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AIDS and Behavior

, Volume 21, Issue 12, pp 3457–3463 | Cite as

Mental Health Disorders and Publicly Funded Service Use by HIV Positive Individuals: A Population-Based Cross-Sectional Study in Ontario, Canada

  • Anna Durbin
  • Hilary K. Brown
  • Tony Antoniou
  • Frank Sirotich
  • Symron Bansal
  • Marina Heifetz
  • Kay Roesslein
  • Yona Lunsky
Brief Report
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Abstract

We compared use of community and hospital-based mental health and addiction (MH&A) services by adults with and without HIV. This population-based study examined the probability and intensity of MH&A service use by individuals with (n = 5095) and without HIV (n = 2,753,091) in Ontario, Canada between 2013 and 2014. Adults with HIV were more likely than HIV-negative adults to use MH&A primary and psychiatric care, and to have MH&A emergency department visits and hospital admissions; they also used more of each service. Use of MH&A hospital services was particularly high for persons in the HIV group compared to the no HIV group.

Keywords

Behavioral health Community-based care HIV Hospital care Mental disorders Mental health and addictions Service use 

Abbreviations

CHCs

Community health centres

CI

Confidence interval

ED

Emergency department

HIV

Human immunodeficiency virus

MH&A

Mental health and addiction

OR

Odds ratio

Notes

Disclaimer

Parts of this material are based on data and information compiled and provided by Canadian Institute for Health Information (CIHI). However, the analyses, conclusions, opinions and statements expressed herein are those of the authors, and not necessarily those of CIHI. This study was supported by the Institute for Clinical Evaluative Sciences (ICES), which is funded by an annual Grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC). The opinions, results and conclusions reported in this paper are those of the authors and are independent from the funding sources. No endorsement by ICES or the Ontario MOHLTC is intended or should be inferred.

Funding

T. A. was supported by a CIHR New Investigator Award. This study was also supported by the Institute for Clinical Evaluative Sciences (ICES), which is funded by an annual grant from the Ontario MOHLTC. The opinions, results and conclusions reported in this paper are those of the authors and are independent from the funding sources. No endorsement by ICES is intended or should be inferred. Parts of this material are based on data and information compiled and provided by CIHI. However, the analyses, conclusions, opinions and statements expressed herein are those of the author, and not necessarily those of CIHI.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

10461_2017_1949_MOESM1_ESM.docx (39 kb)
Supplementary material 1 (DOCX 39 kb)

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Centre for Urban Health Solutions, Li Ka Shing Knowledge InstituteSt. Michael’s HospitalTorontoCanada
  2. 2.Institute for Clinical Evaluative SciencesTorontoCanada
  3. 3.Department of PsychiatryUniversity of TorontoTorontoCanada
  4. 4.Interdisciplinary Centre for Health and SocietyUniversity of Toronto ScarboroughScarboroughCanada
  5. 5.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  6. 6.Women’s College Research InstituteWomen’s College HospitalTorontoCanada
  7. 7.Department of Family and Community MedicineSt. Michael’s HospitalTorontoCanada
  8. 8.Department of Family and Community MedicineUniversity of TorontoTorontoCanada
  9. 9.Research and Evaluation, Canadian Mental Health Association–Toronto BranchTorontoCanada
  10. 10.Faculty of Social WorkUniversity of TorontoTorontoCanada
  11. 11.Centre for Addiction and Mental HealthTorontoCanada
  12. 12.LOFT Community Services/McEwan Housing & Support ServicesTorontoCanada

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