Persons Newly Diagnosed with HIV Infection are at High Risk for Depression and Poor Linkage to Care: Results from the Steps Study

作者: Ramona Bhatia , Christine Hartman , Michael A. Kallen , James Graham , Thomas P. Giordano

DOI: 10.1007/S10461-010-9778-9

关键词: MedicineInternal medicineDepression (differential diagnoses)Multivariate analysisYoung adultSubstance abuseProspective cohort studyAcquired immunodeficiency syndrome (AIDS)Public healthCohort studyPsychiatry

摘要: Little is known about the prevalence and impact of depression in persons newly diagnosed with HIV infection. The Steps Study a prospective, observational cohort study Participants were administered battery instruments, including CES-D. Linkage to care was defined as attending at least one clinic appointment each first two 90-day intervals following diagnosis. Of 180 participants, 67% screened positive for depression. In multivariate analysis, associated female sex, income <$25,000, recent substance abuse, baseline poor access medical care, low self-efficacy. Fifty-six sixty-eight percent depressed not participants linked respectively. borderline significant predictor linkage. Depression very prevalent Interventions targeting linkage should address depression, barriers care.

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