Substance use, mental illness, and familial conflict non-negotiation among HIV-positive African-Americans: latent class regression and a new syndemic framework

We evaluated a synergistic epidemic (syndemic) of substance use, mental illness, and familial conflict non-negotiation among HIV-positive injection drug users (IDU). Baseline BEACON study data was utilized. Latent class analyses identified syndemic classes. These classes were regressed on sex, viral...

Full description

Saved in:
Bibliographic Details
Published in:Journal of behavioral medicine 2016-02, Vol.39 (1), p.1-12
Main Authors: Robinson, Allysha C., Knowlton, Amy R., Gielen, Andrea C., Gallo, Joseph J.
Format: Article
Language:English
Subjects:
Acute services
Adult
African Americans
Analysis
Antiretroviral agents
Clinical outcomes
Comorbidity
Conflict
Drug abuse
Drug addiction
Drug use
Family Medicine
Family Relations - psychology
Female
General Practice
Health Psychology
Health status
HIV
HIV Infections - epidemiology
HIV Infections - psychology
Human immunodeficiency virus
Humans
Intervention
Intravenous drug addiction
Intravenous drug addicts
Male
Medicine
Medicine & Public Health
Men
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - psychology
Middle Aged
Negotiation
Psychological aspects
Sex Factors
Socioeconomic Factors
Substance abuse
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Suppression
Treatment methods
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We evaluated a synergistic epidemic (syndemic) of substance use, mental illness, and familial conflict non-negotiation among HIV-positive injection drug users (IDU). Baseline BEACON study data was utilized. Latent class analyses identified syndemic classes. These classes were regressed on sex, viral suppression, and acute care non-utilization. Females were hypothesized to have higher syndemic burden, and worse health outcomes than males. Nine percent of participants had high substance use/mental illness prevalence (Class 4); 23 % had moderate levels of all factors (Class 3); 25 % had high mental illness (Class 2); 43 % had moderate substance use/mental illness (Class 1; N  = 331). Compared to Classes 1–3, Class 4 was mostly female ( p  
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-015-9670-1