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Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk
Nicole R Nugent1, Larry K Brown, Marvin Belzer
1Rhode Island Hospital, Brown University, Providence Rhode Island, USA.
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.
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