ArticleCurrent HIV research2021
Burden of Chronic Conditions Among Persons with HIV/AIDS and Psychiatric Comorbidity.
Article in Current HIV research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Factors Associated with Mental Health Care Satisfaction Among Rural, Older Adults Living with HIV in the United States: A Cross-Sectional Study.AIDS and behavior · 2026Article
- 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
- Mental health disorders and determinants among adolescents living with HIV: a first national estimation in Togo (The MIND-HIV study), 2025.BMC psychiatry · 2025Article
- Inequities in palliative care delivery to patients with HIV and stage IV cancers in the United States (2004-2020).JNCI cancer spectrum · 2025Article
- Comorbidities and HIV-related factors associated with mental health symptoms and unhealthy substance use among older adults living with HIV in low- and middle-income countries: a cross-sectional study.Journal of the International AIDS Society · 2025Article
- Social Vulnerability and Mental Health Among People with HIV and Substance Use: The Role of Race.AIDS and behavior · 2024Article
- HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study.Drug and alcohol dependence · 2022Article
- Negative Lifestyle Factors Specific to Aging Persons Living with HIV and Multimorbidity.Journal of the International Association of Providers of AIDS CareReview
- Understanding the Triple Burden of HIV, Noncommunicable Diseases, and Mental Health Conditions Among Female Sex Workers With HIV in the Dominican Republic.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundImproved survivorship among persons living with HIV translates into a higher risk of medical comorbidities.
objectivesWe assessed the association between the intersection of physical (HIV) and mental health (psychiatric) conditions and intermediate outcomes.
methodsThis was a cross-sectional study of the Medical Expenditure Panel Survey (MEPS)- Household Component between 1996 and 2016. We created four groups for persons aged ≥18: (1) HIV + psychiatric comorbidity, (2) HIV, (3) psychiatric comorbidity, and (4) no-HIV/no-psychiatric comorbidity. We compared the burden of medical comorbidities (metabolic disorders, cardiovascular disease, cancers, infectious diseases, pain, and substance use) among groups using chisquare tests. We used logistic regression to determine the association between group status and medical comorbidity.
resultsOf 218,133,630 (weighted) persons aged ≥18, 0.18% were HIV-positive. Forty-three percent of the HIV group and 19% of the no-HIV group had psychiatric comorbidities. Half of the HIV+ psychiatric disorder group had at least one medical comorbidity. Compared to the no- HIV/no-psychiatric comorbidity group, the HIV + psychiatric comorbidity group had the highest odds of medical comorbidity (OR= 3.69, 95% CI = 2.99, 4.52).
conclusionPersons presenting with HIV + psychiatric comorbidity had higher odds of medical comorbidities of pain, cancer, cardiovascular disease, substance use, metabolic disorders and infectious diseases, beyond that experienced by persons with HIV infection or psychiatric disorders, independently. Future research will focus on the mediating effects of social determinants and biological factors on outcomes such as the quality of life, cost and mortality. This will facilitate a shift away from the single-disease framework and compress morbidity of the aging cohort of HIV-infected persons.
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