title: Specific psychiatric correlates of acute care utilization among unstably housed  HIV-positive adults.
abstract: The role of specific psychiatric diagnoses in emergency department use and/or inpatient hospitalizations (acute care) has not been extensively examined among HIV-infected, unstably housed persons. A community-recruited sample of 284 HIV-infected, unstably housed adults completed the Diagnostic Interview Schedule for DSM-IV. One-third of participants screened positive for major depression and stimulant use disorders. Sleeping on the street [adjusted odds ratio (AOR) = 4.21], major depression (AOR = 2.88) and stimulant use disorders (AOR = 4.45) were associated with greater odds of acute care use. Housing and effective treatment of depression and stimulant use disorders may decrease use of acute care services in this population.
authors.affiliation: San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. maggie.chartier@ucsf.edu
authors.forename: Maggie
authors.initials: M
authors.lastname: Chartier
authors.forename: Adam W
authors.initials: AW
authors.lastname: Carrico
authors.forename: Sheri D
authors.initials: SD
authors.lastname: Weiser
authors.forename: Margot B
authors.initials: MB
authors.lastname: Kushel
authors.forename: Elise D
authors.initials: ED
authors.lastname: Riley
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000175:diagnosis* / Q000523:psychology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000523:psychology*; D006297:Health Services Accessibility; D006703:Ill-Housed Persons; D006760:Hospitalization / Q000706:statistics & numerical data*; D006798:Housing; D006801:Humans; D008297:Male; D008403:Mass Screening; D016017:Odds Ratio; D012111:Residence Characteristics; D012495:San Francisco; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis*
chemical_list: D019380:Anti-HIV Agents