Depressive Symptoms and Food Insufficiency Among HIV-Infected Crack Users in Atlanta and Miami

• Published in: AIDS and behavior Vol. 15; no. 7; pp. 1520 - 1526
• Main Authors: Vogenthaler, Nicholas S., Hadley, Craig, Rodriguez, Allan E., Valverde, Eduardo E., del Rio, Carlos, Metsch, Lisa R.
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01.10.2011; Springer Nature B.V
• Subjects: Acquired Immune Deficiency Syndrome; Adult; Clinical outcomes; Cocaine; Cocaine-Related Disorders - complications; Cocaine-Related Disorders - epidemiology; Crack Cocaine - adverse effects; Cross-Sectional Studies; Depression - diagnosis; Depression - epidemiology; Depression - psychology; Drug Abuse; Female; Florida - epidemiology; Food; Food security; Food supply; Food Supply - statistics & numerical data; Georgia - epidemiology; Health Psychology; HIV; HIV Infections - complications; HIV Infections - epidemiology; HIV Infections - psychology; Human immunodeficiency virus; Humans; Hunger; Infectious Diseases; Inpatients; Logistic Models; Male; Medicine; Medicine & Public Health; Mental depression; Middle Aged; Original Paper; Prevalence; Prevention; Psychiatric Status Rating Scales; Public Health; Risk Factors; Sociodemographic Factors; Socioeconomic Factors; Tests; Treatment Outcomes; Urban Population; Viral Load; Florida; Georgia; HIV/AIDS; Crack cocaine; Depression; Food insecurity
• ISSN: 1090-7165; 1573-3254
• 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 ( H ospital Visit is an O pportunity for P revention and E ngagement 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.