African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems: A Latent Class Analysis.
Substance use problems are highly prevalent among persons living with (PLWH) in the United States and serve as serious barriers to engagement in HIV care. Yet, in contrast to studies of single substances, little is known about patterns of polysubstance use in this population. Moreover, other risk fa...
| Publicado en: | AIDS & Behavior Vol. 25; no. 8; pp. 2501 - 2517 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151044548&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151044548 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2021 vid: 25 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151044548 149119461 151044548 151044548 10.1007/s10461-021-03212-0 151044548 ppf: 2501 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems: A Latent Class Analysis. aug: au: Cleland, Charles M. Gwadz, Marya Collins, Linda M. Wilton, Leo Sherpa, Dawa Dorsen, Caroline Leonard, Noelle R. Cluesman, Sabrina R. Martinez, Belkis Y. Ritchie, Amanda S. Ayvazyan, Mariam affil: Division of Biostatistics, Department of Population Health, New York University Grossman School of Medicine, New York, NY, USA sug: subj: African Americans In Adulthood Hispanic Americans In Adulthood Viral Load HIV Infections Substance Use Disorders HIV-Positive Persons New York Human Socioeconomic Factors Adult New York Structural Equation Modeling Cross Sectional Studies Surveys Homelessness Mental Health Prisoners Mental Disorders Continuity of Patient Care Financial Stress Adult: 19-44 years ab: Substance use problems are highly prevalent among persons living with (PLWH) in the United States and serve as serious barriers to engagement in HIV care. Yet, in contrast to studies of single substances, little is known about patterns of polysubstance use in this population. Moreover, other risk factors (e.g., financial hardship, incarceration, homelessness, and mental health distress) are also prevalent and complicate HIV management. The present study drew on a cross-sectional survey with African American/Black and Latino (AABL) adult PLWH from low socioeconomic status backgrounds in New York City who were insufficiently engaged in HIV care and evidenced detectable HIV viral load (N = 512). We used latent class analysis (LCA) to explore patterns of polysubstance use and their relationships to financial hardship, incarceration, homelessness, and mental health. LCA yielded three substance use classes: Class 1, a high polysubstance use/high-risk substance use class (9%); Class 2, a polysubstance use/moderate substance use risk class (18%); and Class 3, a moderate polysubstance use/moderate-to-low-risk substance use class (74%). Mental health symptoms were prevalent in all classes, but Class 1 had greater mental health distress than the other two classes. Current homelessness was more prevalent in Classes 1 and 2. We cannot end the HIV epidemic without engaging and treating AABL PLWH who have serious barriers to engagement along the HIV care continuum, and who evidence polysubstance use along with co-occurring risk factors. Clinical settings can develop outreach and engagement approaches to bring this subpopulation of PLWH into care settings, and further, specialized services are needed to successfully screen, treat, and retain them. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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