IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2012.301162_0.html
   My bibliography  Save this article

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

Author

Listed:
  • Mimiaga, M.J.
  • Reisner, S.L.
  • Grasso, C.
  • Crane, H.M.
  • Safren, S.A.
  • Kitahata, M.M.
  • Schumacher, J.E.
  • Mathews, W.C.
  • Mayer, K.H.

Abstract

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. © 2013 American Journal of Public Health.

Suggested Citation

  • Mimiaga, M.J. & Reisner, S.L. & Grasso, C. & Crane, H.M. & Safren, S.A. & Kitahata, M.M. & Schumacher, J.E. & Mathews, W.C. & Mayer, K.H., 2013. "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," American Journal of Public Health, American Public Health Association, vol. 103(8), pages 1457-1467.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301162_0
    DOI: 10.2105/AJPH.2012.301162
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2012.301162
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2012.301162?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Lisa Hightow-Weidman & Sara LeGrand & Seul Ki Choi & Joseph Egger & Christopher B Hurt & Kathryn E Muessig, 2017. "Exploring the HIV continuum of care among young black MSM," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-20, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301162_0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.