Syndemic Psychosocial Conditions among Youth Living with HIV: a Latent Class Analysis.
Drug use, mental distress, and other psychosocial factors threaten HIV care for youth living with HIV (YLWH). We aimed to identify syndemic psychosocial patterns among YLWH and examine how such patterns shape HIV outcomes. Using baseline data from 208 YLWH enrolled in an HIV treatment adherence inte...
| Publicado en: | AIDS & Behavior Vol. 28; no. 10; pp. 3498 - 3512 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179949209&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179949209 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2024 vid: 28 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 179949209 178475992 179949209 179949209 10.1007/s10461-024-04427-7 179949209 ppf: 3498 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Syndemic Psychosocial Conditions among Youth Living with HIV: a Latent Class Analysis. aug: au: Wiginton, John Mark Amico, K. Rivet Hightow-Weidman, Lisa Sullivan, Patrick Horvath, Keith J. affil: https://ror.org/0168r3w48 Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California-San Diego, 9500 Gilman Drive, 92093-0507, La Jolla, CA, USA sug: subj: HIV Infections Epidemiology HIV Infections Psychosocial Factors HIV Infections Drug Therapy Continuity of Patient Care Treatment Outcomes Medication Compliance Human Funding Source Structural Equation Modeling Stigma Depression Anxiety Alcohol Abuse Cannabis Street Drugs Housing Instability Multiple Logistic Regression Young Adult Adolescence Cisgender Persons Male Female United States Adolescent: 13-18 years Male Female ab: Drug use, mental distress, and other psychosocial factors threaten HIV care for youth living with HIV (YLWH). We aimed to identify syndemic psychosocial patterns among YLWH and examine how such patterns shape HIV outcomes. Using baseline data from 208 YLWH enrolled in an HIV treatment adherence intervention, we performed latent class analysis on dichotomized responses to 9 psychosocial indicators (enacted HIV stigma; clinical depression and anxiety; alcohol, marijuana, and illicit drug misuse; food and housing insecurity; legal history). We used multinomial logistic regression to assess latent class-demographic associations and the automatic Bolck-Croon-Hagenaars method to assess HIV outcomes by class. Mean age of participants was 21 years; two thirds identified as cis male, 60% were non-Hispanic Black, and half identified as gay. Three classes emerged: "Polydrug-Socioeconomic Syndemic" (n = 29; 13.9%), "Distress-Socioeconomic Syndemic" (n = 35, 17.1%), and "Syndemic-free" (n = 142, 69.0%). Older, unemployed non-students were overrepresented in the "Polydrug-Socioeconomic Syndemic" class. Missed/no HIV care appointments was significantly higher in the "Polydrug-Socioeconomic Syndemic" class (81.4%) relative to the "Syndemic-free" (32.8%) and "Distress-Socioeconomic Syndemic" (31.0%) classes. HIV treatment nonadherence was significantly higher in the "Polydrug-Socioeconomic Syndemic" class (88.5%) relative to the "Syndemic-free" class (59.4%) but not the "Distress-Socioeconomic Syndemic" class (70.8%). Lack of HIV viral load suppression was non-significantly higher in the "Polydrug-Socioeconomic Syndemic" class (29.7%) relative to the "Syndemic-free" (16.2%) and "Distress-Socioeconomic Syndemic" (15.4%) classes. Polydrug-using, socioeconomically vulnerable YLWH are at risk for adverse HIV outcomes, warranting tailored programming integrated into extant systems of HIV care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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