title: Documentation of psychiatric disorders and related factors in a large sample population of HIV-positive patients in California.
abstract: This retrospective cohort study examined electronic medical records of HIV-positive patients in California (N = 7,834) to find the prevalence of any psychiatric condition and the associations between several factors and the likelihood of these disorders. Approximately 53 % of the patients in this study had a documented psychiatric condition, including 23 % who had a mood disorder, 19 % who had a substance-related disorder, and 16 % who had an anxiety disorder. After controlling for potential confounders, significant positive associations (p < 0.001) were found between female gender and the presence of any mood disorder (adjusted odds ratio [95 % confidence interval, 95 %CI] = 1.58 [1.26-1.99]) or anxiety disorder (AOR = 1.54 [1.18-2.02]) and between homosexual orientation and the presence of any psychiatric condition (AOR = 1.33 [1.15-1.55]), mood disorder (AOR = 1.71 [1.42-2.07]), or anxiety disorder (AOR = 1.41 [1.22-1.88]). There were also significant negative associations between African-American race and the presence of any psychiatric condition (AOR = 0.68 [0.60-0.77]), mood disorder (AOR = 0.74 [0.64-0.86]), anxiety disorder (AOR = 0.43 [0.36-0.52]), or substance-related disorder (AOR = 0.78 [0.67-0.91]) and between state/federal insurance and the presence of any psychiatric condition (AOR = 0.70 [0.62-0.79]), mood disorder (AOR = 0.71 [0.62-0.80]), or anxiety disorder (AOR = 0.77 [0.66-0.89]).
authors.affiliation: Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA, Iman.Parhami@state.de.us.
authors.forename: Iman
authors.initials: I
authors.lastname: Parhami
authors.forename: Timothy W
authors.initials: TW
authors.lastname: Fong
authors.forename: Aaron
authors.initials: A
authors.lastname: Siani
authors.forename: Claudia
authors.initials: C
authors.lastname: Carlotti
authors.forename: Homayoon
authors.initials: H
authors.lastname: Khanlou
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000453:epidemiology; D002140:California / Q000453:epidemiology; D015331:Cohort Studies; D057286:Electronic Health Records; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008499:Medical Records; D019964:Mood Disorders / Q000175:diagnosis* / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology