title: Depressive symptoms and food insufficiency among HIV-infected crack users in Atlanta and Miami.
abstract: Depression contributes to worse general and HIV-related clinical outcomes. We examined the prevalence of and factors associated with depressive symptomatology among HIV-infected crack cocaine users recruited for Project HOPE (Hospital Visit is an Opportunity for Prevention and Engagement with HIV-positive Crack Users). We used multiple logistic regression to determine sociodemographic correlates associated with screening in for depression. Among 291 participants, three-quarters (73.5%) were identified as depressed. Higher odds of screening in for depression was associated with food insufficiency and monthly income below $600. Alcohol and crack use were not associated with screening in for depression. Depressive symptomatology is extremely prevalent among HIV-infected crack cocaine users and is associated with food insufficiency and lower income. Screening for depression and food insecurity should be included in HIV prevention and treatment programs. Improved recognition and mitigation of these conditions will help alleviate their contribution to HIV-related adverse health outcomes.
authors.affiliation: Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30303, USA. nvogent@emory.edu
authors.forename: Nicholas S
authors.initials: NS
authors.lastname: Vogenthaler
authors.forename: Craig
authors.initials: C
authors.lastname: Hadley
authors.forename: Allan E
authors.initials: AE
authors.lastname: Rodriguez
authors.forename: Eduardo E
authors.initials: EE
authors.lastname: Valverde
authors.forename: Carlos
authors.initials: C
authors.lastname: del Rio
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications* / Q000453:epidemiology; D016578:Crack Cocaine / Q000009:adverse effects*; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D005431:Florida / Q000453:epidemiology; D005523:Food Supply / Q000706:statistics & numerical data*; D005845:Georgia / Q000453:epidemiology; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000523:psychology; D006801:Humans; D006815:Hunger; D007297:Inpatients; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012959:Socioeconomic Factors; D014505:Urban Population; D019562:Viral Load
chemical_list: D016578:Crack Cocaine