Skip to main content
Top
Published in: AIDS and Behavior 7/2011

01-10-2011 | Original Paper

Depressive Symptoms and Food Insufficiency Among HIV-Infected Crack Users in Atlanta and Miami

Authors: Nicholas S. Vogenthaler, Craig Hadley, Allan E. Rodriguez, Eduardo E. Valverde, Carlos del Rio, Lisa R. Metsch

Published in: AIDS and Behavior | Issue 7/2011

Login to get access

Abstract

Depression contributes to worse general and HIV-related clinical outcomes. We examined the prevalence of and factors associated with depressive symptomatology among HIV-infected crack cocaine users recruited for Project HOPE (Hospital Visit is an Opportunity for Prevention and Engagement with HIV-positive Crack Users). We used multiple logistic regression to determine sociodemographic correlates associated with screening in for depression. Among 291 participants, three-quarters (73.5%) were identified as depressed. Higher odds of screening in for depression was associated with food insufficiency and monthly income below $600. Alcohol and crack use were not associated with screening in for depression. Depressive symptomatology is extremely prevalent among HIV-infected crack cocaine users and is associated with food insufficiency and lower income. Screening for depression and food insecurity should be included in HIV prevention and treatment programs. Improved recognition and mitigation of these conditions will help alleviate their contribution to HIV-related adverse health outcomes.
Literature
1.
go back to reference Burack JH, Barrett DC, Stall RD, Chesney MA, Ekstrand ML, Coates TJ. Depressive symptoms and CD4 lymphocyte decline among HIV-infected men. JAMA. 1993;270(21):2568–73.PubMedCrossRef Burack JH, Barrett DC, Stall RD, Chesney MA, Ekstrand ML, Coates TJ. Depressive symptoms and CD4 lymphocyte decline among HIV-infected men. JAMA. 1993;270(21):2568–73.PubMedCrossRef
2.
go back to reference Cook JA, Grey D, Burke J, et al. Depressive symptoms and AIDS-related mortality among a multisite cohort of HIV-positive women. Am J Public Health. 2004;94(7):1133–40.PubMedCrossRef Cook JA, Grey D, Burke J, et al. Depressive symptoms and AIDS-related mortality among a multisite cohort of HIV-positive women. Am J Public Health. 2004;94(7):1133–40.PubMedCrossRef
3.
go back to reference Lyketsos CG, Hoover DR, Guccione M, et al. Depressive symptoms over the course of HIV infection before AIDS. Soc Psychiatry Psychiatr Epidemiol. 1996;31(3–4):212–9.PubMedCrossRef Lyketsos CG, Hoover DR, Guccione M, et al. Depressive symptoms over the course of HIV infection before AIDS. Soc Psychiatry Psychiatr Epidemiol. 1996;31(3–4):212–9.PubMedCrossRef
4.
go back to reference Moneyham L, Sowell R, Seals B, Demi A. Depressive symptoms among African American women with HIV disease. Sch Inq Nurs Pract. 2000;14(1):9–39. discussion 41-6.PubMed Moneyham L, Sowell R, Seals B, Demi A. Depressive symptoms among African American women with HIV disease. Sch Inq Nurs Pract. 2000;14(1):9–39. discussion 41-6.PubMed
5.
go back to reference Richardson J, Barkan S, Cohen M, et al. Experience and covariates of depressive symptoms among a cohort of HIV infected women. Soc Work Health Care. 2001;32(4):93–111.PubMedCrossRef Richardson J, Barkan S, Cohen M, et al. Experience and covariates of depressive symptoms among a cohort of HIV infected women. Soc Work Health Care. 2001;32(4):93–111.PubMedCrossRef
6.
go back to reference Weiser SD, Riley ED, Ragland K, Hammer G, Clark R, Bangsberg DR. Brief report: Factors associated with depression among homeless and marginally housed HIV-infected men in San Francisco. J Gen Intern Med. 2006;21(1):61–4.PubMedCrossRef Weiser SD, Riley ED, Ragland K, Hammer G, Clark R, Bangsberg DR. Brief report: Factors associated with depression among homeless and marginally housed HIV-infected men in San Francisco. J Gen Intern Med. 2006;21(1):61–4.PubMedCrossRef
7.
go back to reference Williams P, Narciso L, Browne G, Roberts J, Weir R, Gafni A. The prevalence, correlates, and costs of depression in people living with HIV/AIDS in Ontario: implications for service directions. AIDS Educ Prev. 2005;17(2):119–30.PubMedCrossRef Williams P, Narciso L, Browne G, Roberts J, Weir R, Gafni A. The prevalence, correlates, and costs of depression in people living with HIV/AIDS in Ontario: implications for service directions. AIDS Educ Prev. 2005;17(2):119–30.PubMedCrossRef
8.
go back to reference Ciesla JA, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001;158(5):725–30.PubMedCrossRef Ciesla JA, Roberts JE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry. 2001;158(5):725–30.PubMedCrossRef
9.
go back to reference Ickovics JR, Hamburger ME, Vlahov D, et al. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA. 2001;285(11):1466–74.PubMedCrossRef Ickovics JR, Hamburger ME, Vlahov D, et al. Mortality, CD4 cell count decline, and depressive symptoms among HIV-seropositive women: longitudinal analysis from the HIV Epidemiology Research Study. JAMA. 2001;285(11):1466–74.PubMedCrossRef
10.
go back to reference Page-Shafer K, Delorenze GN, Satariano WA, Winkelstein W Jr. Comorbidity and survival in HIV-infected men in the San Francisco Men’s Health Survey. Ann Epidemiol. 1996;6(5):420–30.PubMedCrossRef Page-Shafer K, Delorenze GN, Satariano WA, Winkelstein W Jr. Comorbidity and survival in HIV-infected men in the San Francisco Men’s Health Survey. Ann Epidemiol. 1996;6(5):420–30.PubMedCrossRef
11.
go back to reference Tucker JS, Burnam MA, Sherbourne CD, Kung FY, Gifford AL. Substance use and mental health correlates of nonadherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection. Am J Med. 2003;114(7):573–80.PubMedCrossRef Tucker JS, Burnam MA, Sherbourne CD, Kung FY, Gifford AL. Substance use and mental health correlates of nonadherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection. Am J Med. 2003;114(7):573–80.PubMedCrossRef
12.
go back to reference Wells KB, Stewart A, Hays RD, et al. The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989;262(7):914–9.PubMedCrossRef Wells KB, Stewart A, Hays RD, et al. The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA. 1989;262(7):914–9.PubMedCrossRef
13.
go back to reference Riley ED, Wu AW, Perry S, et al. Depression and drug use impact health status among marginally housed HIV-infected individuals. AIDS Patient Care STDS. 2003;17(8):401–6.PubMedCrossRef Riley ED, Wu AW, Perry S, et al. Depression and drug use impact health status among marginally housed HIV-infected individuals. AIDS Patient Care STDS. 2003;17(8):401–6.PubMedCrossRef
14.
go back to reference Jia H, Uphold CR, Wu S, Reid K, Findley K, Duncan PW. Health-related quality of life among men with HIV infection: effects of social support, coping, and depression. AIDS Patient Care STDS. 2004;18(10):594–603.PubMedCrossRef Jia H, Uphold CR, Wu S, Reid K, Findley K, Duncan PW. Health-related quality of life among men with HIV infection: effects of social support, coping, and depression. AIDS Patient Care STDS. 2004;18(10):594–603.PubMedCrossRef
15.
go back to reference Metsch LR, Bell C, Pereyra M, et al. Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy. Am J Public Health. 2009;99(6):1045–9.PubMedCrossRef Metsch LR, Bell C, Pereyra M, et al. Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy. Am J Public Health. 2009;99(6):1045–9.PubMedCrossRef
16.
go back to reference Booth RE, Watters JK, Chitwood DD. HIV risk-related sex behaviors among injection drug users, crack smokers, and injection drug users who smoke crack. Am J Public Health. 1993;83(8):1144–8.PubMedCrossRef Booth RE, Watters JK, Chitwood DD. HIV risk-related sex behaviors among injection drug users, crack smokers, and injection drug users who smoke crack. Am J Public Health. 1993;83(8):1144–8.PubMedCrossRef
17.
go back to reference Kral AH, Bluthenthal RN, Booth RE, Watters JK. HIV seroprevalence among street-recruited injection drug and crack cocaine users in 16 US municipalities. Am J Public Health. 1998;88(1):108–13.PubMedCrossRef Kral AH, Bluthenthal RN, Booth RE, Watters JK. HIV seroprevalence among street-recruited injection drug and crack cocaine users in 16 US municipalities. Am J Public Health. 1998;88(1):108–13.PubMedCrossRef
18.
go back to reference Baum MK, Rafie C, Lai S, Sales S, Page B, Campa A. Crack-cocaine use accelerates HIV disease progression in a cohort of HIV-positive drug users. J Acquir Immune Defic Syndr. 2009;50(1):93–9.PubMedCrossRef Baum MK, Rafie C, Lai S, Sales S, Page B, Campa A. Crack-cocaine use accelerates HIV disease progression in a cohort of HIV-positive drug users. J Acquir Immune Defic Syndr. 2009;50(1):93–9.PubMedCrossRef
19.
go back to reference Cook JA, Burke-Miller JK, Cohen MH, et al. Crack cocaine, disease progression, and mortality in a multicenter cohort of HIV-1 positive women. AIDS. 2008;22(11):1355–63.PubMedCrossRef Cook JA, Burke-Miller JK, Cohen MH, et al. Crack cocaine, disease progression, and mortality in a multicenter cohort of HIV-1 positive women. AIDS. 2008;22(11):1355–63.PubMedCrossRef
20.
go back to reference Moore J, Schuman P, Schoenbaum E, Boland B, Solomon L, Smith D. Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of America. AIDS. 1999;13(17):2459–68.PubMedCrossRef Moore J, Schuman P, Schoenbaum E, Boland B, Solomon L, Smith D. Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of America. AIDS. 1999;13(17):2459–68.PubMedCrossRef
21.
go back to reference Zule WA, Lam WK, Wechsberg WM. Treatment readiness among out-of-treatment African-American crack users. J Psychoactive Drugs. 2003;35(4):503–10.PubMedCrossRef Zule WA, Lam WK, Wechsberg WM. Treatment readiness among out-of-treatment African-American crack users. J Psychoactive Drugs. 2003;35(4):503–10.PubMedCrossRef
22.
go back to reference Falck RS, Wang J, Carlson RG, Eddy M, Siegal HA. The prevalence and correlates of depressive symptomatology among a community sample of crack-cocaine smokers. J Psychoactive Drugs. 2002;34(3):281–8.PubMedCrossRef Falck RS, Wang J, Carlson RG, Eddy M, Siegal HA. The prevalence and correlates of depressive symptomatology among a community sample of crack-cocaine smokers. J Psychoactive Drugs. 2002;34(3):281–8.PubMedCrossRef
23.
go back to reference Schonnesson LN, Williams M, Atkinson J, Timpson S. Factors associated with depressive symptoms in African American crack cocaine smokers. J Subst Use. 2009;14(3–4):161–74.PubMedCrossRef Schonnesson LN, Williams M, Atkinson J, Timpson S. Factors associated with depressive symptoms in African American crack cocaine smokers. J Subst Use. 2009;14(3–4):161–74.PubMedCrossRef
24.
go back to reference Wu DY, Munoz M, Espiritu B, et al. Burden of depression among impoverished HIV-positive women in Peru. J Acquir Immune Defic Syndr. 2008;48(4):500–4.PubMedCrossRef Wu DY, Munoz M, Espiritu B, et al. Burden of depression among impoverished HIV-positive women in Peru. J Acquir Immune Defic Syndr. 2008;48(4):500–4.PubMedCrossRef
25.
go back to reference Huddleston-Casas C, Charnigo R, Simmons LA. Food insecurity and maternal depression in rural, low-income families: a longitudinal investigation. Public Health Nutr. 2008;15:1–8. Huddleston-Casas C, Charnigo R, Simmons LA. Food insecurity and maternal depression in rural, low-income families: a longitudinal investigation. Public Health Nutr. 2008;15:1–8.
26.
go back to reference Hadley C, Tegegn A, Tessema F, Cowan JA, Asefa M, Galea S. Food insecurity, stressful life events and symptoms of anxiety and depression in east Africa: evidence from the Gilgel Gibe growth and development study. J Epidemiol Community Health. 2008;62(11):980–6.PubMedCrossRef Hadley C, Tegegn A, Tessema F, Cowan JA, Asefa M, Galea S. Food insecurity, stressful life events and symptoms of anxiety and depression in east Africa: evidence from the Gilgel Gibe growth and development study. J Epidemiol Community Health. 2008;62(11):980–6.PubMedCrossRef
27.
go back to reference Normen L, Chan K, Braitstein P, et al. Food insecurity and hunger are prevalent among HIV-positive individuals in British Columbia, Canada. J Nutr. 2005;135(4):820–5.PubMed Normen L, Chan K, Braitstein P, et al. Food insecurity and hunger are prevalent among HIV-positive individuals in British Columbia, Canada. J Nutr. 2005;135(4):820–5.PubMed
28.
go back to reference Panel to Review the US Department of Agriculture’s Measurement of Food Insecurity and Hunger. Food insecurity and hunger in the United States: an assessment of the measure. Washington, DC: The National Academics Press; 2006. Panel to Review the US Department of Agriculture’s Measurement of Food Insecurity and Hunger. Food insecurity and hunger in the United States: an assessment of the measure. Washington, DC: The National Academics Press; 2006.
29.
go back to reference Hendricks K, Gorbach S. Nutrition issues in chronic drug users living with HIV infection. Addict Sci Clin Pract. 2009;5(1):16–23.PubMedCrossRef Hendricks K, Gorbach S. Nutrition issues in chronic drug users living with HIV infection. Addict Sci Clin Pract. 2009;5(1):16–23.PubMedCrossRef
30.
go back to reference Himmelgreen DA, Perez-Escamilla R, Segura-Millan S, Romero-Daza N, Tanasescu M, Singer M. A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, Connecticut. Am J Phys Anthropol. 1998;107(3):351–61.PubMedCrossRef Himmelgreen DA, Perez-Escamilla R, Segura-Millan S, Romero-Daza N, Tanasescu M, Singer M. A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, Connecticut. Am J Phys Anthropol. 1998;107(3):351–61.PubMedCrossRef
32.
go back to reference Nord M, Andrews M, Carlson S. Household food insecurity in the United States, 2006: ERR-49, US Department of Agriculture, Econ Res Serv. 2007. Nord M, Andrews M, Carlson S. Household food insecurity in the United States, 2006: ERR-49, US Department of Agriculture, Econ Res Serv. 2007.
33.
go back to reference Weiser SD, Frongillo EA, Ragland K, Hogg RS, Riley ED, Bangsberg DR. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. J Gen Intern Med. 2009;24(1):14–20.PubMedCrossRef Weiser SD, Frongillo EA, Ragland K, Hogg RS, Riley ED, Bangsberg DR. Food insecurity is associated with incomplete HIV RNA suppression among homeless and marginally housed HIV-infected individuals in San Francisco. J Gen Intern Med. 2009;24(1):14–20.PubMedCrossRef
34.
go back to reference Weiser S, Wolfe W, Bangsberg D, et al. Barriers to antiretroviral adherence for patients living with HIV infection and AIDS in Botswana. J Acquir Immune Defic Syndr. 2003;34(3):281–8.PubMedCrossRef Weiser S, Wolfe W, Bangsberg D, et al. Barriers to antiretroviral adherence for patients living with HIV infection and AIDS in Botswana. J Acquir Immune Defic Syndr. 2003;34(3):281–8.PubMedCrossRef
35.
go back to reference Weiser SD, Leiter K, Bangsberg DR, et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med. 2007;4(10):1589–97. discussion 98.PubMedCrossRef Weiser SD, Leiter K, Bangsberg DR, et al. Food insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. PLoS Med. 2007;4(10):1589–97. discussion 98.PubMedCrossRef
36.
go back to reference Derogatis L. The brief symptom inventory (BSI-18): administration, scoring and procedural manual-1. Baltimore, MD: John Wiley; 2001. Derogatis L. The brief symptom inventory (BSI-18): administration, scoring and procedural manual-1. Baltimore, MD: John Wiley; 2001.
37.
go back to reference Valverde EE, Purcell DW, Waldrop-Valverde D, et al. Correlates of depression among HIV-positive women and men who inject drugs. J Acquir Immune Defic Syndr. 2007;46(Suppl 2):S96–100.PubMed Valverde EE, Purcell DW, Waldrop-Valverde D, et al. Correlates of depression among HIV-positive women and men who inject drugs. J Acquir Immune Defic Syndr. 2007;46(Suppl 2):S96–100.PubMed
38.
go back to reference Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients. J Health Soc Behav. 2004;45(2):171–86.PubMedCrossRef Siefert K, Heflin CM, Corcoran ME, Williams DR. Food insufficiency and physical and mental health in a longitudinal survey of welfare recipients. J Health Soc Behav. 2004;45(2):171–86.PubMedCrossRef
39.
go back to reference Alaimo K, Olson CM, Frongillo EA Jr, Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91(5):781–6.PubMedCrossRef Alaimo K, Olson CM, Frongillo EA Jr, Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health. 2001;91(5):781–6.PubMedCrossRef
40.
go back to reference Alaimo K, Olson CM, Frongillo EA. Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr. 2002;132(4):719–25.PubMed Alaimo K, Olson CM, Frongillo EA. Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents. J Nutr. 2002;132(4):719–25.PubMed
41.
go back to reference Alaimo K, Olson CM, Frongillo EA Jr. Low family income and food insufficiency in relation to overweight in US children: is there a paradox? Arch Pediatr Adolesc Med. 2001;155(10):1161–7.PubMed Alaimo K, Olson CM, Frongillo EA Jr. Low family income and food insufficiency in relation to overweight in US children: is there a paradox? Arch Pediatr Adolesc Med. 2001;155(10):1161–7.PubMed
42.
go back to reference Alaimo K, Briefel RR, Frongillo EA Jr, Olson CM. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health. 1998;88(3):419–26.PubMedCrossRef Alaimo K, Briefel RR, Frongillo EA Jr, Olson CM. Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III). Am J Public Health. 1998;88(3):419–26.PubMedCrossRef
43.
go back to reference Hosmer D, Lemeshow S. Applied logistic regression. New York: John Wiley & Sons; 1989. Hosmer D, Lemeshow S. Applied logistic regression. New York: John Wiley & Sons; 1989.
44.
go back to reference Asch SM, Kilbourne AM, Gifford AL, et al. Underdiagnosis of depression in HIV: who are we missing? J Gen Intern Med. 2003;18(6):450–60.PubMedCrossRef Asch SM, Kilbourne AM, Gifford AL, et al. Underdiagnosis of depression in HIV: who are we missing? J Gen Intern Med. 2003;18(6):450–60.PubMedCrossRef
45.
go back to reference Bing EG, Burnam MA, Longshore D, et al. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psychiatry. 2001;58(8):721–8.PubMedCrossRef Bing EG, Burnam MA, Longshore D, et al. Psychiatric disorders and drug use among human immunodeficiency virus-infected adults in the United States. Arch Gen Psychiatry. 2001;58(8):721–8.PubMedCrossRef
46.
go back to reference Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.PubMedCrossRef Singer M, Clair S. Syndemics and public health: reconceptualizing disease in bio-social context. Med Anthropol Q. 2003;17(4):423–41.PubMedCrossRef
47.
go back to reference Singer MC, Erickson PI, Badiane L, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.PubMedCrossRef Singer MC, Erickson PI, Badiane L, et al. Syndemics, sex and the city: understanding sexually transmitted diseases in social and cultural context. Soc Sci Med. 2006;63(8):2010–21.PubMedCrossRef
48.
go back to reference Milstein B. Introduction to the syndemics prevention network. Atlanta, GA: Centers for Disease Control and Prevention; 2002. Milstein B. Introduction to the syndemics prevention network. Atlanta, GA: Centers for Disease Control and Prevention; 2002.
49.
go back to reference Catz SL, Gore-Felton C, McClure JB. Psychological distress among minority and low-income women living with HIV. Behav Med. 2002;28(2):53–60.PubMedCrossRef Catz SL, Gore-Felton C, McClure JB. Psychological distress among minority and low-income women living with HIV. Behav Med. 2002;28(2):53–60.PubMedCrossRef
50.
go back to reference Satz P, Myers HF, Maj M, et al. Depression, substance use, and sexual orientation as cofactors in HIV-1 infected men: cross-cultural comparisons. NIDA Res Monogr. 1997;172:130–55.PubMed Satz P, Myers HF, Maj M, et al. Depression, substance use, and sexual orientation as cofactors in HIV-1 infected men: cross-cultural comparisons. NIDA Res Monogr. 1997;172:130–55.PubMed
51.
go back to reference La Gory M, Ritchey FJ, Mullis J. Depression among the homeless. J Health Soc Behav. 1990;31(1):87–102.PubMedCrossRef La Gory M, Ritchey FJ, Mullis J. Depression among the homeless. J Health Soc Behav. 1990;31(1):87–102.PubMedCrossRef
52.
go back to reference Au JT, Kayitenkore K, Shutes E, et al. Access to adequate nutrition is a major potential obstacle to antiretroviral adherence among HIV-infected individuals in Rwanda. AIDS. 2006;20(16):2116–8.PubMedCrossRef Au JT, Kayitenkore K, Shutes E, et al. Access to adequate nutrition is a major potential obstacle to antiretroviral adherence among HIV-infected individuals in Rwanda. AIDS. 2006;20(16):2116–8.PubMedCrossRef
53.
go back to reference Royal SW, Kidder DP, Patrabansh S, et al. Factors associated with adherence to highly active antiretroviral therapy in homeless or unstably housed adults living with HIV. AIDS Care. 2009;21(4):448–55.PubMedCrossRef Royal SW, Kidder DP, Patrabansh S, et al. Factors associated with adherence to highly active antiretroviral therapy in homeless or unstably housed adults living with HIV. AIDS Care. 2009;21(4):448–55.PubMedCrossRef
54.
go back to reference Williams CT, Latkin CA. The role of depressive symptoms in predicting sex with multiple and high-risk partners. J Acquir Immune Defic Syndr. 2005;38(1):69–73.PubMedCrossRef Williams CT, Latkin CA. The role of depressive symptoms in predicting sex with multiple and high-risk partners. J Acquir Immune Defic Syndr. 2005;38(1):69–73.PubMedCrossRef
Metadata
Title
Depressive Symptoms and Food Insufficiency Among HIV-Infected Crack Users in Atlanta and Miami
Authors
Nicholas S. Vogenthaler
Craig Hadley
Allan E. Rodriguez
Eduardo E. Valverde
Carlos del Rio
Lisa R. Metsch
Publication date
01-10-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-010-9668-1

Other articles of this Issue 7/2011

AIDS and Behavior 7/2011 Go to the issue