RT Journal Article
SR Electronic
T1 Psychological Distress, Substance Use, and Adjustment among Parents Living with HIV
JF The Journal of the American Board of Family Practice
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 362
OP 373
DO 10.3122/jabfm.18.5.362
VO 18
IS 5
A1 Risë B. Goldstein
A1 Mallory O. Johnson
A1 Mary Jane Rotheram-Borus
A1 Sheri B. Kirshenbaum
A1 Rogério M. Pinto
A1 Lauren Kittel
A1 Willo Pequegnat
A1 Joanne D. Mickalian
A1 Lance S. Weinhardt
A1 Jeffrey A. Kelly
A1 Marguerita Lightfoot
A1 the National Institute Mental Health Healthy Living Project Team
YR 2005
UL http://www.jabfm.org/content/18/5/362.abstract
AB Background: Being a parent, especially a custodial parent, living with HIV was anticipated to increase psychological distress and challenges to self-care.Methods: Mental health symptoms, substance use, and health care utilization were assessed among 3818 HIV-infected adults, including custodial parents, noncustodial parents, and nonparents, in 4 AIDS epicenters.Results: Custodial parents demonstrated significantly poorer medication adherence and attendance at medical appointments but were similar to nonparents and noncustodial parents in mental health symptoms and treatment utilization for mental health and substance use problems. Noncustodial parents demonstrated the highest levels of recent substance use and substance abuse treatment. Other markers of risk, such as African American ethnicity, lack of current employment income, and injection drug use moderated many of the apparent psychosocial disadvantages exhibited by parents.Conclusions: Interventions specific to the psychosocial stressors facing families living with HIV are needed.