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Prevalence of Psychiatric and Substance Abuse Symptomatology Among HIV-Infected Gay and Bisexual Men in HIV Primary Care
Open accessAbstract
Background The presence of psychiatric symptoms in gay/bisexual men managing HIV are under-identified and under-treated and can interfere with optimal HIV disease management. There is a paucity of prevalence reports of these symptoms in this group, identified in the primary HIV care setting. Few studies have compared prevalence rates based on empirically supported screening tools in relation to diagnoses made in primary care. Objective The purpose of this study was to identify the prevalence of psychiatric symptoms and substance abuse in HIV-infected gay/bisexual men and to estimate the proportion of those who had been diagnosed within their primary medical care setting. Method Participants (n =503) were HIV-infected gay/bisexual men screened for participation in a HIV prevention trial and completed psychosocial assessment. Data were also extracted from patients’ electronic medical record. Results Over 47% met diagnostic screen-in criteria for any anxiety disorder of whom approximately one-third were identified in primary care. More than 22% screened in for a depressive mood disorder approximately 50% of whom had been identified. One quarter of the sample had elevated substance abuse symptoms, 19.4% of whom were identified in primary care. Of those with symptoms of alcohol abuse (19.9%) 9.0% of those were identified. Conclusion These results provide some evidence suggesting that mood, anxiety and substance abuse symptomatology are prevalent among HIV-infected gay/bisexual men and are under-identified in primary care Increased mental health and substance use screening integrated into HIV primary care treatment settings may help to identify more gay/bisexual men in need of treatment.
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“Furthermore, drug use increases risk of unprotected sex and HIV infection 308 .”
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“Additionally, anxiety/depressive symptom severity scales showed lower symptom severity among participants in QUIT at EOT and 6MFU,27”
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Metadata
- Authors
- O׳Cleirigh, C., Magidson, J. F., Skeer, M. R., Mayer, K. H., & Safren, S. A.
- Affiliations
- Harvard University (US)
- Tufts Medical Center (US)
- Beth Israel Deaconess Medical Center (US)
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 56
- Issue
- 5
- Pages
- 470-478
- ISSN
- 0033-3182 (ISSN-L)
- PMC
- PMC4339664
- OpenAlex
- W2058418567
- Semantic Scholar
- 9cc1b2a5a85e78b229a14097f89b5db7b1a6dfa0
- Cited by
- 101
- References
- 50
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 9 · 2021: 15 · 2020: 5 · 2019: 17 · 2018: 11 · 2017: 8 · 2016: 10 · 2015: 2
- FWCI
- 4.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Health Resources and Services Administration (H97HA01293, 5R01MH068746-05)
- National Institute of Mental Health (H97HA01293, 5R01MH068746-05)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- HIV infection, gay and bisexual men, psychiatric symptoms, substance abuse, anxiety disorders, depression, alcohol abuse, prevalence, primary care, mental health screening, substance use screening, underdiagnosis
- MeSH terms
- Adult, Mental Disorders, Bisexuality, Humans, Male, Massachusetts, Primary Health Care, HIV Infections, Prevalence, Homosexuality, Male, Substance-Related Disorders
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