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30-10-2018 | BRIEF REPORT

Cognitive–affective depressive symptoms and substance use among Latino and non-Latino White patients in HIV care: an analysis of the CFAR network of integrated clinical systems cohort

Auteurs: John A. Sauceda, Nadra E. Lisha, Torsten B. Neilands, Katerina A. Christopoulos, W. Christopher Mathews, Julie H. Levison, Ann M. Dennis, Mallory O. Johnson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2019

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Abstract

The disparity in viral suppression rates between Latino and non-Latino White patients in HIV care appears to be narrowing, but it is unclear if depression and substance use perpetuate this disparity. We analyzed electronic medical records from the CFAR network of integrated clinical systems cohort. First observations/enrollment data collected between 2007 and 2013 were analyzed, which included survey (race/ethnicity, depression, substance use, adherence) and clinical data (viral suppression). We estimated indirect effects with a regression-based bootstrapping method. In 3129 observations, Latinos and non-Latino Whites did not differ in depression or alcohol use (ORs 1.11, 0.99, ns), but did in drug use (OR 1.13, p < .001). For all patients, depression and substance use were indirectly associated with small increases (ORs 1.02–1.66) in the odds for a detectable viral load, via worse adherence. We conclude that variables not captured in EMR systems (e.g., health literacy, structural factors) may better explain viral suppression disparities that persist.
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Metagegevens
Titel
Cognitive–affective depressive symptoms and substance use among Latino and non-Latino White patients in HIV care: an analysis of the CFAR network of integrated clinical systems cohort
Auteurs
John A. Sauceda
Nadra E. Lisha
Torsten B. Neilands
Katerina A. Christopoulos
W. Christopher Mathews
Julie H. Levison
Ann M. Dennis
Mallory O. Johnson
Publicatiedatum
30-10-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9986-8