Psychiatric hospitalization among youth at high risk for HIV.

TitlePsychiatric hospitalization among youth at high risk for HIV.
Publication TypePublication
Year of Publication2022
AuthorsRezvan PHayati, Rezai R, W Comulada S, Lee S-J, Arnold EMayfield, Swendeman D, Rotheram-Borus MJane, M Fernández I
Corporate AuthorsAdolescent Trials Network(ATN) CARES Team
JournalAIDS Care
Date Published2022 Aug
KeywordsAcquired Immunodeficiency Syndrome, Adolescent, Adult, Condoms, HIV Infections, Hospitalization, Humans, Risk-Taking, Substance-Related Disorders, Young Adult

<p>Youth at-risk for HIV are also at-risk for mental health disorders and psychiatric hospitalization. Understanding the association between engagement in HIV prevention, concurrent risk behaviors, and psychiatric hospitalization may lead to improvements in integrated prevention and mental health treatment efforts. Youth at-risk for HIV, aged 14-24 years old, predominantly Black/African American and Latinx (75%) were recruited through youth-serving clinics and community sites in Los Angeles ( = 839) and New Orleans ( = 647). We compared youth with and without histories of psychiatric hospitalization on engagement in HIV prevention, concurrent risk behaviors, and demographic characteristics. We examined predictors of hospitalization using multiple imputations for missing data. Hospitalized youth (30%) were more involved in HIV programs, but were less likely to use PrEP/PEP or condoms than non-hospitalized youth. The odds of hospitalization were higher for transgender/gender nonconforming youth relative to cisgender youth; the OR was increased after adjustment for concurrent risk behaviors. Hospitalization was associated with homelessness, trauma, incarceration, substance use, and involvement in substance abuse treatment programs. There is a continuing need to integrate the diagnosis and treatment of mental health disorders into HIV prevention programs to better address multiple challenges faced by vulnerable youth.</p>

Alternate JournalAIDS Care
PubMed ID34165345
PubMed Central IDPMC8702570
Grant ListP30 MH058107 / MH / NIMH NIH HHS / United States
T32 MH109205 / MH / NIMH NIH HHS / United States
U19 HD089886 / HD / NICHD NIH HHS / United States