Influence of psychiatric comorbidity on HIV risk behaviors: changes during drug abuse treatment.

Autor: King VL; Department of Psychiatry, The Johns Hopkins University School of Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA., Kidorf MS, Stoller KB, Brooner RK
Jazyk: angličtina
Zdroj: Journal of addictive diseases [J Addict Dis] 2000; Vol. 19 (4), pp. 65-83.
DOI: 10.1300/J069v19n04_07
Abstrakt: This study evaluated whether psychiatric comorbidity is related to change in HIV high risk behaviors during outpatient drug abuse treatment. Participants were opioid abusers entering methadone treatment. Psychiatric and substance use diagnoses were determined at intake. Information on HIV high risk drug use and sexual behaviors, psychosocial functioning, and urine toxicology was assessed at intake and at month six. Subjects were divided into those with versus without a lifetime comorbid non-substance use psychiatric disorder. The comorbid group reported more injection equipment sharing, lower rates of condom use, and higher rates of alcohol use at intake and follow-up. Overall injection drug use behavior decreased over the follow-up period for both groups, however. Methadone treatment had a beneficial effect on HIV risk behaviors, and though some risk behaviors improved signiticantly for both groups, comorbid subjects continued to have higher rates of HIV risk factors than noncomorbid subjects.
Databáze: MEDLINE