AIDS and Behavior

, Volume 15, Issue 7, pp 1520–1526 | Cite as

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

  • Nicholas S. Vogenthaler
  • Craig Hadley
  • Allan E. Rodriguez
  • Eduardo E. Valverde
  • Carlos del Rio
  • Lisa R. Metsch
Original Paper


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.


Depression HIV/AIDS Food insecurity Crack cocaine 



This study was supported in part by the National Institutes of Health and National Institute on Drug Abuse (grant R01 DA017612-01A2) the National Institutes of Health/National Institute of Allergy and Infections Diseases Emory Center for AIDS Research (grant 2P30AI050409), and the University of Miami Developmental Center for AIDS Research (grant P30AI073961). Authors would also like to acknowledge the HOPE study team: Virginia Locascio, Cheryl Riles, Richard Walker, Sandra Edwards, Faye Yeomans, Mary Yohannan, Ossie Williams, Elizabeth Scharf, Jessica Kaplan, Alexandra Marquez, and Christine Bell.


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Nicholas S. Vogenthaler
    • 1
  • Craig Hadley
    • 2
  • Allan E. Rodriguez
    • 3
  • Eduardo E. Valverde
    • 4
  • Carlos del Rio
    • 5
  • Lisa R. Metsch
    • 6
  1. 1.Division of Infectious DiseasesEmory University School of MedicineAtlantaUSA
  2. 2.Department of AnthropologyEmory UniversityAtlantaUSA
  3. 3.Division of Infectious DiseasesUniversity of Miami Miller School of MedicineMiamiUSA
  4. 4.Centers for Disease Control and PreventionAtlantaUSA
  5. 5.Rollins School of Public Health, Hubert Department of Global HealthEmory UniversityAtlantaUSA
  6. 6.Department of Epidemiology and Public HealthUniversity of Miami Miller School of MedicineMiamiUSA

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