Substance Use Among HIV-Infected Patients Engaged in Primary Care in the United States: Findings From the Centers for AIDS Research Network of Integrated Clinical Systems Cohort.
Objectives. The purpose of this study was to better understand substance use behaviors and deleterious health consequences among individuals with HIV. Methods. We examined a multicenter cohort of HIV-infected patients (n = 3413) receiving care in 4 US cities (Seattle, Birmingham, San Diego, Boston)...
| Publicado en: | American Journal of Public Health Vol. 103; no. 8; pp. 1457 - 1468 |
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| Autores principales: | , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
American Public Health Association
Aug2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=104191082&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 104191082 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Aug2013 vid: 103 iid: 8 pid: 44 pub: American Public Health Association artinfo: ui: 104191082 10.2105/AJPH.2012.301162 ppf: 1457 ppct: 11 formats: tig: atl: Substance Use Among HIV-Infected Patients Engaged in Primary Care in the United States: Findings From the Centers for AIDS Research Network of Integrated Clinical Systems Cohort. aug: au: Mimiaga, Matthew J. Reisner, Sari L. Grasso, Chris Crane, Heidi M. Safren, Steven A. Kitahata, Mari M. Schumacher, Joseph E. Mathews, Christopher Mayer, Kenneth H. su: United States Crack cocaine Drugs Epidemiology Narcotics Patient compliance Primary health care Risk-taking behavior Substance abuse Sexual partners Research Cannabis (Genus) Confidence intervals HIV-positive persons Longitudinal method Medical cooperation Questionnaires Research funding Data analysis Secondary analysis Structural equation modeling Unsafe sex Predictive validity Amphetamines Descriptive statistics sug: subj: Crack cocaine Drugs Epidemiology Narcotics Patient compliance Primary health care Risk-taking behavior Substance abuse Sexual partners United States Medicinal and Botanical Manufacturing Pharmaceutical and medicine manufacturing Pharmaceuticals and pharmacy supplies merchant wholesalers Drugs and Druggists' Sundries Merchant Wholesalers Research Cannabis (Genus) Confidence intervals HIV-positive persons Longitudinal method Medical cooperation Questionnaires Research funding Data analysis Secondary analysis Structural equation modeling Unsafe sex Predictive validity Amphetamines Descriptive statistics ab: Objectives. The purpose of this study was to better understand substance use behaviors and deleterious health consequences among individuals with HIV. Methods. We examined a multicenter cohort of HIV-infected patients (n = 3413) receiving care in 4 US cities (Seattle, Birmingham, San Diego, Boston) between December 2005 and April 2010 in the Centers for AIDS Research Network of Integrated Clinical Systems (CNICS). We used generalized estimating equations to model specific substance use outcomes. Results. Overall, 24% of patients reported recent use of marijuana; 9% reported amphetamine use, 9% reported crack-cocaine use, 2% reported opiate use, 3.8% reported injection drug use, and 10.3% reported polydrug use. In adjusted multivariable models, those who reported unprotected anal sex had higher odds of marijuana, amphetamine, injection drug, and polydrug use. An increased number of distinct vaginal sexual partners was associated with polydrug and crack-cocaine use. Nonadherence to antiretroviral therapy was associated with the use of all substances other than marijuana. Conclusions. The co-occurrence of substance use, unprotected intercourse, and medication nonadherence could attenuate the public health benefits of test, treat, and link to care strategies. Prevention programs are needed that address these coprevalent conditions. pubtype: Academic Journal doctype: Journal Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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