Determinants of benzodiazepine use in a representative population of HIV infected individuals: the role of HIV status disclosure ANRS-EN12-VESPA studyReport as inadecuate




Determinants of benzodiazepine use in a representative population of HIV infected individuals: the role of HIV status disclosure ANRS-EN12-VESPA study - Download this document for free, or read online. Document in PDF available to download.

* Corresponding author 1 SESSTIM - Sciences Economiques et Sociales de la Santé & Traitement de l-Information Médicale 2 Troubles du comportement alimentaire de l-adolescent 3 Centre de traitement des addictions 4 Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé

Abstract : Objective: HIV infection may result in stressful situations such as disclosure to others and could be a mediator between seropositivity status and psychiatric illness, depression or anxiety. Several results have shown that anxiolytic use mainly benzodiazepines is highly prevalent in HIV-infected individuals, but few studies have highlighted to what extent this use could be associated with HIV disclosure. Design: A national cross-sectional survey representative of people living with HIV and AIDS in France enrolled 2932 individuals in 102 French HIV hospital departments. Methods: Face-to-face interviews and self-administered questions collected information about patients- experience with HIV and HIV care, including use of psychotropic drugs, social support, stigma and disclosure of HIV status. We identified factors associated with regular BDZ use i.e. more than once a week using a weighted logistic regression model. Results: Regular BDZ use and anxiety symptoms were reported by 16% and 29% of the patients respectively. After multiple adjustment for known correlates of BDZ use and anxiety symptoms, individuals who had disclosed their HIV status to relatives or friends were found to be more likely OR95%CI= 1.78 1.02-3.09 to regularly use BDZ. Conclusions: These results show both to what extent disclosure to others continues to be a stressful step in the course of HIV infection and that disclosure is something which could be identified by BDZ use. They also highlight the need for appropriate case management and psychiatric care to help patients manage the consequences of disclosure.

Mots-clés : Life Sciences





Author: Perrine Roux - Lionel Fugon - Laurent Michel - France Lert - Yolande Obadia - Bruno Spire - P. Carrieri -

Source: https://hal.archives-ouvertes.fr/



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