142nd APHA Annual Meeting and Exposition

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304269
Disclosure of mental health and substance use behaviors in an HIV-positive population: Medical Monitoring Project in Virginia, 2009-2010

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 9:15 AM - 9:30 AM

Lauren Yerkes, MPH , Division of Disease Prevention, Virginia Department of Health, Richmond, VA
Jennifer Kienzle, PhD , Division of Disease Prevention, Virginia Department of Health, Richmond, VA
Anne Rhodes, MS , Division of Disease Prevention, Virginia Department of Health, Richmond, VA
Audio (mp3) recording Recorded Presentation (mp4)
Introduction: Mental health (MH) and substance use (SU) remain important public health issues among people living with HIV, and accurate self-report is essential in identifying the unmet need for this population. Few studies have assessed agreement between self-report response and the patient’s accompanying medical record abstraction (MRA) regarding MH and SU behaviors. This study seeks to assess the level and location of concordance between patient interview and MRA among an HIV-positive population.     

Methods: Medical Monitoring Project (MMP) participants in Virginia from 2009 and 2010 were included in this project (N=325). Chi-square analyses were used to determine if there was a relationship between MH and SU information that is reported during an interview and similar information housed in the participant’s MRA. Geographic information systems (GIS) software was used to determine concordance among Virginia localities by sociodemographic characteristics.

Results: There was a significant relationship between depression and anxiety symptom scores in the interview and MH diagnoses in the MRA [χ2 (1, 318) = 41.6, p < .000]. In addition, there was a significant relationship between endorsed SU in the interview and SU information found in the MRA [χ2 (1, 323) = 24.8, p < .000].

Conclusions: Contrary to literature on MH and SU self-report disclosure rates, findings suggest that MMP participants report MH and SU during interviews at rates similar to what are found in their HIV care provider medical records. These data support the utilization of MH and SU questions during research interviews with HIV-positive patients.

Learning Areas:

Epidemiology
Public health or related research

Learning Objectives:
Compare interview response and medical record abstraction on mental health and substance use behavior to determine agreement. Identify level of agreement between patient interview and medical record among Virginia localities by sociodemographic characteristics. Assess if patient interview and medical record abstraction are reliable sources of data collection.

Keyword(s): HIV/AIDS, Mental Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I focus on the epidemiology of HIV in Virginia, and my scientific interests include mental health of persons living with HIV which led to the conception of this abstract. I am also knowledgeable in geographic systems software (GIS) and how to utilize GIS to demonstrate HIV epidemologic data across the state.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3045.0: HIV/AIDS and Mental Health