Shaping an integrated response at the intersection of mental health, substance use, and HIV within the IeDEA consortium

Kathryn Lancaster, PhD, MPHnAssistant Professor in EpidemiologynCollege of Public Health, The Ohio State University n Angela Parcesepe, PhD, MPH, MSW nAssistant Professor, Department of Maternal and Child Health, Gillings School of Global Public HealthnUniversity of North Carolina at Chapel Hill nThe International Epidemiology Databases to Evaluate AIDS (IeDEA) consortium was established by the NIH in 2006 to provide a rich resource for globally diverse HIV data to address HIV-related research questions that were not possible to answer with currently existing individual cohorts. The IeDEA consortium collects observational data representing over 2.2 million people living with and at risk for HIV contributed by clinical centers and research groups across 44 countries and 7 geographic regions. nIn this talk, we will discuss the IeDEA’s consortium research at the intersection of mental health, substance use, and HIV treatment. Mental health and substance use disorders are among the most common comorbidities among people with HIV globally and have been associated with poor quality of life and HIV care continuum outcomes including delayed HIV diagnosis, suboptimal ART adherence, and virologic failure. nThis talk will focus on mental health and substance use research priorities related to the implementation and scale up of ‘Treat All’ policies throughout sub-Saharan Africa, the integration of mental health and substance use services at HIV clinics throughout the IeDEA consortium, regional research examining the intersection of depression, heavy episodic drinking, and HIV disclosure among people with HIV in IeDEA Cameroon, and the recent launch of longitudinal cohorts of aging people with HIV (the IeDEA Sentinel Research Network) and adolescents and young adults with HIV (AYANI) in IeDEA. Finally, we will discuss future directions for research at the intersection of mental health, substance use, and HIV treatment in the IeDEA consortium and beyond. nEmail darcommunications@nih.gov for passcode