Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk.

TitleYouth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk.
Publication TypePublication
Year of Publication2010
AuthorsNugent NR, Brown LK, Belzer M, Harper GW, Nachman S, Naar-King S
Corporate AuthorsAdolescent Trials Network for HIV/AIDS Interventions
JournalJ Int Assoc Physicians AIDS Care (Chic)
Volume9
Issue2
Pagination113-5
Date Published2010 Mar-Apr
ISSN1545-1097
KeywordsAdolescent, Adolescent Behavior, Female, HIV Infections, Humans, Male, Medication Adherence, Psychology, Adolescent, Risk-Taking, Sexual Behavior, Stress, Psychological, Substance-Related Disorders, Unsafe Sex, Young Adult
Abstract

<p><b>PURPOSE: </b>To examine health risk behaviors in distressed youth living with HIV (YLH) with problem substance use.</p><p><b>METHODS: </b>Assessed distress, antiretroviral (ARV) adherence, and unprotected sex in a racially and geographically diverse sample of 122 YLH.</p><p><b>RESULTS: </b>A total of 87% of distressed YLH reported significantly more past-month ARV nonadherence (odds ratio [OR] = 7.15) and were more likely to have unprotected sex under the influence (OR = 5.14) than nondistressed youth.</p><p><b>CONCLUSIONS: </b>Distressed YLH with problem substance use may benefit from interventions to improve adherence and to decrease sexual risk, especially while under the influence of drugs.</p>
DOI10.1177/1545109709357472
Alternate JournalJ Int Assoc Physicians AIDS Care (Chic)
PubMed ID20133498
Grant ListU01 HD 040533 / HD / NICHD NIH HHS / United States
U01 HD 040474 / HD / NICHD NIH HHS / United States
T32MH 078788 / MH / NIMH NIH HHS / United States