Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic ... View Full Text


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Article Info

DATE

2009-06-13

AUTHORS

Conall O’Cleirigh, Margie Skeer, Kenneth H. Mayer, Steven A. Safren

ABSTRACT

This study examined the relationship of post-traumatic and depressive symptom severity with measures of health-related quality of life (HRQOL), and health care utilization in a sample of 503 HIV-infected men who have sex with men (MSM) recruited in their primary HIV care setting. Participants completed computer assisted assessments of mood and anxiety, HRQOL, and HIV treatment. Peripheral blood CD4 (T helper) lymphocyte count, plasma HIV RNA concentration, and number of medical appointments were extracted from an electronic medical record. Controlling for demographics, disease stage, and antiretroviral medication, post-traumatic stress and depression symptoms accounted for significant variation in general health estimates, and in pain, role, and work-related impairment. Additionally, in multivariable models, post-traumatic stress and depression severity accounted for significant variation in health care utilization whereas symptoms and indices of HIV disease progression did not. These results extend the current research by providing evidence of the relationship between post-traumatic stress and depression symptom severity with measures of functional impairment and health care utilization in a relatively healthy, urban cohort of HIV-infected MSM. More... »

PAGES

466-477

References to SciGraph publications

  • 2000-05. Antidepressant Treatment and Health Services Utilization Among HIV‐Infected Medicaid Patients Diagnosed with Depression in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 2001-09. The PHQ-9 in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 2005-01. The association of health-related quality of life with survival among persons with HIV infection in the united states in JOURNAL OF GENERAL INTERNAL MEDICINE
  • 2007-01-25. EuroQol (EQ-5D) measure of quality of life predicts mortality, emergency department utilization, and hospital discharge rates in HIV-infected adults under care in HEALTH AND QUALITY OF LIFE OUTCOMES
  • 2003-04-24. Self-reported health-related quality of life in persons with HIV infection: results from a multi-site interview project in HEALTH AND QUALITY OF LIFE OUTCOMES
  • 2007-06-26. Developing an HIV-Prevention Intervention for HIV-Infected Men Who Have Sex with Men in HIV Care: Project Enhance in AIDS AND BEHAVIOR
  • 2004-12. The Efficacy of an Integrated Risk Reduction Intervention for HIV-Positive Women With Child Sexual Abuse Histories in AIDS AND BEHAVIOR
  • 2006-04-08. Impact of HIV-Related Stigma on Health Behaviors and Psychological Adjustment Among HIV-Positive Men and Women in AIDS AND BEHAVIOR
  • 2006-08. Changes in symptoms and health-related quality of life in a nationally representative sample of adults in treatment for HIV in QUALITY OF LIFE RESEARCH
  • 2003-12. Self-Reported Health in HIV-Positive African American Women: The Role of Family Stress and Depressive Symptoms in JOURNAL OF BEHAVIORAL MEDICINE
  • 2003-02. Effect of violence on utilization of services and access to care in persons with HIV in JOURNAL OF GENERAL INTERNAL MEDICINE
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10865-009-9217-4

    DOI

    http://dx.doi.org/10.1007/s10865-009-9217-4

    DIMENSIONS

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    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19526337


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