Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30303, USA.
AIDS Behav. 2011 Oct;15(7):1520-6. doi: 10.1007/s10461-010-9668-1.
Depression contributes to worse general and HIV-related clinical outcomes. We examined the prevalence of and factors associated with depressive symptomatology among HIV-infected crack cocaine users recruited for Project HOPE (Hospital Visit is an Opportunity for Prevention and Engagement with HIV-positive Crack Users). We used multiple logistic regression to determine sociodemographic correlates associated with screening in for depression. Among 291 participants, three-quarters (73.5%) were identified as depressed. Higher odds of screening in for depression was associated with food insufficiency and monthly income below $600. Alcohol and crack use were not associated with screening in for depression. Depressive symptomatology is extremely prevalent among HIV-infected crack cocaine users and is associated with food insufficiency and lower income. Screening for depression and food insecurity should be included in HIV prevention and treatment programs. Improved recognition and mitigation of these conditions will help alleviate their contribution to HIV-related adverse health outcomes.
抑郁会导致更糟糕的一般和与 HIV 相关的临床结果。我们研究了在 HOPE 项目（医院就诊为 HIV 阳性可卡因使用者提供预防和参与机会）中招募的感染 HIV 的可卡因使用者中抑郁症状的流行情况和相关因素。我们使用多变量逻辑回归来确定与抑郁筛查相关的社会人口统计学因素。在 291 名参与者中，有四分之三（73.5%）被确定为抑郁。抑郁筛查的可能性更高与食物不足和每月收入低于 600 美元有关。酒精和可卡因的使用与抑郁筛查无关。在感染 HIV 的可卡因使用者中，抑郁症状极为普遍，与食物不足和收入较低有关。在 HIV 预防和治疗计划中应包括抑郁和食物不安全的筛查。更好地认识和缓解这些情况将有助于减轻它们对与 HIV 相关的不良健康结果的影响。
