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

Elizabeth Mayfield Arnold; Katherine A. Desmond; Mary Jane Rotheram-Borus; Aaron Scheffler; W. Scott Comulada; Mallory O. Johnson; Jeffrey A. Kelly

doi:10.1177/1359105315603465

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

Elizabeth Mayfield Arnold
, Katherine A. Desmond
, Mary Jane Rotheram-Borus
, Aaron Scheffler
, W. Scott Comulada
, Mallory O. Johnson
, Jeffrey A. Kelly

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	302-313
Number of pages	12
Journal	Journal of Health Psychology
Volume	22
Issue number	3
DOIs	https://doi.org/10.1177/1359105315603465
State	Published - Mar 1 2017

Bibliographical note

Publisher Copyright:
© The Author(s) 2015.

Funding

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).

Funders	Funder number
HIV Center/Research Foundation for Mental Hygiene/New York State Psychiatric Institute
National Institute of Mental Health	U10MH057616, U10MH057631, U10MH057615, U10MH057636
University of California, Los Angeles
University of California San Francisco
Medical College of Wisconsin

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

HIV
high-risk sex
mental health
physical health
substance use
unstably-housed adults living with HIV

ASJC Scopus subject areas

Applied Psychology

Access to Document

10.1177/1359105315603465

Cite this

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

abstract = "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.",

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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 - 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.

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

Abstract

Bibliographical note

Funding

UN SDGs

Keywords

ASJC Scopus subject areas

Access to Document

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Cite this