ArticleAIDS (London, England)2009
HIV patients with psychiatric disorders are less likely to discontinue HAART.
Article in AIDS (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mental health and retention in HIV care: A systematic review and meta-analysis.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018Pooled it
- Challenges in the Evaluation of Interventions to Improve Engagement Along the HIV Care Continuum in the United States: A Systematic Review.AIDS and behavior · 2017Pooled it
- The impact of DSM-IV mental disorders on adherence to combination antiretroviral therapy among adult persons living with HIV/AIDS: a systematic review.AIDS and behavior · 2012Pooled it
- Trial
- Designing Health Care Policy and Systems to Reach and Retain Those with Severe Mental Illness in HIV Prevention and Care Efforts: Insights from Ten US States.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Impact of mental health service use on the HIV care cascade among women.HIV medicine · 2025Article
- Adherence to antiretroviral therapy in people living with HIV with moderate or severe mental disorder.Scientific reports · 2023Article
- Demonstration project of a lay counselor delivered trans-diagnostic mental health intervention for newly diagnosed HIV patients in Mozambique.AIDS care · 2023Article
- Causal Pathways Between Severe Mental Illness and Behaviors Related to HIV: Patient Perspectives.Community mental health journal · 2020Article
- Prevalence of HIV Viral Load Suppression Among Psychiatric Inpatients with Comorbid Substance Use Disorders.Community mental health journal · 2018Article
- Psychiatric Illness, Substance Use, and Viral Suppression Among HIV-Positive Men of Color Who Have Sex with Men in Los Angeles.AIDS and behavior · 2018Article
- Ten-year trends in antiretroviral therapy persistence among US Medicaid beneficiaries.AIDS (London, England) · 2017Article
- Determining the Cost-Savings Threshold for HIV Adherence Intervention Studies for Persons with Serious Mental Illness and HIV.Community mental health journal · 2016Article
- Cognitive impairment in patients with AIDS - prevalence and severity.HIV/AIDS (Auckland, N.Z.) · 2015Review
- Prevalence of Depression in People Living with HIV/AIDS Undergoing ART and Factors Associated with it.Journal of clinical and diagnostic research : JCDR · 2014Article
- Discontinuation of antiretroviral therapy among adults receiving HIV care in the United States.Journal of acquired immune deficiency syndromes (1999) · 2014Article
- Prevalence of cardiovascular risk factors among racial and ethnic minorities with schizophrenia spectrum and bipolar disorders: a critical literature review.Comprehensive psychiatry · 2014Article
- Race/ethnicity and HAART initiation in a military HIV infected cohort.AIDS research and therapy · 2014Article
- Treatment considerations for HIV-infected individuals with severe mental illness.Current HIV/AIDS reports · 2013Observational
- Trends and disparities in antiretroviral therapy initiation and virologic suppression among newly treatment-eligible HIV-infected individuals in North America, 2001-2009.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveWe examined whether having a psychiatric disorder among HIV-infected individuals is associated with differential rates of discontinuation of HAART and whether the number of mental health visits impact these rates.
designThis longitudinal study (fiscal year: 2000-2005) used discrete time survival analysis to evaluate time to discontinuation of HAART. The predictor variable was presence of a psychiatric diagnosis (serious mental illness versus depressive disorders versus none).
settingFive United States outpatient HIV sites affiliated with the HIV Research Network. PATIENTS: The sample consisted of 4989 patients. The majority was nonwhite (74.0%) and men (71.3%); 24.8% were diagnosed with a depressive disorder, and 9% were diagnosed with serious mental illness.
main outcome measuresTime to discontinuation of HAART adjusting for demographic factors, injection drug use history, and nadir CD4 cell count.
resultsRelative to those with no psychiatric disorders, the hazard probability for discontinuation of HAART was significantly lower in the first and second years among those with SMI [adjusted odds ratio: first year, 0.57 (0.47-0.69); second year, 0.68 (0.52-0.89)] and in the first year among those with depressive disorders [adjusted odds ratio: first year, 0.61 (0.54-0.69)]. The hazard probabilities did not significantly differ among diagnostic groups in subsequent years. Among those with psychiatric diagnoses, those with six or more mental health visits in a year were significantly less likely to discontinue HAART compared with patients with no mental health visits.
conclusionIndividuals with psychiatric disorders were significantly less likely to discontinue HAART in the first and second years of treatment. Mental health visits are associated with decreased risk of discontinuing HAART.
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