Unmet needs among men with human immunodeficiency virus in community mental health care

A cross-sectional study

Bibliographic Data

ID19439801
AuthorsAnna Durbin (0000-0002-8495-1203, Canadian Mental Health Association, corresponding author), Frank Sirotich (0000-0002-3273-5533, University of Toronto), Tony Antoniou (0000-0002-6984-8953, Institute for Clinical Evaluative Sciences), Kay Roesslein, Janet Durbin (0000-0001-9368-818X, Centre for Addiction and Mental Health), Yona Lunsky (0000-0002-1866-9728, Centre for Addiction and Mental Health)
Year2016
Volume28
Issue7
Pages878-883
Publication date2016-07-02
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1154133
PMID26971736
OpenAlexW2293681305
LanguageEN
Citations received3
References cited26

While community-based mental health services play an important role in caring for persons with HIV (human immunodeficiency virus) and co-existing mental health disorders, the extent to which their support needs are addressed in this setting is unknown. Accordingly, we examined if HIV infection was associated with unmet support needs among men living with and without HIV receiving community mental health care. This cross-sectional study examined 215 men (135 living with HIV and 80 without HIV) receiving case management services in urban Ontario. Using the Camberwell Assessment of Need, we ascertained the prevalence of support needs in 13 domains grouped into three clusters: Basic needs (accommodation, food, benefits, and money management); self-care/functional needs (daytime activities, self-care, and looking after the home); and health/safety needs (physical, psychological distress, psychotic symptoms, safety to self, and safety to others). We used generalized estimating equations with a logit link to examine the association between HIV and unmet need in each domain. Compared to HIV-negative men, men with HIV were more likely to have mood and concurrent disorders, and intellectual and developmental disabilities. Following multivariable analyses, men with HIV had greater unmet needs related to food (odds ratio + 95% confidence interval: 9.36 (4.03, 21.75), p < 0.001); money (OR: 1.90 (1.04, 3.47), p = 0.036) [basic need domains]; psychological distress (OR: 2.39 (1.68, 3.41), p < 0.001); drug use (OR: 5.10 (2.16, 12.08) p < 0.001); and safety to self (OR: 3.35 (1.51, 7.52), p < 0.003) [health and safety domains]. Despite living in a setting with universal health insurance, men with HIV receiving community mental health support had greater unmet need in basic and health domains than HIV-negative men receiving such support. Further research is required to develop and evaluate interventions to best support community-dwelling persons with HIV and mental health disorders

Cross-sectional study · Mental health · Needs assessment · Odds ratio · Psychiatry · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Gerontology · Internal Medicine

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