Original Paper

AIDS and Behavior

, Volume 15, Issue 7, pp 1520-1526

First online:

Depressive Symptoms and Food Insufficiency Among HIV-Infected Crack Users in Atlanta and Miami

  • Nicholas S. VogenthalerAffiliated withDivision of Infectious Diseases, Emory University School of Medicine Email author 
  • , Craig HadleyAffiliated withDepartment of Anthropology, Emory University
  • , Allan E. RodriguezAffiliated withDivision of Infectious Diseases, University of Miami Miller School of Medicine
  • , Eduardo E. ValverdeAffiliated withCenters for Disease Control and Prevention
  • , Carlos del RioAffiliated withRollins School of Public Health, Hubert Department of Global Health, Emory University
  • , Lisa R. MetschAffiliated withDepartment of Epidemiology and Public Health, University of Miami Miller School of Medicine

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Abstract

Depression contributes to worse general and HIV-related clinical outcomes. We examined the prevalence of and factors associated with depressive symptomatology among HIV-infected crack cocaine users recruited for Project HOPE (Hospital Visit is an Opportunity for Prevention and Engagement with HIV-positive Crack Users). We used multiple logistic regression to determine sociodemographic correlates associated with screening in for depression. Among 291 participants, three-quarters (73.5%) were identified as depressed. Higher odds of screening in for depression was associated with food insufficiency and monthly income below $600. Alcohol and crack use were not associated with screening in for depression. Depressive symptomatology is extremely prevalent among HIV-infected crack cocaine users and is associated with food insufficiency and lower income. Screening for depression and food insecurity should be included in HIV prevention and treatment programs. Improved recognition and mitigation of these conditions will help alleviate their contribution to HIV-related adverse health outcomes.

Keywords

Depression HIV/AIDS Food insecurity Crack cocaine