Drug use and emotional distress differentiate unstably- versus stably-housed adults living with HIV who engage in unprotected sex

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...

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Published in:Journal of health psychology 2017-03, Vol.22 (3), p.302-313
Main Authors: Arnold, Elizabeth Mayfield, Desmond, Katherine A, Rotheram-Borus, Mary Jane, Scheffler, Aaron, Comulada, W Scott, Johnson, Mallory O, Kelly, Jeffrey A
Format: Article
Language:English
Subjects:
Adult
Adults
Antiretroviral therapy
Drug abuse
Drug use
Emotional distress
Female
Follow-Up Studies
Health insurance
Health risks
Health status
HIV
HIV Infections - epidemiology
Homeless Persons - statistics & numerical data
Housing
Housing - statistics & numerical data
Human immunodeficiency virus
Humans
Insurance coverage
Male
Medical diagnosis
Mental disorders
Mental health
Mental Health - statistics & numerical data
Middle Aged
Psychological distress
Safe sexual practices
Stress, Psychological - epidemiology
Substance-Related Disorders - epidemiology
Unsafe Sex - statistics & numerical data
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Summary: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.
ISSN:1359-1053
1461-7277
DOI:10.1177/1359105315603465