TY - JOUR
T1 - Psychiatric hospitalization among youth at high risk for HIV
AU - and Adolescent Trials Network (ATN) CARES Team
AU - Hayati Rezvan, Panteha
AU - Rezai, Roxana
AU - Comulada, W. Scott
AU - Lee, Sung Jae
AU - Arnold, Elizabeth Mayfield
AU - Swendeman, Dallas
AU - Rotheram-Borus, Mary Jane
AU - Fernández, M. Isabel
N1 - Funding Information:
The following funding agencies supported the investigators to work on the topic of adolescent HIV prevention and treatment strategies, but were not involved in the preparation, review, or approval of this manuscript: the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN; U19HD089886) of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) with support of the National Institute of Mental Health (NIMH), National Institute on Drug Abuse (NIDA), and National Institute on Minority Health and Health Disparities (NIMHD); National Institute of Mental Health (NIMH) (T32MH109205) and the UCLA Center for HIV Identification, Prevention, and Treatment Services (CHIPTS) grant (P30MH58107). We would like to thank the study participants for their time commitment in participating in the Adolescent Trials Network (ATN) CARES study and acknowledge the ATN CARES Team members: Sue Ellen Abdalian, Elizabeth Mayfield Arnold, Robert Bolan, Yvonne Bryson, W. Scott Comulada, Ruth Cortado, M. Isabel Fernandez, Risa Flynn, Tara Kerin, Jeffrey Klausner, Marguerita Lightfoot, Norweeta Milburn, Karin Nielsen, Manuel Ocasio, Wilson Ramos, Cathy Reback, Mary Jane Rotheram-Borus, Dallas Swendeman, Wenze Tang, Panteha Hayati Rezvan, and Robert E. Weiss.
Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Youth at-risk for HIV are also at-risk for mental health disorders and psychiatric hospitalization. Understanding the association between engagement in HIV prevention, concurrent risk behaviors, and psychiatric hospitalization may lead to improvements in integrated prevention and mental health treatment efforts. Youth at-risk for HIV, aged 14–24 years old, predominantly Black/African American and Latinx (75%) were recruited through youth-serving clinics and community sites in Los Angeles (n = 839) and New Orleans (n = 647). We compared youth with and without histories of psychiatric hospitalization on engagement in HIV prevention, concurrent risk behaviors, and demographic characteristics. We examined predictors of hospitalization using multiple imputations for missing data. Hospitalized youth (30%) were more involved in HIV programs, but were less likely to use PrEP/PEP or condoms than non-hospitalized youth. The odds of hospitalization were higher for transgender/gender nonconforming youth relative to cisgender youth; the OR was increased after adjustment for concurrent risk behaviors. Hospitalization was associated with homelessness, trauma, incarceration, substance use, and involvement in substance abuse treatment programs. There is a continuing need to integrate the diagnosis and treatment of mental health disorders into HIV prevention programs to better address multiple challenges faced by vulnerable youth.
AB - Youth at-risk for HIV are also at-risk for mental health disorders and psychiatric hospitalization. Understanding the association between engagement in HIV prevention, concurrent risk behaviors, and psychiatric hospitalization may lead to improvements in integrated prevention and mental health treatment efforts. Youth at-risk for HIV, aged 14–24 years old, predominantly Black/African American and Latinx (75%) were recruited through youth-serving clinics and community sites in Los Angeles (n = 839) and New Orleans (n = 647). We compared youth with and without histories of psychiatric hospitalization on engagement in HIV prevention, concurrent risk behaviors, and demographic characteristics. We examined predictors of hospitalization using multiple imputations for missing data. Hospitalized youth (30%) were more involved in HIV programs, but were less likely to use PrEP/PEP or condoms than non-hospitalized youth. The odds of hospitalization were higher for transgender/gender nonconforming youth relative to cisgender youth; the OR was increased after adjustment for concurrent risk behaviors. Hospitalization was associated with homelessness, trauma, incarceration, substance use, and involvement in substance abuse treatment programs. There is a continuing need to integrate the diagnosis and treatment of mental health disorders into HIV prevention programs to better address multiple challenges faced by vulnerable youth.
KW - Psychiatric hospitalization
KW - engagement in HIV prevention
KW - mental health disorder
KW - risk behaviors
KW - vulnerable youth
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U2 - 10.1080/09540121.2021.1944599
DO - 10.1080/09540121.2021.1944599
M3 - Article
C2 - 34165345
AN - SCOPUS:85108858513
SN - 0954-0121
VL - 34
SP - 1073
EP - 1082
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 8
ER -