Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk

Nicole R Nugent, Larry K Brown, Marvin Belzer, Gary W Harper, Sharon Nachman, Sylvie Naar-King, Adolescent Trials Network for HIV/AIDS Interventions, Nicole R Nugent, Larry K Brown, Marvin Belzer, Gary W Harper, Sharon Nachman, Sylvie Naar-King, Adolescent Trials Network for HIV/AIDS Interventions

Abstract

Purpose: To examine health risk behaviors in distressed youth living with HIV (YLH) with problem substance use.

Methods: Assessed distress, antiretroviral (ARV) adherence, and unprotected sex in a racially and geographically diverse sample of 122 YLH.

Results: A total of 87% of distressed YLH reported significantly more past-month ARV nonadherence (odds ratio [OR] = 7.15) and were more likely to have unprotected sex under the influence (OR = 5.14) than nondistressed youth.

Conclusions: Distressed YLH with problem substance use may benefit from interventions to improve adherence and to decrease sexual risk, especially while under the influence of drugs.

Source: PubMed

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