Cited by 102HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV-related health complications and treatments

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Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

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Cook, Judith A., Burke-Miller, Jane K., Steigman, Pamela J., Schwartz, Rebecca M., Hessol, Nancy A., Milam, Joel, Merenstein, Daniel J., Anastos, Kathryn, Golub, Elizabeth T., Cohen, Mardge H.·2018·AIDS and Behavior

DOI 10.1007/s10461-018-2051-3PMC PMC6153984

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Abstract

We used the World Health Organization's Composite International Diagnostic Interview to determine the prevalence, comorbidity, and correlates of lifetime and 12-month behavioral health disorders in a multisite cohort of 1027 women living with HIV in the United States. Most (82.6%) had one or more lifetime disorders including 34.2% with mood disorders, 61.6% with anxiety disorders, and 58.3% with substance use disorders. Over half (53.9%) had at least one 12-month disorder, including 22.1% with mood disorders, 45.4% with anxiety disorders, and 11.1% with substance use disorders. Behavioral health disorder onset preceded HIV diagnosis by an average of 19 years. In multivariable models, likelihood of disorders was associated with women's race/ethnicity, employment status, and income. Women with 12-month behavioral health disorders were significantly more likely than their counterparts to engage in subsequent sexual and substance use HIV risk behaviors. We discuss the complex physical and behavioral health needs of women living with HIV.

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BackgroundSelf-citation
Prevalence of Mental Health Disorders and Their Associated Risk Factors Among People Living with HIV in Rwanda: A Cross-Sectional Study
Omann, L. R., Dushimiyimana, V., Musoni, E., Arnbjerg, C. J., Niyonkuru, V. U., Iyamuremye, J. D., Gasana, M., Carlsson, J. M., Kallestrup, P., & Kraef, C. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04358-3 · Cited by 6
“Some severe mental health disorders e.g., schizophrenia, bipolar disorder, and psychosis may also be associated with sexual risk behaviour [39–41].”
Background
The Effects of Prescribed Medications on Depressive Symptoms and Neurocognitive Performance in People With HIV
Kamkwalala, A. R., Matthews, A. M., Garg, A., Roy, U. B., Ma, Q., Karris, M., Sundermann, E. E., Ellis, R. J., Riggs, P. K., Trunfio, M., et al. (2024) · Clinical Infectious Diseases · doi:10.1093/cid/ciae518 · Cited by 6
“Even with the success of antiretroviral treatment (ART), brain health disorders continue to occur in people with human immunodeficiency virus (HIV, PWH) [1–4].”
Social Support, Relationship Power, and Knowledge of HIV+ Serostatus in Sexual Risk Behavior Among Women in Psychiatric Treatment
Abbamonte, J. M., McMahon, R. C., Stanforth, E. T., Rosenberg, R., Jean-Gilles, M. M., & Dévieux, J. G. (2020) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-020-09701-z · Cited by 6
Readiness for Hospital Discharge and Its Correlates Among People Living With HIV in Hunan, China: A Cross-sectional Study
Zhang, X., Tang, C., Xiao, X., Sun, M., & Wang, H. (2021) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000278 · Cited by 6
Depressive Symptoms and Associated Factors Among People Living with HIV/AIDS and Undergoing Antiretroviral Therapy: A Cross-Sectional Study in the Amathole District, South Africa
Njajula, M., & Okafor, U. B. (2023) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s428616 · Cited by 6
“18,24,27 Yet, research has shown that HIV-related clinical variables associated with depressive symptoms in PLWHA include side effects of ART, 28–30 and poor adherence to ART.”
Background
Integrative Review of Methods From Youth Risk Behavior Survey Secondary Data Analyses Examining HIV Syndemic Factors Among Adolescent Gay and Bisexual Men
Garcia, D. R., Fletcher, J., Goldsamt, L. A., & Navarra, A.-M. D. (2022) · Nursing Research · doi:10.1097/nnr.0000000000000632 · Cited by 6
Critical Perspectives on Expanding Racial/Ethnic Diversity in the HIV Research Workforce: Comorbidities and Mentoring
Stoff, D. M., Bowleg, L., del Río‐González, A. M., Rodríguez-Díaz, C. E., & Zea, M. C. (2023) · Health Education & Behavior · doi:10.1177/10901981231157795 · Cited by 7
“In addition, because racial and ethnic minority communities are disproportionately affected by comorbidities (Cook et al., 2018; Rawlings & Masters, 2008; Shadmi, 2013), URM scientists are more likely to experience adverse living and work conditions (e.g., discriminatory) and be attuned to the…”
Background
HIV-associated depression: a translational framework targeting neuroimmune inflammation and psychosocial stress modulation
Yu, F., Zhu, Y., Fan, Y., Chen, M., Peng, Q., Sheng-hao, L., Hao, L., Ye, F., Xia, J., & Hu, X. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1645991 · Cited by 6
Mental health, substance use, and risky sexual behaviors among women living with HIV
Deaterly, C. D., Varma, D. S., Li, Y., Manavalan, P., & Cook, R. L. (2023) · Journal of Nursing Scholarship · doi:10.1111/jnu.12900 · Cited by 6
Examining the Intersection of Ethnoracial Disparities and HIV Status in Substance Use Risks among U.S. Adults
Hai, A. H., Batey, D. S., Lee, C. S., Li, S., & Schnall, R. (2024) · AIDS and Behavior · doi:10.1007/s10461-024-04277-3 · Cited by 5
The anxiety care continuum and its association with viral suppression among persons with HIV
Zalla, L. C., Hutton, H. E., Fojo, A. T., Falade-Nwulia, O. O., Jones, J. L., Keruly, J. C., Snow, L. N., Moore, R. D., & Lesko, C. R. (2024) · AIDS · doi:10.1097/qad.0000000000003986 · Cited by 5
Uso de sustancias en mujeres y violencia de género: Desde una perspectiva feminista e interseccional
Torres-Lorenzo, A., Ayala-Ramos, G. E., Morales-Vargas, P. V., Aldwen-Cruz, K. M., Ríos-Rivera, G. D., & Rodríguez-Caraballo, D. J. (2022) · Revista Puertorriqueña de Psicología · doi:10.55611/reps.3302.11 · Cited by 5
Using network analysis to elucidate the relationships among support systems, trauma and depressive symptoms, self-silencing, and risk of HIV viral non-suppression among black women living with HIV
Boga, D. J., Juste, R. S., Etienne, K., & Dale, S. K. (2024) · Journal of Behavioral Medicine · doi:10.1007/s10865-024-00530-1 · Cited by 4
“…struggles among women living with HIV (Bing et al., 2001) with a longitudinal study among women indicating that the lifetime and one year prevalence and comorbidity of anxiety, mood and substance use disorders in women living with HIV exceeded that of the general population (Cook et al., 2018).”
Substance Use and Mental Health Screening Within an Emergency Department-Based HIV Screening Program: Outcomes From 1 Year of Implementation
Brown, J. L., Gause, N. K., Braun, R. S., Punches, B. E., Spatholt, D., Twitty, T. D., Sprunger, J. G., & Lyons, M. S. (2023) · Health Promotion Practice · doi:10.1177/15248399231193005 · Cited by 4
Psychiatric hospitalization among youth at high risk for HIV
Rezvan, P. H., Rezai, R., Comulada, W. S., Lee, S. J., Arnold, E. M., Swendeman, D. T., Rotheram‐Borus, M. J., & Fernandez, M. I. (2021) · AIDS Care · doi:10.1080/09540121.2021.1944599 · Cited by 4
“MHDs have been linked substance use, condomless sex, transactional sex, and other HIV risk behaviors (Cook et al., 2018; Hotton et al., 2020).”
Background
Improvement in depressive symptoms after antiretroviral therapy initiation in people with HIV in Rakai, Uganda
Nakasujja, N., Vecchio, A., Saylor, D. R., Lofgren, S. M., Nakigozi, G. F., Boulware, D. R., Kisakye, A., Batte, J., Mayanja, R., Anok, A., et al. (2021) · Journal of NeuroVirology · doi:10.1007/s13365-020-00920-6 · Cited by 4
Exploring Psychosocial and Structural Syndemic Effects as Predictors of HIV Risk Behaviors Among Black Women (HPTN 064)
Watson, L., Haley, D. F., Turpin, R., Ma, T., Nguyen, Q. C., Mittal, M., Dyer, T. V., & the HPTN 064 Study Team (2024) · Journal of Women s Health · doi:10.1089/jwh.2023.0458 · Cited by 4
“44 Sensitivity analyses were conducted to examine whether household income was re ﬂ ected in the neighborhood-level structural variables.”
Psychiatric Comorbidity of Unipolar Mood, Anxiety, and Trauma Disorders Prior to HIV Testing and the Effect on Linkage to Care Among HIV-Infected Adults in South Africa
Belus, J. M., Cholera, R., Miller, W. C., Bassett, J., & Gaynes, B. N. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02586-6 · Cited by 4
Substance Use Disorders and HIV/AIDS Risk Behaviors in Youth After Juvenile Detention: A 16-Year Longitudinal Study
Stokes, M. L., Abram, K. M., Aaby, D., Welty, L. J., Meyerson, N. S., Zawitz, C. J., & Teplin, L. A. (2023) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2023.05.015 · Cited by 4
The REACH (Resiliency, Engagement, and Accessibility for Comorbid HIV/PTSD/SUD populations) Protocol: Using a Universal Screener to Improve Mental Health and Enhance HIV Care Outcomes
López, C. M., Goodrum, N. M., Brown, T. P., O’Brien, A., Davies, F., & Moreland, A. D. (2023) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-023-09850-7 · Cited by 6
Four-Year Trajectories of Internal Strengths and Socioemotional Support Among Middle-Aged and Older Adults with HIV
Ham, L., Tang, B., Kohli, M., Jeste, D. V., Grant, I., & Moore, D. J. (2022) · AIDS and Behavior · doi:10.1007/s10461-022-03798-z · Cited by 3
The Philadelphia Syndrome, or an insurmountable cultural trauma: Outdated mainstream visual representations of HIV in times of undetectability
Baselga, S. V. (2023) · MedieKultur Journal of media and communication research · doi:10.7146/mk.v39i74.132466 · Cited by 4
Impact of Substance Use and Mood/Anxiety Disorders on the HIV Continuum of Care in British Columbia, Canada, from 2001 to 2019
Shayegi-Nik, S., Wang, L., Li, J., Budu, M. O., Kooij, K. W., Honer, W. G., Hogg, R. S., Montaner, J. S. G., & Lima, V. D. (2024) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-024-01272-6 · Cited by 3
“Similar to previous findings, we observed that women, younger and low-income individuals, and residents of the DTES were more likely to have SUD (Cook et al., 2018; Erickson et al., 2015).”
Impact of the COVID-19 pandemic on mental health and viral suppression among persons living with HIV in western Washington
Wang, L., Slaughter, F. A., Nguyen, A., Smith, S., Prabhu, S., Beima‐Sofie, K., Wallace, S. E., Crane, H. M., Simoni, J. M., & Graham, S. M. (2024) · AIDS Care · doi:10.1080/09540121.2024.2341220 · Cited by 3
“As in the general population, COVID-19 has had negative impacts on mental health outcomes among people with HIV (PWH), whose prevalence of mental illness is higher than that of the general population (Cook et al., 2018).”
Structural Competency as a Global Framework for Syndemic HIV Care: A Critical Synthesis
Melino, K., & Leonard, A. (2026) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000619 · Cited by 3
The kynurenine pathway in relation to depression and anhedonia symptom severity among women with HIV
Gabbay, V., Hills, C., Cardozo, F., Chance, A. B., Sharma, A., Mowrey, W. B., Baker, Z., QI, Q., Burgess, H. J., Berman, J. W., et al. (2026) · Brain Behavior & Immunity - Health · doi:10.1016/j.bbih.2026.101199 · Cited by 2
Feasibility and Acceptability of a Web-Based Peer Navigation-Psychoeducational HIV Intervention for Women
Stockman, J. K., Anderson, K. M., Carr, S. G., Wood, B. A., Cloître, M., & Smith, L. R. (2022) · Research on Social Work Practice · doi:10.1177/10497315221124602 · Cited by 2
“…40% of WLHA in a nationally representative sample have a DSM-V psychiatric disorder (Lopes et al., 2012), and 58.1% of WLHA from a large multisite cohort in the US reported risky substance use behaviors, while 49.9% reported drug abuse, and 19.6% reported alcohol abuse (Cook et al., 2018).”
BackgroundInfluential
Predicting Emotional Valence of People Living with the Human Immunodeficiency Virus Using Daily Voice Clips: A Preliminary Study
Lin, R. F., Cheng, S., Liu, Y.-P., Chen, C., Wang, Y.-J., & Chang, S. (2021) · Healthcare · doi:10.3390/healthcare9091148 · Cited by 2
“The prevalence of depression among PLHIV was between 18% and 81% [3,6–8].”
Background
Perceived Social Support as a Predictor of General Health in HIV+ Patients: Moderating Role of Gender
Ehsan, S., & Batool, S. S. (2022) · Pakistan Journal of Health Sciences · doi:10.54393/pjhs.v3i05.174 · Cited by 2
Consumo de sustancias psicoactivas y su efecto en la salud de la población
Villareal-Calderón, L. A., Castro-Jalca, J. E., Cajape, M. A. P., & Valverde-Balladares, K. M. (2023) · MQRInvestigar · doi:10.56048/mqr20225.7.3.2023.4200-4224 · Cited by 2
Employment, coronavirus victimization distress, and substance use disorders among black and non-Hispanic White young adults during the COVID-19 pandemic
Tao, X., Yip, T., & Fisher, C. B. (2022) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2022.2091702 · Cited by 2
“The prevalence rate of SUDs increases with some of these conditions (e.g., HIV), and further increases among adults with multiple chronic conditions, such as asthma, arthritis, diabetes, and cancer (Cook et al., 2018; Mallorquí-Bagué et al., 2016; Wu et al., 2018).”
BackgroundResult
Dopamine-driven Increase in IL-1β in Myeloid Cells is Mediated by Differential Dopamine Receptor Expression and Exacerbated by HIVPreprint
Matt, S. M., Nolan, R., Manikandan, S., Agarwal, Y., Channer, B., Oteju, O., Daniali, M., Canagarajah, J. A., LuPone, T., Mompho, K., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.06.09.598137 · Cited by 2
A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels.
Woolf-King, S. E., Dalton, M. R., Firkey, M., Sheinfil, A., Bucci, V., Estrada, B., Ramos, J., Hahn, J. A., Bricker, J., Gump, B., et al. (2026) · AIDS and Behavior · doi:10.1007/s10461-025-04990-7 · Cited by 1
“Indeed, up to 63% of PWH meet criteria for a co-occurring substance use and psychiatric disorder [22, 23], with depression and anxiety being the most common psychiatric co-morbidities [23, 24].”
Latent Profile Analysis of Cognitive Performance and Depressive Symptoms Among People with HIV
Kohli, M., Ham, L., Saloner, R., Dung, D., Iudicello, J. E., Ellis, R. J., & Moore, D. J. (2024) · AIDS Patient Care and STDs · doi:10.1089/apc.2023.0224 · Cited by 1
“10,12,13,20,21 26–30 In a large, multi-site clinical cohort study, greater chronicity of depression increased the likelihood of negative health outcomes (i.e., missed HIV primary care appointments, detectable viral load, higher mortality rates) at multiple points on the HIV care continuum.”
Adult HIV/AIDS patients are more likely to experience anxiety symptoms
Abdu, Z., Belayneh, W., Dule, A., Alemu, S. S., Wedajo, L. F., Hajure, M., Mulatu, G., Alemayehu, Y., Gezimu, W., Hussen, M. A., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1507020 · Cited by 1
Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes
Deaterly, C. D., Weaver, M. T., Parker, L. A., Starkweather, A. R., Forsyth, B., Zhou, Z. H., Cohen, C. H., & Cook, R. L. (2025) · AIDS Care · doi:10.1080/09540121.2025.2464618 · Cited by 1
“These findings are consistent with previous studies showing a high burden of mental health conditions and comorbid substance use in other cohorts of WWH (Barai et al., 2016; Cook et al., 2018; Kassaye et al., 2019; Malee et al., 2014).”
Cannabis Use Trajectories Among People Living With HIV in the Decade Prior to Recreational Legalization in Ontario, Canada (2008-2017)
Lazor, T., Sanches, M., Wardell, J. D., Wang, W., Burchell, A. N., Margolese, S. L., Bekele, T., Kroch, A. E., Rueda, S., & OHTN Cohort Study Group (2025) · AIDS Education and Prevention · doi:10.1521/aeap.2025.37.2.142 · Cited by 1
Brief Report: Substance Use Care Continuum in Women With and Without HIV in the Southern United States
Ramakrishnan, A., Fujita, A. W., Mehta, C. C., Wilson, T. E., SHOPTAW, S. J., Carrico, A. W., Adimora, A. A., Eaton, E., Jones, D. L., Chandran, A., et al. (2023) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000003373 · Cited by 1
Genetic Variations in EIF2AK3 are Associated with Neurocognitive Impairment in People Living with HIV
Akay, C., Newton, S. E. B., Dombroski, B. A., Kallianpur, A. R., Bharti, A., Franklin, D. R., Schellenberg, G. D., Heaton, R. K., Grant, I., Ellis, R. J., et al. (2024) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-024-10125-x · Cited by 3
“Accumulating evi - dence also supports that neuropsychiatric disorders such as depression and aging-related disorders are more common in PWH (Cook et al. 2018; Lu et al. 2019 ; Valcour et al. 2011 ).”
Background
Mental health phenotypes of well-controlled HIV in Uganda
Rubin, L. H., Cho, K., Bolzenius, J. D., Mannarino, J. A., Easter, R. E., Dastgheyb, R. M., Anok, A., Tomusange, S., Saylor, D. R., Wawer, M. J., et al. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1407413 · Cited by 1
Predicting Trajectories of Everyday Functioning in Adults Aging with HIV Using Latent Growth Mixture Modeling
Ham, L., Roesch, S. C., Franklin, D. R., Ellis, R. J., Grant, I., & Moore, D. J. (2025) · AIDS and Behavior · doi:10.1007/s10461-025-04623-z · Cited by 1
“There is significant evidence that people with HIV (PWH) experience a disproportionate burden of disease with older age [1] including neurocognitive impairment (NCI) [2, 3], and psychiatric [4, 5] and medical [1, 6] comorbidities.”
Genetic variations in EIF2AK3 are associated with neurocognitive impairment in people living with HIVPreprint
Akay, C., Newton, S. E. B., Dombroski, B. A., Kallianpur, A. R., Bharti, A., Franklin, D. R., Schellenberg, G. D., Heaton, R. K., Grant, I., Ellis, R. J., et al. (2022) · medRxiv · doi:10.1101/2022.04.20.22273997 · Cited by 1
The Effect of Stress Management Training on Stigma and Social Phobia in HIV‐positive womenPreprint
Shamsaei, F., Tahour, N., & Sadeghian, E. (2019) · doi:10.21203/rs.2.10270/v1
“In a study conducted by Cook et al (2018) study, the rate of anxiety disorders in positive HIV women in the United States was 61.6% [ 10].”
BackgroundInfluential
Pathobiology of CNS human immunodeficiency virus infection
Rubin, L. H., Tovar‐y‐Romo, L. B., & Haughey, N. J. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-85654-6.00031-9
Tools for Screening and Measuring Anxiety Among Women Living with HIV of Reproductive Age: A Scoping Review
Jones, M. C., Byun, J. Y., Billings, R., Shorten, A., Kempf, M.-C., Vance, D. E., & Puga, F. (2023) · AIDS and Behavior · doi:10.1007/s10461-023-03990-9
Xenophobia vs. Patriotism: Where is my Home? – Proceedings
Klicperova-Baker, M., & Friedlmeier, W. (2022) · ScholarWorks - GVSU (Grand Valley State University) · doi:10.4087/lair9145
A Cross Cultural Perspective of Adherence for Racial/Ethnic Minority Women with HIV, Living in the United States
Duthely, L. M., Villar-Loubet, O. M., Akurati, S., & Covarrubias, A. P. S. (2022) · doi:10.4087/dxul5725
Healthcare utilisation in people living with HIV: the role of substance use, mood/anxiety disorders and unsustained viral suppression – a retrospective cohort study in British Columbia, Canada, 2001–2019
Shayegi-Nik, S., Wang, L., Magee, C., Li, J., Budu, M. O., Kooij, K. W., Honer, W. G., Hogg, R. S., Montaner, J. S. G., & Lima, V. D. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-088818
Obsessive-compulsive disorder symptoms in an adult cystic fibrosis population
Sowa, N. A., Pudukodu, H. S., Ceppe, A., & Goralski, J. L. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112118
“They Want to Take Care of Themselves to Take Care of Their Kids”: Provider Focus Group Perspectives of Stress and Resilience in Parents Living With HIV and Their Children in the Southeast United States
Goodrum, N. M., Nguyen, J. K., O’Brien, A., Livingston, S., & Moreland, A. D. (2025) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000556
Remote alcohol biomarker monitoring to promote drinking reductions among people with HIV: A proof-of-concept pilot study
Sheinfil, A. Z., Morales-Aseff, D., Lebowitz, Z., Rodriguez‐Barradas, M. C., Giordano, T. P., & Ecker, A. H. (2026) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2026.209957

Authors: Cook, J. A., Burke-Miller, J. K., Steigman, P. J., Schwartz, R. M., Hessol, N. A., Milam, J., Merenstein, D. J., Anastos, K., Golub, E. T., & Cohen, M. H.
Affiliations: University of Illinois Chicago (US)
Northwell Health (US)
University of California, San Francisco (US)
University of Southern California (US)
Georgetown University (US)
Albert Einstein College of Medicine (US)
Johns Hopkins University (US)
John H. Stroger, Jr. Hospital of Cook County (US)
ORCID: Burke-Miller, Jane K.
Steigman, Pamela J.
Schwartz, Rebecca M.
Hessol, Nancy A.
Milam, Joel
Merenstein, Daniel J.
Anastos, Kathryn
Golub, Elizabeth T.
Cohen, Mardge H.
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2018-02-19
Volume: 22
Issue: 10
Pages: 3141-3154
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-018-2051-3
PMC: PMC6153984
OpenAlex: W2791638408
Cited by: 102
References: 79
Citations by year: 2026: 5 · 2025: 11 · 2024: 16 · 2023: 20 · 2022: 20 · 2021: 14 · 2020: 5 · 2019: 11
FWCI: 5.66
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
creativecommons.org/licenses/by/4.0 (vor)
Locations: AIDS and Behavior (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
eScholarship (California Digital Library) (submittedVersion)
eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders: National Institute of Mental Health (1R01MH089830)
National Institute of Allergy and Infectious Diseases (U01-AI-035004, U01-AI-034993, U01-AI-042590)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV-related health complications and treatments
Keywords: women living with HIV, mental illness, substance use disorders, mood disorders, anxiety disorders, comorbidities, HIV risk behavior, sexual risk behavior, substance use, behavioral health needs, race and ethnicity, employment status, income
MeSH terms: Adolescent, Adult, Anxiety Disorders, Mental Disorders, Female, Humans, Male, Middle Aged, Risk-Taking, Sexual Behavior, United States, Cohort Studies, HIV Infections, Comorbidity, Prevalence, Mood Disorders, Substance-Related Disorders

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Prevalence, Comorbidity, and Correlates of Psychiatric and Substance Use Disorders and Associations with HIV Risk Behaviors in a Multisite Cohort of Women Living with HIV

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