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
Bibliographic Data
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
Cohort · Cohort study · Drug · Drug injection · Family medicine · Generalized estimating equation · Injection drug use · Logistic regression · Odds · Odds ratio · Psychiatry · Public health · Substance abuse · Substance use · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Nursing · Substance Abuse Treatment and Outcomes
Acculturation, family cohesion, and mental health among Latinos living with HIV on the U.S.-Mexico border
Using the multiphase optimization strategy (Most) to optimize an HIV care continuum intervention for vulnerable populations
African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems
Neighborhood and Network Characteristics and the HIV Care Continuum among Gay, Bisexual, and Other Men Who Have Sex with Men
Relationship between Housing Status and Retention Rates among HIV-Positive African Americans Enrolled in a Comprehensive Care Program
Sexual Orientation, Religious Coping, and Drug Use in a Sample of HIV-Infected African-American Men Living in the Southern USA
Advancing behavioral interventions for African American/Black and Latino persons living with HIV using a new conceptual model that integrates critical race theory, harm reduction, and self-determination theory
Critical race theory as a tool for understanding poor engagement along the HIV care continuum among African American/Black and Hispanic persons living with HIV in the United States
Substance Use and Adherence Among People Living with HIV/Aids Receiving cART in Latin America
Alcohol Use Patterns and Subsequent Sexual Behaviors Among Women, Men who have Sex with Men and Men who have Sex with Women Engaged in Routine HIV Care in the United States
Daily Marijuana Use is Associated with Missed Clinic Appointments Among HIV-Infected Persons Engaged in HIV Care
Substance Use, Violence, and Antiretroviral Adherence
Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission
Ending America’s HIV Epidemic
A Comparison of Motivations for Marijuana Use in HIV-Positive and HIV-Negative Adults
Self-reported Cannabis Use and Changes in Body Mass Index, CD4 T-Cell Counts, and HIV-1 RNA Suppression in Treated Persons with HIV
Injection and Non-Injection Drug Use Among Adults with Diagnosed HIV in the United States, 2015–2018
The Usefulness of the CRAFFT in Screening for Problematic Drug and Alcohol Use Among Youth Living with HIV
A Latent Class Analysis of Substance Use and Longitudinal HIV RNA Patterns Among PWH in DC Cohort
Severity and Number of Substances Used are Independently Associated with Antiretroviral Therapy Adherence Over Time among People with HIV in the Current Treatment Era
Trajectories of Marijuana Use among HIV-seropositive and HIV-seronegative MSM in the Multicenter Aids Cohort Study (Macs), 1984–2013
Memory Impairment in HIV-Infected Individuals with Early and Late Initiation of Regular Marijuana Use
Longitudinal Modeling of Depressive Trajectories Among HIV-Infected Men Using Cocaine
Cannabis Use, Medication Management and Adherence Among Persons Living with HIV
Prevalence and Factors Associated with Hazardous Alcohol Use Among Persons Living with HIV Across the US in the Current Era of Antiretroviral Treatment
Drug Use Among Adolescents and Young Adults with Unsuppressed HIV Who Use Alcohol
Association of Cannabis, Stimulant, and Alcohol use with Mortality Prognosis Among HIV-Infected Men
Pain, Substance Use Disorders, Mental Health, and Buprenorphine Treatment among Patients With and Without HIV
The Patient Reported Outcomes as a Clinical Tool (PROACT) Pilot Study
Symptoms of generalized anxiety disorder as a risk factor for substance use among adults living with HIV
Drug and alcohol use among people living with HIV in care in the United States by geographic region
Identifying HIV care enrollees at-risk for cannabis use disorder
Daily and near-daily cannabis use is associated with HIV viral load suppression in people living with HIV who use cocaine
Drug use among HIV+ adults aged 50 and older
The neurocognitive effects of a past cannabis use disorder in a diverse sample of people living with HIV
Comorbidities among persons living with HIV (PLWH) in Florida
Understanding Medical Distrust Among African American/Black and Latino Persons Living With HIV With Sub-Optimal Engagement Along the HIV Care Continuum
HIV Preexposure Prophylaxis as a Gateway to Primary Care
The case for expanding access to highly active antiretroviral therapy to curb the growth of the HIV epidemic
Decreases in Community Viral Load Are Accompanied by Reductions in New HIV Infections in San Francisco
Substance Use and Sexual Risk
Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users
The prevalence of alcohol consumption and heavy drinking among people with HIV in the United States
Alcohol use, drug use and alcohol‐related problems among men who have sex with men
The importance of social networks in their association to drug equipment sharing among injection drug users
Models for Longitudinal Data
Self-Report Measures of Antiretroviral Therapy Adherence
Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials
The Social Epidemiology of Substance Use
Hazardous Alcohol Use
Risk factors for HIV infection among men who have sex with men
Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission
Meta-Analysis of High-Risk Sexual Behavior in Persons Aware and Unaware They are Infected With HIV in the United States
Substance Abuse and Psychiatric Disorders in HIV-Positive Patients
Longitudinal data analysis using generalized linear models
The PHQ-9
The Role of Sexual Transmission of HIV Infection Among Injection and Non-Injection Drug Users
Methamphetamine use, sexual activity, patient–provider communication, and medication adherence among HIV-infected patients in care, San Francisco 2004–2006
Methamphetamine abuse as a barrier to HIV medication adherence among gay and bisexual men
Self-reported adherence to antiretroviral medications among participants in HIV clinical trials
Adherence to antiretroviral medications and medical care in HIV-infected adults diagnosed with mental and substance abuse disorders
Mental disorders and drug abuse in persons living with HIV/Aids
Factors Associated with Sexual Risk Behavior Among Persons Living with HIV
Psychosocial Characteristics and Sexual Behaviors of People in Care for HIV Infection
Optimal Recall Period and Response Task for Self-Reported HIV Medication Adherence
Predicting HIV Transmission Risk among HIV-Infected Patients Seen in Clinical Settings
Factors Associated with HIV Viral Load in a Respondent Driven Sample in Los Angeles
Patterns of Substance Use Among a Large Urban Cohort of HIV-Infected Men Who Have Sex With Men in Primary Care
Co-occurring Psychiatric Symptoms and Drug Dependence or Heavy Drinking Among HIV-Positive People
Association of Co-Occurring Psychosocial Health Problems and Increased Vulnerability to HIV/Aids Among Urban Men Who Have Sex With Men
Norms, social networks, and HIV-related risk behaviors among urban disadvantaged drug users
The Social Realities of Adherence to Protease Inhibitor Regimens
| Unique citing works | 39 |
|---|---|
| Citations per year | 3,9 |
| Citation span | 2016 - 2024 (9) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 38 |