TY - JOUR
T1 - Drug use and emotional distress differentiate unstably- versus stably-housed adults living with HIV who engage in unprotected sex
AU - Arnold, Elizabeth Mayfield
AU - Desmond, Katherine A.
AU - Rotheram-Borus, Mary Jane
AU - Scheffler, Aaron
AU - Comulada, W. Scott
AU - Johnson, Mallory O.
AU - Kelly, Jeffrey A.
N1 - Funding Information:
This research was funded by cooperative agreements between the National Institute of Mental Health and the University of California, Los Angeles (U10MH057615), HIV Center/Research Foundation for Mental Hygiene/New York State Psychiatric Institute (U10MH057636), the Medical College of Wisconsin (U10MH057631), and the University of California, San Francisco (U10MH057616).
Publisher Copyright:
© The Author(s) 2015.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Among adults living with HIV, unstable housing is a barrier to health. Stably- and unstably-housed adults living with HIV were assessed for over 25 months. At baseline, unstably-housed adults living with HIV had a more recent HIV diagnosis, higher viral loads, worse physical and mental health, lower rates of antiretroviral therapy use and insurance coverage, and higher rates of hard drug use than stably-housed adults living with HIV. At follow-up, the health of both groups was similar, but unstably-housed adults living with HIV reported significantly more hard drug use and mental health symptoms when compared to the stably-housed adults living with HIV. Drug and mental health risks decreased for both groups, but decreases in unprotected sex were greater among unstably-housed adults living with HIV.
AB - Among adults living with HIV, unstable housing is a barrier to health. Stably- and unstably-housed adults living with HIV were assessed for over 25 months. At baseline, unstably-housed adults living with HIV had a more recent HIV diagnosis, higher viral loads, worse physical and mental health, lower rates of antiretroviral therapy use and insurance coverage, and higher rates of hard drug use than stably-housed adults living with HIV. At follow-up, the health of both groups was similar, but unstably-housed adults living with HIV reported significantly more hard drug use and mental health symptoms when compared to the stably-housed adults living with HIV. Drug and mental health risks decreased for both groups, but decreases in unprotected sex were greater among unstably-housed adults living with HIV.
KW - HIV
KW - high-risk sex
KW - mental health
KW - physical health
KW - substance use
KW - unstably-housed adults living with HIV
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U2 - 10.1177/1359105315603465
DO - 10.1177/1359105315603465
M3 - Article
C2 - 26359286
AN - SCOPUS:85014561986
SN - 1359-1053
VL - 22
SP - 302
EP - 313
JO - Journal of Health Psychology
JF - Journal of Health Psychology
IS - 3
ER -