학술논문

Substance use and HIV stage at entry into care among people with HIV
Document Type
article
Source
Archives of Public Health. 79(1)
Subject
Public Health
Health Sciences
Methamphetamine
HIV/AIDS
Drug Abuse (NIDA only)
Brain Disorders
Substance Misuse
Behavioral and Social Science
Infectious Diseases
Health Services
Prevention
Clinical Research
Management of diseases and conditions
7.1 Individual care needs
Mental health
Good Health and Well Being
Substance use
Early entry into care
Risk factors
Public Health and Health Services
Epidemiology
Midwifery
Public health
Language
Abstract
BackgroundInformation regarding the impact of substance use on the timing of entry into HIV care is lacking. Better understanding of this relationship can help guide approaches and policies to improve HIV testing and linkage.MethodsWe examined the effect of specific substances on stage of HIV disease at entry into care in over 5000 persons with HIV (PWH) newly enrolling in care. Substance use was obtained from the AUDIT-C and ASSIST instruments. We examined the association between early entry into care and substance use (high-risk alcohol, methamphetamine, cocaine/crack, illicit opioids, marijuana) using logistic and relative risk regression models adjusting for demographic factors, mental health symptoms and diagnoses, and clinical site.ResultsWe found that current methamphetamine use, past and current cocaine and marijuana use was associated with earlier entry into care compared with individuals who reported no use of these substances.ConclusionEarly entry into care among those with substance use suggests that HIV testing may be differentially offered to people with known HIV risk factors, and that individuals with substances use disorders may be more likely to be tested and linked to care due to increased interactions with the healthcare system.