Prevalence of psychiatric and medical comorbidities in HIV-positive middle-aged and older adults: Findings from a nationally representative survey

Brooke E. BEATIE, Corey S. MACKENZIE, Kee Lee CHOU

Research output: Contribution to journalArticlespeer-review

Abstract

Objective: In order to better serve older individuals with HIV, more information is needed regarding the prevalence of medical and psychiatric comorbidities, and its influence on quality of life within a nationally representative sample. The aims of this study were to assess associations of HIV among middle-aged and older Americans with lifetime Axis I and II psychiatric disorders and suicide attempts, past-year Axis I psychiatric disorders, past-year medical conditions, obesity, and health-related quality of life.
Method: Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), which included 15,456 adults aged 50 and older.
Results: Respondents with self-reported HIV were more likely than those without to report any lifetime Axis I disorder, any lifetime anxiety disorder, any lifetime substance and drug use disorder, any past-year Axis I and substance use disorders, hypertension, diabetes, and arthritis. HIV infection was also associated with poorer physical health-related quality of life.
Discussion: Middle-aged and older adults with HIV have an increased risk of psychiatric disorders and a number of medical conditions that impair physical but not mental health-related quality of life. Comprehensive and integrated medical treatment should be designed and delivered to this underappreciated but growing group of patients. Copyright © 2015 Synergy Publishers.
Original languageEnglish
Pages (from-to)7-16
JournalJournal of Therapy and Management in HIV Infection
Volume3
Issue number1
DOIs
Publication statusPublished - Jul 2015

Citation

Beatie, B. E., Mackenzie, C. S., & Chou, K.-L. (2015). Prevalence of psychiatric and medical comorbidities in HIV-positive middle-aged and older adults: Findings from a nationally representative survey. Journal of Therapy and Management in HIV Infection, 3(1), 7-16. doi: 10.12970/2309-0529.2015.03.01.2

Keywords

  • Quality of life
  • Aging
  • Mental health
  • Medical conditions
  • Psychological comorbidities

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