TY - JOUR
T1 - Longitudinal Associations of Psychiatric Risk Factors with Non-psychiatric Hospitalization in a Large Cohort of People Living with HIV in New York City
AU - Breslow, Aaron S.
AU - Fazzari, Melissa
AU - Franz, Peter J.
AU - Hanna, David B.
AU - Felson, Uriel R.
AU - Cavic, Elizabeth
AU - Fisher, Marla R.
AU - Bauman, Laurie
N1 - Funding Information:
The work was supported by the Einstein-Rockefeller-CUNY Center for AIDS Research (Grant No. P30-AI124414) which is supported by the following NIH Co-Funding and Participating Institutes and Centers: NIAID, NCI, NICHD, NHLBI, NIDA, NIMH, NIA, FIC, NIMHD, NIGMS, NIDDK and OAR. Dr. Breslow’s contributions to the research reported in this publication were supported in part by the National Institute of Mental Health of the National Institutes of Health under award number K23MH128582. Dr. Bauman’s contributions to this research were supported in part by the National Institute of Mental Health of the National Institutes of Health under award number 5 P30 MH043520-33.
Publisher Copyright:
© 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - Hospitalizations among people living with HIV (PLWH) are frequent and costly. This study examined the association between psychiatric, HIV-related, and demographic factors and hospitalization rates among PLWH using data from the Einstein–Rockefeller-City University of New York Center for AIDS Research Clinical Cohort Database. Of the 10,215 PLWH included in the sample, 45% had at least one non-psychiatric hospitalization between 2009 and 2018, with significant risk factors including prior psychiatric outpatient visits, depression, or alcohol-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. Additionally, 14% had an HIV-related hospitalization, with significant risk factors including prior psychiatric outpatient visits, alcohol- and substance-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. The study emphasizes the need for tailored interventions, including integrated treatment and comprehensive case management, for PLWH with comorbid psychiatric disorders, women, and older adults.
AB - Hospitalizations among people living with HIV (PLWH) are frequent and costly. This study examined the association between psychiatric, HIV-related, and demographic factors and hospitalization rates among PLWH using data from the Einstein–Rockefeller-City University of New York Center for AIDS Research Clinical Cohort Database. Of the 10,215 PLWH included in the sample, 45% had at least one non-psychiatric hospitalization between 2009 and 2018, with significant risk factors including prior psychiatric outpatient visits, depression, or alcohol-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. Additionally, 14% had an HIV-related hospitalization, with significant risk factors including prior psychiatric outpatient visits, alcohol- and substance-related disorder diagnoses, female sex, older age, CD4 count < 500 cells/uL, and detectable viral load. The study emphasizes the need for tailored interventions, including integrated treatment and comprehensive case management, for PLWH with comorbid psychiatric disorders, women, and older adults.
KW - Depression
KW - HIV/AIDS
KW - Hospitalization
KW - Mental health
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U2 - 10.1007/s10461-023-04064-6
DO - 10.1007/s10461-023-04064-6
M3 - Article
AN - SCOPUS:85153281241
SN - 1090-7165
JO - AIDS and Behavior
JF - AIDS and Behavior
ER -
