang, Cecilia, Crystal, Stephen
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Adolescent
Adult
Age Distribution
Anti-Retroviral Agents - therapeutic use
Antidepressive Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Depression - drug therapy
Depression - psychology
Female
Health behavior
Health Insurance
Health Psychology
HIV
HIV Infections - drug therapy
HIV Infections - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Insurance Claim Review
Insurance, Health
Logistic Models
Male
Medications
Medicine
Medicine & Public Health
Mental depression
Mental health care
Middle Aged
Original Paper
Patient Compliance
Pharmacy
Private Sector
Psychotherapy
Public Health
Retrospective Studies
Treatment
Young Adult
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Summary:In order to examine relationships between depression treatments (antidepressant and/or psychotherapy utilization) and adherence to antiretroviral therapy (ART), we conducted a retrospective analysis of medical and pharmacy insurance claims for privately insured persons living with HIV/AIDS (PLWHA) diagnosed with depression ( n  = 1,150). Participants were enrolled in 80 insurance plans from all 50 states. Adherence was suboptimal. Depression treatment initiators were significantly more likely to be adherent to ART than the untreated. We did not observe an association between psychotherapy utilization and ART adherence, yet given the limitations of the data (e.g., there is no information on types of psychological treatment and its targets), the lack of association should not be interpreted as lack of efficacy.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-011-9938-6