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Serious mental illness and risk of new HIV/AIDS diagnoses: an analysis of Medicaid beneficiaries in eight states. | LitMetric

Serious mental illness and risk of new HIV/AIDS diagnoses: an analysis of Medicaid beneficiaries in eight states.

Psychiatr Serv

Silberman School of Social Work at Hunter College, City University of New York, 2810 Third Ave., New York, NY 10035, USA.

Published: October 2012

AI Article Synopsis

  • A longitudinal study explored the link between serious mental illness and new HIV diagnoses among Medicaid beneficiaries from 2002 to 2004, using logistic regression for analysis.
  • Results showed that having serious mental illness alone did not significantly increase the likelihood of new HIV diagnoses, especially after accounting for substance use disorders.
  • However, individuals with a substance use disorder were at a higher risk for new HIV diagnoses, indicating the need for targeted HIV-prevention services for those with both serious mental illness and substance use disorders.

Article Abstract

Objective: A longitudinal analysis was used to explore the relationship between diagnosis of serious mental illness and subsequent new diagnoses of HIV.

Methods: Logistic regression was used to predict HIV/AIDS diagnoses in 2002–2004 among Medicaid beneficiaries in eight states (N=6,417,676) who were without HIV in 2001. Results for beneficiaries with and without serious mental illness, a substance use disorder, and psychiatric comorbidities in 2001 were compared.

Results: After controlling for substance abuse or dependence and other factors, the analyses indicated that the odds of new HIV/AIDS diagnoses among beneficiaries with or without serious mental illness did not differ significantly. Compared with beneficiaries without a substance use disorder or serious mental illness, individuals with a substance use disorder but without serious mental illness were 3.1 times (OR=3.13, p<.001) more likely, and those with both substance abuse or dependence and serious mental illness were 2.1 times (OR=2.09, p<.001) more likely, to receive a new HIV diagnosis in 2002–2004. However, people with serious mental illness but without a substance use disorder in 2001 were 23% less likely (OR=.77, p<.001) than people without serious mental illness or a substance use disorder in 2001 to receive a new HIV diagnosis.

Conclusions: After substance abuse or dependence was controlled for longitudinally, little independent association between serious mental illness and the risk of new HIV diagnoses was found. HIV-prevention services for low-income individuals should be delivered to all persons with serious mental illness, but especially those with comorbid substance use disorders.

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Source
http://dx.doi.org/10.1176/appi.ps.201100342DOI Listing

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