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Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes.

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Title: Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes.
Authors: Deaterly, Caroline, Weaver, Michael, Parker, Leslie, Starkweather, Angela, Forsyth, Bianca, Zhou, Zhi, Cohen, Colby, Cook, Robert L.
Source: AIDS Care. Jun2025, Vol. 37 Issue 6, p923-930. 8p.
Subjects: Substance abuse, Childbearing age, Cross-sectional method, Cervix uteri tumors, Viral load, Research funding, Mental illness, Early detection of cancer, HIV-positive persons, Psychology of women, Evaluation of medical care, Descriptive statistics, Chi-squared test, Anxiety, Longitudinal method, Data analysis software, Mental depression, Evaluation
Geographic Terms: United States
Abstract: Women with HIV (WWH) face a heightened risk of cervical cancer and sub-optimal viral suppression. Although mental health conditions and substance use are known barriers to cervical cancer screening and viral suppression among WWH, little is known about the impact of specific mental health symptoms and substance use issues in reproductive-age WWH. This cross-sectional study examined the associations among depression and anxiety symptoms, substance use, cervical cancer screening, and viral suppression in a cohort of reproductive-age WWH enrolled in the Florida Cohort Study. Of WWH (n = 202) in the study, 42% reported anxiety, 35% reported depressive symptoms, 49% reported drug use, and 64% reported alcohol use within the past 12 months. In addition, 24% were not virally suppressed, 34% did not receive cervical cancer screening within the last year, and 13% did not receive cervical cancer screening within the last 3 years. Sub-optimal cervical cancer screening within the last year was associated with depression (p = 0.04) and anxiety (p = 0.007) symptoms. Mental health symptoms were significantly related to sub-optimal cervical cancer screening, which may be a target for clinical intervention. Future research should include social and structural barriers that may exist for achieving guideline-concordant cervical cancer screening and viral suppression. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes.
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  Data: <searchLink fieldCode="AR" term="%22Deaterly%2C+Caroline%22">Deaterly, Caroline</searchLink><br /><searchLink fieldCode="AR" term="%22Weaver%2C+Michael%22">Weaver, Michael</searchLink><br /><searchLink fieldCode="AR" term="%22Parker%2C+Leslie%22">Parker, Leslie</searchLink><br /><searchLink fieldCode="AR" term="%22Starkweather%2C+Angela%22">Starkweather, Angela</searchLink><br /><searchLink fieldCode="AR" term="%22Forsyth%2C+Bianca%22">Forsyth, Bianca</searchLink><br /><searchLink fieldCode="AR" term="%22Zhou%2C+Zhi%22">Zhou, Zhi</searchLink><br /><searchLink fieldCode="AR" term="%22Cohen%2C+Colby%22">Cohen, Colby</searchLink><br /><searchLink fieldCode="AR" term="%22Cook%2C+Robert+L%2E%22">Cook, Robert L.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2025, Vol. 37 Issue 6, p923-930. 8p.
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  Data: Women with HIV (WWH) face a heightened risk of cervical cancer and sub-optimal viral suppression. Although mental health conditions and substance use are known barriers to cervical cancer screening and viral suppression among WWH, little is known about the impact of specific mental health symptoms and substance use issues in reproductive-age WWH. This cross-sectional study examined the associations among depression and anxiety symptoms, substance use, cervical cancer screening, and viral suppression in a cohort of reproductive-age WWH enrolled in the Florida Cohort Study. Of WWH (n = 202) in the study, 42% reported anxiety, 35% reported depressive symptoms, 49% reported drug use, and 64% reported alcohol use within the past 12 months. In addition, 24% were not virally suppressed, 34% did not receive cervical cancer screening within the last year, and 13% did not receive cervical cancer screening within the last 3 years. Sub-optimal cervical cancer screening within the last year was associated with depression (p = 0.04) and anxiety (p = 0.007) symptoms. Mental health symptoms were significantly related to sub-optimal cervical cancer screening, which may be a target for clinical intervention. Future research should include social and structural barriers that may exist for achieving guideline-concordant cervical cancer screening and viral suppression. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185944241
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2025.2464618
    Languages:
      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 923
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      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Childbearing age
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Cervix uteri tumors
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      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Early detection of cancer
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      – SubjectFull: HIV-positive persons
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      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Anxiety
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Data analysis software
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      – SubjectFull: Mental depression
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      – SubjectFull: United States
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      – TitleFull: Association between mental health and substance use among reproductive-age women with HIV on cervical cancer screening and viral suppression outcomes.
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              Text: Jun2025
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              Y: 2025
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