Associations of depression and anxiety with substance use and social health among older adults living with HIV

Life expectancy after HIV infection dramatically increased following the development of antiretroviral therapies (ART) in 1996. As the population of older adults living with HIV increases, concerns have grown about possible disparities in mental health. We evaluated mental health outcomes, specifica...

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Autores principales:	Sarah Soliman, David Seal, Omar Bruce, Margarida Dalton, Allison Palmer, Marissa Pardini, Bailey Quiroga, Jenica Ryu, James Welty, Imamah Younus, Annie L. Nguyen
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	mental health stigma social support drug use aging hiv/aids Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e8c935d049df4e529b596952cebe5af0
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spelling	oai:doaj.org-article:e8c935d049df4e529b596952cebe5af02021-11-19T21:22:37ZAssociations of depression and anxiety with substance use and social health among older adults living with HIV10.4148/2572-1836.10782572-1836https://doaj.org/article/e8c935d049df4e529b596952cebe5af02019-12-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1078&context=hbrhttps://doaj.org/toc/2572-1836Life expectancy after HIV infection dramatically increased following the development of antiretroviral therapies (ART) in 1996. As the population of older adults living with HIV increases, concerns have grown about possible disparities in mental health. We evaluated mental health outcomes, specifically depressive symptoms and anxiety, among older adults living with HIV in two large urban cities. We also examined the relationship between mental health outcomes and substance use and social health. We recruited 154 participants from infectious disease clinics in Los Angeles, CA and New Orleans, LA to complete cross-sectional surveys. We assessed prevalence of depressive symptoms (CES-D-10) and anxiety (GAD-7). Bivariate analyses and multivariate linear regressions were run to examine the factors associated with depressive symptoms and anxiety. We found that 44.8% of all participants were at risk for clinical depression, 55.8% reported mild to severe levels of anxiety, and 40.0% met criteria for both. In multivariate analyses, greater depressive symptoms and anxiety were associated with greater perceived HIV-related stigma and smaller social networks. Depressive symptoms were additionally associated with younger age. Substance use was not associated with depressive symptoms or anxiety. Findings suggest older adults living with HIV may be at high risk for depression and anxiety and that the presence of these conditions may also be linked to poorer social health indicators. This highlights the importance of screening for and addressing depression and anxiety among older adults with HIV.Sarah SolimanDavid SealOmar BruceMargarida DaltonAllison PalmerMarissa PardiniBailey QuirogaJenica RyuJames WeltyImamah YounusAnnie L. NguyenNew Prairie Pressarticlemental healthstigmasocial supportdrug useaginghiv/aidsSpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 3, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	mental health stigma social support drug use aging hiv/aids Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	mental health stigma social support drug use aging hiv/aids Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Sarah Soliman David Seal Omar Bruce Margarida Dalton Allison Palmer Marissa Pardini Bailey Quiroga Jenica Ryu James Welty Imamah Younus Annie L. Nguyen Associations of depression and anxiety with substance use and social health among older adults living with HIV
description	Life expectancy after HIV infection dramatically increased following the development of antiretroviral therapies (ART) in 1996. As the population of older adults living with HIV increases, concerns have grown about possible disparities in mental health. We evaluated mental health outcomes, specifically depressive symptoms and anxiety, among older adults living with HIV in two large urban cities. We also examined the relationship between mental health outcomes and substance use and social health. We recruited 154 participants from infectious disease clinics in Los Angeles, CA and New Orleans, LA to complete cross-sectional surveys. We assessed prevalence of depressive symptoms (CES-D-10) and anxiety (GAD-7). Bivariate analyses and multivariate linear regressions were run to examine the factors associated with depressive symptoms and anxiety. We found that 44.8% of all participants were at risk for clinical depression, 55.8% reported mild to severe levels of anxiety, and 40.0% met criteria for both. In multivariate analyses, greater depressive symptoms and anxiety were associated with greater perceived HIV-related stigma and smaller social networks. Depressive symptoms were additionally associated with younger age. Substance use was not associated with depressive symptoms or anxiety. Findings suggest older adults living with HIV may be at high risk for depression and anxiety and that the presence of these conditions may also be linked to poorer social health indicators. This highlights the importance of screening for and addressing depression and anxiety among older adults with HIV.
format	article
author	Sarah Soliman David Seal Omar Bruce Margarida Dalton Allison Palmer Marissa Pardini Bailey Quiroga Jenica Ryu James Welty Imamah Younus Annie L. Nguyen
author_facet	Sarah Soliman David Seal Omar Bruce Margarida Dalton Allison Palmer Marissa Pardini Bailey Quiroga Jenica Ryu James Welty Imamah Younus Annie L. Nguyen
author_sort	Sarah Soliman
title	Associations of depression and anxiety with substance use and social health among older adults living with HIV
title_short	Associations of depression and anxiety with substance use and social health among older adults living with HIV
title_full	Associations of depression and anxiety with substance use and social health among older adults living with HIV
title_fullStr	Associations of depression and anxiety with substance use and social health among older adults living with HIV
title_full_unstemmed	Associations of depression and anxiety with substance use and social health among older adults living with HIV
title_sort	associations of depression and anxiety with substance use and social health among older adults living with hiv
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/e8c935d049df4e529b596952cebe5af0
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Associations of depression and anxiety with substance use and social health among older adults living with HIV

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