Cognitive–affective depressive symptoms and substance use among Latino and non-Latino White patients in HIV care: an analysis of the CFAR network of integrated clinical systems cohort

The disparity in viral suppression rates between Latino and non-Latino White patients in HIV care appears to be narrowing, but it is unclear if depression and substance use perpetuate this disparity. We analyzed electronic medical records from the CFAR network of integrated clinical systems cohort....

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Bibliographic Details
Published in:Journal of behavioral medicine 2019-06, Vol.42 (3), p.561-566
Main Authors: Sauceda, John A., Lisha, Nadra E., Neilands, Torsten B., Christopoulos, Katerina A., Mathews, W. Christopher, Levison, Julie H., Dennis, Ann M., Johnson, Mallory O.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Affective Symptoms - epidemiology
AIDS treatment
Alcohol use
Analysis
Bootstrap method
Brief Report
Cognition
Cognitive ability
Cognitive Dysfunction - epidemiology
Cohort Studies
Comorbidity
Computerized medical records
Cross-Sectional Studies
Demographic aspects
Depression - epidemiology
Depression, Mental
Drug abuse
Drug use
Electronic medical records
Ethnic Groups - statistics & numerical data
Ethnicity
European Continental Ancestry Group - statistics & numerical data
Family Medicine
Female
General Practice
Health disparities
Health literacy
Health Psychology
Hispanic Americans - statistics & numerical data
HIV
HIV Infections - epidemiology
HIV patients
Human immunodeficiency virus
Humans
Indirect effects
Influence
Latin American cultural groups
Male
Medical records
Medicine
Medicine & Public Health
Mental depression
Minority & ethnic groups
Patient compliance
Patient Compliance - statistics & numerical data
Patients
Psychological aspects
Race
Substance abuse
Substance use
Substance-Related Disorders - epidemiology
United States - epidemiology
Viral Load - statistics & numerical data
Young Adult
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Summary:The disparity in viral suppression rates between Latino and non-Latino White patients in HIV care appears to be narrowing, but it is unclear if depression and substance use perpetuate this disparity. We analyzed electronic medical records from the CFAR network of integrated clinical systems cohort. First observations/enrollment data collected between 2007 and 2013 were analyzed, which included survey (race/ethnicity, depression, substance use, adherence) and clinical data (viral suppression). We estimated indirect effects with a regression-based bootstrapping method. In 3129 observations, Latinos and non-Latino Whites did not differ in depression or alcohol use (ORs 1.11, 0.99, ns ), but did in drug use (OR 1.13, p 
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-018-9986-8