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Kane Jeremy C. Sharma Anjali Murray Laura K. Chander Geetanjali Kanguya Tukiya Skavenski Stephanie Chitambi Chipo Lasater Molly E. Paul Ravi Cropsey Karen Inoue Sachi Bosomprah Samuel Danielson Carla Kmett Chipungu Jenala Simenda Francis Vinikoor Michael J. 《AIDS and behavior》2022,26(2):523-536
AIDS and Behavior - This randomized controlled trial tested the efficacy of a multi-session, evidence-based, lay counselor-delivered transdiagnostic therapy, the Common Elements Treatment Approach... 相似文献
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Song Ge Mary E. McCaul Marie T. Nolan Zhe Wei Tingting Liu Geetanjali Chander 《AIDS care》2019,31(11):1362-1368
ABSTRACTIn this retrospective study, we sought to determine the associations between alcohol use and anxiety and RIC among WHIV. Alcohol use was assessed using the Timeline Follow-back to measure use over the 90 days preceding the interview. Anxiety symptoms scores, assessed with the Hospital Anxiety and Depression Scale- Anxiety Subscale (HADS-A). Primary care visits over twelve months prior to the interview were collected from clinic registration records. We used three logistic mixed models, adjusting for age, race, education, cocaine use, depression, viral load, and antiretroviral therapy (ART) status. Among 364 WHIV, mean attendance of primary care visits was 63.9%. Every one-day increase in drinking days (OR?=?0.99, 95% CI 0.99, 1.00) or heavy drinking days (OR?=?0.99, 95% CI 0.90, 1.00) was associated with decreased odds of attending primary care visits (P?=?0.02). Moderate/severe anxiety scores, compared to minimal anxiety scores, were associated with decreased odds of attending primary care visits (OR?=?0.69, 95% CI 0.50, 0.97). Cocaine use was associated with decreased odds of attending primary care visits (OR 0.56, 0.57). Our findings indicate that identifying and treating WHIV with alcohol use (especially heavy drinking), moderate/severe anxiety symptoms and/or cocaine use could potentially improve their RIC. 相似文献
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Kristen Lee Heidi E. Hutton Catherine R. Lesko Anne K. Monroe Anika Alvanzo Mary E. McCaul Geetanjali Chander 《Women's health issues》2018,28(4):367-374
Background
Alcohol misuse is associated with increased human immunodeficiency virus sexual risk behaviors by women. Drug use, intimate partner violence (IPV), and depressive symptoms frequently co-occur, are well-recognized alcohol misuse comorbidities, and may interact to increase risk behaviors. Using a syndemic framework we examined associations between drug use, IPV, and depressive symptoms and sexual risk behaviors by 400 women with alcohol misuse attending an urban sexually transmitted infections clinic.Methods
Participants completed computer-assisted interviews querying drug use, IPV, and depressive symptoms and sexual risk behavior outcomes—unprotected sex under the influence of alcohol, sex for drugs/money, and number of lifetime sexual partners. We used multivariable analysis to estimate prevalence ratios (PR) for independent and joint associations between drug use, IPV, and depressive symptoms and our outcomes. To investigate synergy between risk factors we calculated the relative excess prevalence owing to interaction for all variable combinations.Results
In multivariable analysis, drug use, IPV, and depressive symptoms alone and in combination were associated with higher prevalence/count of risk behaviors compared with women with alcohol misuse alone. The greatest prevalence/count occurred when all three were present (unprotected sex under the influence of alcohol [PR, 2.6; 95% confidence interval, 1.3–4.9]), sex for money or drugs [PR, 2.6; 95% confidence interval, 1.7–4.2], and number of lifetime partners [PR, 3.2; 95% confidence interval, 1.9–5.2]). Drug use, IPV, and depressive symptoms did not interact synergistically to increase sexual risk behavior prevalence.Conclusions
A higher prevalence of sexual risk behaviors by women with alcohol misuse combined with drug use, IPV, and depressive symptoms supports the need for alcohol interventions addressing these additional comorbidities. 相似文献10.
Jabour Sarah M. Chander Geetanjali Riekert Kristin A. Keruly Jeanne C. Herne Kayla Hutton Heidi Beach Mary Catherine Lau Bryan Moore Richard D. Monroe Anne K. 《AIDS and behavior》2021,25(9):2963-2972
AIDS and Behavior - Substance use and mental health (SU/MH) disorders are insufficiently recognized in HIV care. We examined whether conveying SU/MH screening results to patients and providers... 相似文献