Skip to main content
Erschienen in: AIDS and Behavior 1/2007

01.01.2007 | Original Article

Severe Anxiety Symptomatology and HIV Risk Behavior Among Hispanic Injection Drug Users in Puerto Rico

verfasst von: Juan C. Reyes, Rafaela R. Robles, Hector M. Colón, C. Amalia Marrero, Tomás D. Matos, José M. Calderón, Elizabeth W. Shepard

Erschienen in: AIDS and Behavior | Ausgabe 1/2007

Einloggen, um Zugang zu erhalten

Abstract

Despite an overall decrease in AIDS incidence in Puerto Rico, our studies continue to show high prevalence of HIV risk behaviors among injection drug users (IDUs). This study seeks to evaluate whether the occurrence of injection-related and sex-related HIV risk behaviors among IDUs in Puerto Rico varies with the presence of anxiety symptomatology. Subjects included 557 IDUs, recruited from street settings in poor neighborhoods in Puerto Rico. Symptoms of severe anxiety were reported by 37.1% of the study sample. Participants with severe anxiety symptoms were more likely to share needles, cotton, and rinse water; to pool money to buy drugs; and to engage in backloading, than those without severe anxiety symptoms. Participants with severe anxiety symptomatology were also more likely to practice unprotected vaginal or oral sex. The findings from this study alert HIV prevention and treatment programs to the need to address anxiety disorders within their programs.
Literatur
Zurück zum Zitat Barlow, D. H. (1986). Causes of sexual dysfunction: the role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54, 140–148.PubMedCrossRef Barlow, D. H. (1986). Causes of sexual dysfunction: the role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54, 140–148.PubMedCrossRef
Zurück zum Zitat Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.PubMedCrossRef Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.PubMedCrossRef
Zurück zum Zitat Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio, TX: The Psychological Corporation Harcourt Brace & Company. Beck, A. T., & Steer, R. A. (1993). Beck anxiety inventory manual. San Antonio, TX: The Psychological Corporation Harcourt Brace & Company.
Zurück zum Zitat Brawman-Mintzer, O., & Yonkers, K. A. (2004). New trends in the treatment of anxiety disorders. CNS Spectrums, 8(Suppl 7), 19–27. Brawman-Mintzer, O., & Yonkers, K. A. (2004). New trends in the treatment of anxiety disorders. CNS Spectrums, 8(Suppl 7), 19–27.
Zurück zum Zitat Cagle, H. H., Fisher, D. G.; Senter, T. P.; Thurmond, R. D., & Kastar, A. J. (2002). Classifying Skin Lesions of Injection Drug Users: A Method for Corroborating Disease Risk. DHHS Pub. No. (SMA) 03-3771. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. Cagle, H. H., Fisher, D. G.; Senter, T. P.; Thurmond, R. D., & Kastar, A. J. (2002). Classifying Skin Lesions of Injection Drug Users: A Method for Corroborating Disease Risk. DHHS Pub. No. (SMA) 03-3771. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.
Zurück zum Zitat Casey, K. L., Minoshima, S., Morrow, T. J., Koeppe, R. A., & Frey, K. A. (1995). Imaging the brain in pain: potentials, limitations, and implications. Advances in Pain Research and Therapy, 22, 201–211. Casey, K. L., Minoshima, S., Morrow, T. J., Koeppe, R. A., & Frey, K. A. (1995). Imaging the brain in pain: potentials, limitations, and implications. Advances in Pain Research and Therapy, 22, 201–211.
Zurück zum Zitat Centers for Disease Control and Prevention (2002). HIV/AIDS Surveillance Report, 13(2). Centers for Disease Control and Prevention (2002). HIV/AIDS Surveillance Report, 13(2).
Zurück zum Zitat Coles, M. E., Gibb, B. E., & Heimberg, R. G. (2001). Psychometric evaluation of the Beck Depression Inventory in adults with social anxiety disorder. Depression and Anxiety, 14, 145–148.PubMedCrossRef Coles, M. E., Gibb, B. E., & Heimberg, R. G. (2001). Psychometric evaluation of the Beck Depression Inventory in adults with social anxiety disorder. Depression and Anxiety, 14, 145–148.PubMedCrossRef
Zurück zum Zitat Compton, W. M., Cottler, L. B., Ben-Abdallah, A., Cunningham-Williams, R., & Spitznagel, E. L. (2000). The effects of psychiatric comorbidity on response to an HIV prevention intervention. Drug and Alcohol Dependence, 58, 247–257.PubMedCrossRef Compton, W. M., Cottler, L. B., Ben-Abdallah, A., Cunningham-Williams, R., & Spitznagel, E. L. (2000). The effects of psychiatric comorbidity on response to an HIV prevention intervention. Drug and Alcohol Dependence, 58, 247–257.PubMedCrossRef
Zurück zum Zitat Compton, W. M. III, Cottler, L. B., Jacobs, J. L., Ben-Abdallah, A., & Spitznagel, E. L. (2003). The role of psychiatric disorders in predicting drug dependence treatment outcomes. American Journal of Psychiatry, 60, 890–895.CrossRef Compton, W. M. III, Cottler, L. B., Jacobs, J. L., Ben-Abdallah, A., & Spitznagel, E. L. (2003). The role of psychiatric disorders in predicting drug dependence treatment outcomes. American Journal of Psychiatry, 60, 890–895.CrossRef
Zurück zum Zitat Compton, W. M., Cottler, L. B., Shillington, A. M., & Price, R. K. (1995). Is antisocial personality disorder associated with increased HIV risk behaviors in cocaine users? Drug and Alcohol Dependence, 37, 37–43.PubMedCrossRef Compton, W. M., Cottler, L. B., Shillington, A. M., & Price, R. K. (1995). Is antisocial personality disorder associated with increased HIV risk behaviors in cocaine users? Drug and Alcohol Dependence, 37, 37–43.PubMedCrossRef
Zurück zum Zitat Deren, S., Kang, S.-Y., Colón, H. M., Andía, J. F., Robles, R. R., Oliver-Vélez, D., et al. (2003). Migration and HIV risk behaviors: Puerto Rican drug injectors in New York City and Puerto Rico. American Journal of Public Health, 93, 812–816.PubMedCrossRef Deren, S., Kang, S.-Y., Colón, H. M., Andía, J. F., Robles, R. R., Oliver-Vélez, D., et al. (2003). Migration and HIV risk behaviors: Puerto Rican drug injectors in New York City and Puerto Rico. American Journal of Public Health, 93, 812–816.PubMedCrossRef
Zurück zum Zitat Des Jarlais, D. C., Friedman, S. R., Perlis, T., Chapman, T. F., Sotheran, J. L., Paone, D., et al. (1999). Risk behavior and HIV infection among new drug injectors in the era of AIDS in New York City. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 20, 67–72.PubMed Des Jarlais, D. C., Friedman, S. R., Perlis, T., Chapman, T. F., Sotheran, J. L., Paone, D., et al. (1999). Risk behavior and HIV infection among new drug injectors in the era of AIDS in New York City. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 20, 67–72.PubMed
Zurück zum Zitat Finlinson, H. A., Colon, H. M., Lopez, M. S., Robles, R. R., & Cant, J. G. (2005). Injecting shared drugs: an observational study of the process of drug acquisition, preparation, and injection by Puerto Rican drug users. Journal of Psychoactive Drugs, 37, 37–49.PubMed Finlinson, H. A., Colon, H. M., Lopez, M. S., Robles, R. R., & Cant, J. G. (2005). Injecting shared drugs: an observational study of the process of drug acquisition, preparation, and injection by Puerto Rican drug users. Journal of Psychoactive Drugs, 37, 37–49.PubMed
Zurück zum Zitat Fisher, D. G., Needle, R., Weatherby, N., Brown, B., Booth, R., Williams, M., et al. (1993). Reliability of drug user self report. Abstract Book, IXth International Conference on AIDS, Berlin, Germany, June 6–11, 1993, 776 [abstract no. PO-C35-3355]. Fisher, D. G., Needle, R., Weatherby, N., Brown, B., Booth, R., Williams, M., et al. (1993). Reliability of drug user self report. Abstract Book, IXth International Conference on AIDS, Berlin, Germany, June 6–11, 1993, 776 [abstract no. PO-C35-3355].
Zurück zum Zitat Ford, J. D., Trestman, R. L., Steinberg, K., Tennen, H., & Allen, S. (2004). Prospective association of anxiety, depressive, and addictive disorders with high utilization of primary, specialty and emergency medical care. Social Science and Medicine, 58, 2145–2148.PubMedCrossRef Ford, J. D., Trestman, R. L., Steinberg, K., Tennen, H., & Allen, S. (2004). Prospective association of anxiety, depressive, and addictive disorders with high utilization of primary, specialty and emergency medical care. Social Science and Medicine, 58, 2145–2148.PubMedCrossRef
Zurück zum Zitat Gorman, J. M. (2003). Treating generalized anxiety disorder. Journal of Clinical Psychiatry, 64(Suppl 2), 24–29.PubMed Gorman, J. M. (2003). Treating generalized anxiety disorder. Journal of Clinical Psychiatry, 64(Suppl 2), 24–29.PubMed
Zurück zum Zitat Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., et al. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 807–816.PubMedCrossRef Grant, B. F., Stinson, F. S., Dawson, D. A., Chou, S. P., Dufour, M. C., Compton, W., et al. (2004). Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Archives of General Psychiatry, 61, 807–816.PubMedCrossRef
Zurück zum Zitat Haverkos, H. W., Turner, J. F., Moolchan, E. T., & Cadet, J. L. (1999). Relative rates of AIDS among racial/ethnic groups by exposure categories. Journal of the National Medical Association, 91, 17–24.PubMed Haverkos, H. W., Turner, J. F., Moolchan, E. T., & Cadet, J. L. (1999). Relative rates of AIDS among racial/ethnic groups by exposure categories. Journal of the National Medical Association, 91, 17–24.PubMed
Zurück zum Zitat Johnson, S. D., Cunningham-Williams, R. M., & Cottler, L. B. (2003). A tripartite of HIV-risk for African American women: the intersection of drug use, violence, and depression. Drug and Alcohol Dependence, 70, 169–75.PubMedCrossRef Johnson, S. D., Cunningham-Williams, R. M., & Cottler, L. B. (2003). A tripartite of HIV-risk for African American women: the intersection of drug use, violence, and depression. Drug and Alcohol Dependence, 70, 169–75.PubMedCrossRef
Zurück zum Zitat Kaplan, H. S. (1988). Anxiety and sexual dysfunction. Journal of Clinical Psychiatry, 49(Suppl), 21–25.PubMed Kaplan, H. S. (1988). Anxiety and sexual dysfunction. Journal of Clinical Psychiatry, 49(Suppl), 21–25.PubMed
Zurück zum Zitat Kelley, J. L., & Petry, N. M. (2000). HIV risk behaviors in male substance abusers with and without antisocial personality disorder. Journal of Substance Abuse Treatment, 19, 59–66.PubMedCrossRef Kelley, J. L., & Petry, N. M. (2000). HIV risk behaviors in male substance abusers with and without antisocial personality disorder. Journal of Substance Abuse Treatment, 19, 59–66.PubMedCrossRef
Zurück zum Zitat Milani, R. M., Parrott, A. C., Turner, J. J., & Fox, H. C. (2004). Gender differences in self-reported anxiety, depression, and somatization among ecstasy/MDMA polydrug users, alcohol/tobacco users, and nondrug users. Addictive Behaviors, 29, 965–971.PubMedCrossRef Milani, R. M., Parrott, A. C., Turner, J. J., & Fox, H. C. (2004). Gender differences in self-reported anxiety, depression, and somatization among ecstasy/MDMA polydrug users, alcohol/tobacco users, and nondrug users. Addictive Behaviors, 29, 965–971.PubMedCrossRef
Zurück zum Zitat Murphy, D. A., Durako, S. J., Moscicki, A. B., Vermund, S. H., Ma, Y., Schwarz, D. F., et al. (2001). Adolescent medicine HIV/AIDS research network. No change in health risk behaviors over time among HIV infected adolescents in care: role of psychological distress. The Journal of Adolescent Health, 29, 57–63.PubMedCrossRef Murphy, D. A., Durako, S. J., Moscicki, A. B., Vermund, S. H., Ma, Y., Schwarz, D. F., et al. (2001). Adolescent medicine HIV/AIDS research network. No change in health risk behaviors over time among HIV infected adolescents in care: role of psychological distress. The Journal of Adolescent Health, 29, 57–63.PubMedCrossRef
Zurück zum Zitat Needle, R., Weatherby, N., Chitwood, D., Booth, R., Watters, J., Fisher, D. G., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9, 242–250.CrossRef Needle, R., Weatherby, N., Chitwood, D., Booth, R., Watters, J., Fisher, D. G., et al. (1995). Reliability of self-reported HIV risk behaviors of drug users. Psychology of Addictive Behaviors, 9, 242–250.CrossRef
Zurück zum Zitat O’Leary, T. A., Rohsenow, D. J., Martin, R., Colby, S. M., Eaton, C. A., & Monti, P. M. (2000). The relationship between anxiety levels and outcome of cocaine abuse treatment. The American Journal of Drug and Alcohol Abuse, 26, 179–194.PubMedCrossRef O’Leary, T. A., Rohsenow, D. J., Martin, R., Colby, S. M., Eaton, C. A., & Monti, P. M. (2000). The relationship between anxiety levels and outcome of cocaine abuse treatment. The American Journal of Drug and Alcohol Abuse, 26, 179–194.PubMedCrossRef
Zurück zum Zitat Perdue, T., Hagan, H., Thiede, H., & Valleroy, L. (2003). Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. AIDS Education and Prevention, 15, 81–92.PubMedCrossRef Perdue, T., Hagan, H., Thiede, H., & Valleroy, L. (2003). Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. AIDS Education and Prevention, 15, 81–92.PubMedCrossRef
Zurück zum Zitat Phillips, M. L., Young, A. W., Senior, C., Brammer, M., Andrew, C., Calder, A. J., et al. (1997). A specific neural substrate for perceiving facial expressions of disgust. Nature, 389, 495–498.PubMedCrossRef Phillips, M. L., Young, A. W., Senior, C., Brammer, M., Andrew, C., Calder, A. J., et al. (1997). A specific neural substrate for perceiving facial expressions of disgust. Nature, 389, 495–498.PubMedCrossRef
Zurück zum Zitat Robles, R. R., Colón, H. M., & Freeman, D. H. (1993). Copping areas as sampling and recruitment sites for out-of-treatment crack and injection drug users. Drugs and Society, 7, 91–105.CrossRef Robles, R. R., Colón, H. M., & Freeman, D. H. (1993). Copping areas as sampling and recruitment sites for out-of-treatment crack and injection drug users. Drugs and Society, 7, 91–105.CrossRef
Zurück zum Zitat Robles, R. R., Colón, H. M., Sahai, H., Matos, T. D., Marrero, C. A., & Reyes, J. C. (1992). Behavioral risk factors and human immunodeficiency virus (HIV) prevalence among intravenous drug users in Puerto Rico. American Journal of Epidemiology, 135, 531–540.PubMed Robles, R. R., Colón, H. M., Sahai, H., Matos, T. D., Marrero, C. A., & Reyes, J. C. (1992). Behavioral risk factors and human immunodeficiency virus (HIV) prevalence among intravenous drug users in Puerto Rico. American Journal of Epidemiology, 135, 531–540.PubMed
Zurück zum Zitat Robles, R. R., Reyes, J. C., Colón, H. M., Sahai, H., Marrero, C. A., Matos, T. D., et al. (2004). Effects of combined counseling and case management to reduce HIV risk behaviors among Hispanic drug injectors in Puerto Rico: a randomized controlled study. Journal of Substance Abuse Treatment, 27, 145–152.PubMedCrossRef Robles, R. R., Reyes, J. C., Colón, H. M., Sahai, H., Marrero, C. A., Matos, T. D., et al. (2004). Effects of combined counseling and case management to reduce HIV risk behaviors among Hispanic drug injectors in Puerto Rico: a randomized controlled study. Journal of Substance Abuse Treatment, 27, 145–152.PubMedCrossRef
Zurück zum Zitat Rynn, M. A., & Brawman-Mintzer, O. (2004). Generalized anxiety disorder: acute and chronic treatment. CNS Spectrums, 9, 716–723.PubMed Rynn, M. A., & Brawman-Mintzer, O. (2004). Generalized anxiety disorder: acute and chronic treatment. CNS Spectrums, 9, 716–723.PubMed
Zurück zum Zitat Stein, M. D., Solomon, D. A., Herman, D. S., Anderson, B. J., & Miller, I. (2003). Depression severity and drug injection HIV risk behaviors. American Journal of Psychiatry, 160, 1659–1662.PubMedCrossRef Stein, M. D., Solomon, D. A., Herman, D. S., Anderson, B. J., & Miller, I. (2003). Depression severity and drug injection HIV risk behaviors. American Journal of Psychiatry, 160, 1659–1662.PubMedCrossRef
Zurück zum Zitat Weeks, M. R., Singer, M., Grier, M., & Schensul, J. J. (1996). Gender relations, sexuality, and AIDS risk among African American and Latina Women. In: C. F. Sargent and C. B. Brettell (Eds.), Gender and Health: An International Perspective (pp. 338–370). New Jersey: Prentice Hall. Weeks, M. R., Singer, M., Grier, M., & Schensul, J. J. (1996). Gender relations, sexuality, and AIDS risk among African American and Latina Women. In: C. F. Sargent and C. B. Brettell (Eds.), Gender and Health: An International Perspective (pp. 338–370). New Jersey: Prentice Hall.
Zurück zum Zitat Weeks, J. W., & Heimberg, R. G. (2005). Evaluation of the psychometric properties of the Beck depression inventory in a non-elderly adult sample of patients with generalized anxiety disorder. Depression and Anxiety, 22, 41–44.PubMedCrossRef Weeks, J. W., & Heimberg, R. G. (2005). Evaluation of the psychometric properties of the Beck depression inventory in a non-elderly adult sample of patients with generalized anxiety disorder. Depression and Anxiety, 22, 41–44.PubMedCrossRef
Zurück zum Zitat Williams, C. T., & Latkin, C. A. (2005). The role of depressive symptoms in predicting sex with multiple and high-risk partners. Journal of Acquired Immune Deficiency Syndromes, 38, 69–73.PubMedCrossRef Williams, C. T., & Latkin, C. A. (2005). The role of depressive symptoms in predicting sex with multiple and high-risk partners. Journal of Acquired Immune Deficiency Syndromes, 38, 69–73.PubMedCrossRef
Zurück zum Zitat Woodward, L. J. & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1086–1093.PubMedCrossRef Woodward, L. J. & Fergusson, D. M. (2001). Life course outcomes of young people with anxiety disorders in adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1086–1093.PubMedCrossRef
Zurück zum Zitat Woody, G. E., Metzger, D., Navaline, H., McLellan, T., & O’Brien, C. P. (1997). Psychiatric symptoms, risky behavior, and HIV infection. NIDA Research Monograph, 172, 156–170.PubMed Woody, G. E., Metzger, D., Navaline, H., McLellan, T., & O’Brien, C. P. (1997). Psychiatric symptoms, risky behavior, and HIV infection. NIDA Research Monograph, 172, 156–170.PubMed
Metadaten
Titel
Severe Anxiety Symptomatology and HIV Risk Behavior Among Hispanic Injection Drug Users in Puerto Rico
verfasst von
Juan C. Reyes
Rafaela R. Robles
Hector M. Colón
C. Amalia Marrero
Tomás D. Matos
José M. Calderón
Elizabeth W. Shepard
Publikationsdatum
01.01.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9090-x

Weitere Artikel der Ausgabe 1/2007

AIDS and Behavior 1/2007 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.