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SUBSTANCE USE AND DEPRESSION AMONG PATIENTS ADHERENT AND NON-ADHERENT TO ANTIRETROVIRAL THERAPY

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1. Title Title of document SUBSTANCE USE AND DEPRESSION AMONG PATIENTS ADHERENT AND NON-ADHERENT TO ANTIRETROVIRAL THERAPY
2. Creator Author's name, affiliation, country Andrey S Ustinov; Bekhterev Research Psychoneurological Institute
2. Creator Author's name, affiliation, country Anna Pecoraro; 1) University of Pennsylvania; 2) NIDA Clinical Trials Network, Delaware Valley Node
2. Creator Author's name, affiliation, country Matthew Mimiaga; 1)Harvard School of Public Health; 2) Harvard Medical School
2. Creator Author's name, affiliation, country Conall O’Cleirigh; 1) Harvard Medical School; 2) Massachusetts General Hospital
2. Creator Author's name, affiliation, country Steven Safren; 1) Harvard Medical School; 2) Massachusetts General Hospital
2. Creator Author's name, affiliation, country Elena A Blokhina; First Pavlov State Medical University
2. Creator Author's name, affiliation, country Elena V Verbitskaya; First Pavlov State Medical University
2. Creator Author's name, affiliation, country Tatyana S Yaroslavtseva; First Pavlov State Medical University
2. Creator Author's name, affiliation, country Dmitriy A Lioznov; 1) First Pavlov State Medical University; 2) Pasteur St. Petersburg Scientific Research Institute of Epidemiology and Microbiology
2. Creator Author's name, affiliation, country Alena V Suvorova; St. Petersburg Institute for Informatics and Automation of the Russian Academy of Sciences (SPIIRAS)
2. Creator Author's name, affiliation, country Alexandr Ya Grinenko; First Pavlov State Medical University
2. Creator Author's name, affiliation, country Edwin Eduardovich Zvartau; First Pavlov State Medical University
2. Creator Author's name, affiliation, country Evgeny M Krupitsky; 1) Bekhterev Research Psychoneurological Institute; 2) First Pavlov State Medical University
2. Creator Author's name, affiliation, country George E Woody; 1) University of Pennsylvania; 2) NIDA Clinical Trials Network, Delaware Valley Node
3. Subject Discipline(s)
3. Subject Keyword(s) HIV; AIDS; ART adherence; Depression; Substance use
4. Description Abstract The aim of the study was to determine the main predictors of leaving antiretroviral therapy by HIV-infected patients. We retrospectively assessed depression, hopelessness, substance use, viral load, and CD4+ counts of 120 patients who dropped out of antiretroviral therapy for ≥12 months (Lost-to-Care) and 120 who continued for ≥12 months (Engaged-in-Care). As expected, lost-to-care patients had higher viral load and, accordingly, fewer CD4+ lymphocytes. The level of depression, alcohol consumption, and injecting drug use in the 30 days preceding analysis was significantly higher in Lost-to-Care than in Engaged-in-Care HIV-infected patients. A binary logistic regression [χ2(4) = 64.27, p = 0.000] correctly classified 74.5% of participants as Lost-to-Care or Engaged-in-Care. The results indicate that substance use and depression are associated with antiretroviral therapy dropout. Evaluation of these factors with high degree of accuracy can predict patient’s antiretroviral therapy adherence. An integrated treatment for substance use and psychiatric disorders in HIV infected patients could reduce antiretroviral therapy dropout and improve outcomes of HIV treatment in Russia.
5. Publisher Organizing agency, location Eco-Vector
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 15.06.2016
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://journals.eco-vector.com/1027-4898/article/view/13976
10. Identifier Digital Object Identifier (DOI) 10.17816/nb13976
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/nb13976-12178
11. Source Title; vol., no. (year) Neurology Bulletin; Vol XLVIII, No 2 (2016)
12. Language English=en ru
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2016 Ustinov A.S., Pecoraro A., Mimiaga M., O’Cleirigh C., Safren S., Blokhina E.A., Verbitskaya E.V., Yaroslavtseva T.S., Lioznov D.A., Suvorova A.V., Grinenko A.Y., Zvartau E.E., Krupitsky E.M., Woody G.E.
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