Mental Health Disorders and Publicly Funded Service Use by HIV Positive Individuals: A Population-Based Cross-Sectional Study in Ontario, Canada

Anna Durbin; Hilary K Brown; Tony Antoniou; Frank Sirotich; Symron Bansal; Marina Heifetz; Kay Roesslein; Yona Lunsky

doi:10.1007/s10461-017-1949-5

Mental Health Disorders and Publicly Funded Service Use by HIV Positive Individuals: A Population-Based Cross-Sectional Study in Ontario, Canada

AIDS Behav. 2017 Dec;21(12):3457-3463. doi: 10.1007/s10461-017-1949-5.

Authors

Anna Durbin^{1

2

3}, Hilary K Brown^{4

5

6

7

8}, Tony Antoniou^{4

9

10}, Frank Sirotich^{11

12}, Symron Bansal⁴, Marina Heifetz^{5

13}, Kay Roesslein¹⁴, Yona Lunsky^{4

5

13}

Affiliations

¹ Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada. [email protected].
² Institute for Clinical Evaluative Sciences, Toronto, ON, Canada. [email protected].
³ Department of Psychiatry, University of Toronto, Toronto, ON, Canada. [email protected].
⁴ Institute for Clinical Evaluative Sciences, Toronto, ON, Canada.
⁵ Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
⁶ Interdisciplinary Centre for Health and Society, University of Toronto Scarborough, Scarborough, ON, Canada.
⁷ Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
⁸ Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
⁹ Department of Family and Community Medicine, St. Michael's Hospital, Toronto, ON, Canada.
¹⁰ Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
¹¹ Research and Evaluation, Canadian Mental Health Association-Toronto Branch, Toronto, ON, Canada.
¹² Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
¹³ Centre for Addiction and Mental Health, Toronto, ON, Canada.
¹⁴ LOFT Community Services/McEwan Housing & Support Services, Toronto, ON, Canada.

PMID: 29098454
DOI: 10.1007/s10461-017-1949-5

Abstract

We compared use of community and hospital-based mental health and addiction (MH&A) services by adults with and without HIV. This population-based study examined the probability and intensity of MH&A service use by individuals with (n = 5095) and without HIV (n = 2,753,091) in Ontario, Canada between 2013 and 2014. Adults with HIV were more likely than HIV-negative adults to use MH&A primary and psychiatric care, and to have MH&A emergency department visits and hospital admissions; they also used more of each service. Use of MH&A hospital services was particularly high for persons in the HIV group compared to the no HIV group.

Keywords: Behavioral health; Community-based care; HIV; Hospital care; Mental disorders; Mental health and addictions; Service use.

Publication types

Comparative Study

MeSH terms

Adult
Community Mental Health Services / statistics & numerical data*
Cross-Sectional Studies
Emergency Service, Hospital
Female
HIV Infections / complications
HIV Infections / epidemiology*
HIV Infections / therapy
Humans
Male
Mental Disorders / epidemiology*
Mental Disorders / therapy
Mental Health*
Middle Aged
Ontario / epidemiology
Patient Acceptance of Health Care / statistics & numerical data*
Psychiatric Department, Hospital / statistics & numerical data*