Psychosocial correlates of HIV-monoinfection and HIV/HCV-coinfection among men who have sex with men

David W. Pantalone; Danielle M. Hessler; Sarah M. Bankoff; Brijen J. Shah

doi:10.1007/s10865-011-9381-1

Psychosocial correlates of HIV-monoinfection and HIV/HCV-coinfection among men who have sex with men

David W. Pantalone, Danielle M. Hessler, Sarah M. Bankoff, Brijen J. Shah

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Rates of hepatitis C virus (HCV) among HIV-positive men who have sex with men (MSM) appear to be high and rising. In other demographic groups, HIV/HCV-coinfection is associated with poor physical and psychological outcomes. In this study, we examined health-related and psychosocial correlates of HIV/HCV-coinfection in a clinic sample of MSM. Cross-sectional data were collected from 171 MSM. One-third of the sample was coinfected. Higher rates of depressive and PTSD symptoms were observed in coinfected patients. Coinfected men were more likely to report perfect 30-day medication adherence, but exhibited lower CD4 cell counts and more past year emergency room visits. Despite consistent engagement with care and higher rates of medication adherence, HIV/HCV-coinfected MSM exhibited significantly more mental health problems. Medical and mental health providers should be especially attentive to the mental health status of HIV/HCV-coinfected MSM, despite adequate health behaviors and physical health status.

Original language	English
Pages (from-to)	520-528
Number of pages	9
Journal	Journal of Behavioral Medicine
Volume	35
Issue number	5
DOIs	https://doi.org/10.1007/s10865-011-9381-1
State	Published - Oct 2012

Keywords

HCV
HIV
MSM
Medication adherence
Mental health
Patient care

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@article{b39678fafa994f688ecbedcd6c41b680,

title = "Psychosocial correlates of HIV-monoinfection and HIV/HCV-coinfection among men who have sex with men",

abstract = "Rates of hepatitis C virus (HCV) among HIV-positive men who have sex with men (MSM) appear to be high and rising. In other demographic groups, HIV/HCV-coinfection is associated with poor physical and psychological outcomes. In this study, we examined health-related and psychosocial correlates of HIV/HCV-coinfection in a clinic sample of MSM. Cross-sectional data were collected from 171 MSM. One-third of the sample was coinfected. Higher rates of depressive and PTSD symptoms were observed in coinfected patients. Coinfected men were more likely to report perfect 30-day medication adherence, but exhibited lower CD4 cell counts and more past year emergency room visits. Despite consistent engagement with care and higher rates of medication adherence, HIV/HCV-coinfected MSM exhibited significantly more mental health problems. Medical and mental health providers should be especially attentive to the mental health status of HIV/HCV-coinfected MSM, despite adequate health behaviors and physical health status.",

keywords = "HCV, HIV, MSM, Medication adherence, Mental health, Patient care",

author = "Pantalone, {David W.} and Hessler, {Danielle M.} and Bankoff, {Sarah M.} and Shah, {Brijen J.}",

note = "Funding Information: Acknowledgments This research was supported by a National Institute of Mental Health award (F31 MH71179) and a small grant from the Robert C. Bolles Research Fund of the University of Washington, both awarded to the first author. The authors wish to express sincere gratitude to the project{\textquoteright}s research assistants at the University of Washington, as well as the staff and patients of the cooperating clinics.",

year = "2012",

month = oct,

doi = "10.1007/s10865-011-9381-1",

language = "English",

volume = "35",

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AU - Pantalone, David W.

AU - Hessler, Danielle M.

AU - Bankoff, Sarah M.

AU - Shah, Brijen J.

N1 - Funding Information: Acknowledgments This research was supported by a National Institute of Mental Health award (F31 MH71179) and a small grant from the Robert C. Bolles Research Fund of the University of Washington, both awarded to the first author. The authors wish to express sincere gratitude to the project’s research assistants at the University of Washington, as well as the staff and patients of the cooperating clinics.

PY - 2012/10

Y1 - 2012/10

N2 - Rates of hepatitis C virus (HCV) among HIV-positive men who have sex with men (MSM) appear to be high and rising. In other demographic groups, HIV/HCV-coinfection is associated with poor physical and psychological outcomes. In this study, we examined health-related and psychosocial correlates of HIV/HCV-coinfection in a clinic sample of MSM. Cross-sectional data were collected from 171 MSM. One-third of the sample was coinfected. Higher rates of depressive and PTSD symptoms were observed in coinfected patients. Coinfected men were more likely to report perfect 30-day medication adherence, but exhibited lower CD4 cell counts and more past year emergency room visits. Despite consistent engagement with care and higher rates of medication adherence, HIV/HCV-coinfected MSM exhibited significantly more mental health problems. Medical and mental health providers should be especially attentive to the mental health status of HIV/HCV-coinfected MSM, despite adequate health behaviors and physical health status.

AB - Rates of hepatitis C virus (HCV) among HIV-positive men who have sex with men (MSM) appear to be high and rising. In other demographic groups, HIV/HCV-coinfection is associated with poor physical and psychological outcomes. In this study, we examined health-related and psychosocial correlates of HIV/HCV-coinfection in a clinic sample of MSM. Cross-sectional data were collected from 171 MSM. One-third of the sample was coinfected. Higher rates of depressive and PTSD symptoms were observed in coinfected patients. Coinfected men were more likely to report perfect 30-day medication adherence, but exhibited lower CD4 cell counts and more past year emergency room visits. Despite consistent engagement with care and higher rates of medication adherence, HIV/HCV-coinfected MSM exhibited significantly more mental health problems. Medical and mental health providers should be especially attentive to the mental health status of HIV/HCV-coinfected MSM, despite adequate health behaviors and physical health status.

KW - HCV

KW - HIV

KW - MSM

KW - Medication adherence

KW - Mental health

KW - Patient care

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AN - SCOPUS:84867848360

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JO - Journal of Behavioral Medicine

JF - Journal of Behavioral Medicine

IS - 5

ER -

Psychosocial correlates of HIV-monoinfection and HIV/HCV-coinfection among men who have sex with men

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