Psychosocial Factors Linked to Uncontrolled Infection and Mortality among People Living with HIV Who Use Substances: A Latent Class Analysis.

To determine whether endorsement patterns of psychosocial symptoms revealed distinct subgroups, or latent classes, of people living with HIV who use substances (PLWH-SU), and to assess whether these classes demonstrated differential health outcomes over time. This study uses data from 801 PLWH-SU in...

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Publicado en:AIDS & Behavior Vol. 28; no. 11; pp. 3748 - 3758
Autores principales: Schmidt, Renae D., Horigian, Viviana E., Duan, Rui, Traynor, Sharleen T., Davis, Carly A., Gonzalez, Sophia T., Forney, Derrick J., Mandler, Raul, Del Rio, Carlos, Metsch, Lisa R., Feaster, Daniel J.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s10461-024-04410-2
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        atl: Psychosocial Factors Linked to Uncontrolled Infection and Mortality among People Living with HIV Who Use Substances: A Latent Class Analysis.
      aug:
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          Schmidt, Renae D.
          Horigian, Viviana E.
          Duan, Rui
          Traynor, Sharleen T.
          Davis, Carly A.
          Gonzalez, Sophia T.
          Forney, Derrick J.
          Mandler, Raul
          Del Rio, Carlos
          Metsch, Lisa R.
          Feaster, Daniel J.
        affil: https://ror.org/02dgjyy92 Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 Northwest 14th Street, 33136, Miami, FL, USA
      sug:
        subj:
          HIV-Positive Persons Psychosocial Factors
          Substance Use Disorders Psychosocial Factors
          HIV Infections Mortality
          HIV Infections Complications
          Human
          Funding Source
          United States
          Male
          Female
          Latent Structure Analysis
          Regression
          Survival Analysis
          Secondary Analysis
          Descriptive Statistics
          Mental Health
          Male
          Female
      ab: To determine whether endorsement patterns of psychosocial symptoms revealed distinct subgroups, or latent classes, of people living with HIV who use substances (PLWH-SU), and to assess whether these classes demonstrated differential health outcomes over time. This study uses data from 801 PLWH-SU initially enrolled across 11 US hospitals during 2012–2014 and followed up in 2017. Latent class analysis included 28 psychosocial items. Regression analysis examined class membership as a predictor of viral suppression. Survival analysis examined class as a predictor of all-cause mortality. The selected model identified five unique classes. Individuals in classes characterized by more severe and more numerous psychosocial symptoms at baseline had lower likelihoods of viral suppression and survival. The study demonstrated the importance of considering patterns of overlapping psychosocial symptoms to identify subgroups of PLWH-SU and reveal their risks for adverse outcomes. Integration of primary, mental health, and substance use care is essential to address the needs of this population.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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