Examining the Intersection of Ethnoracial Disparities and HIV Status in Substance Use Risks among U.S. Adults

• DOI: 10.1007/s10461-024-04277-3
• Publication Date: 2024-01-31T09:03:12Z
• Authors: Audrey Hang Hai; David Scott Batey; Christina S. Lee; Stacey Li; Rebecca Schnall
• Keywords: Health psychology; Monitoring the Future

Abstract Black/African American and Hispanic Americans experience significant HIV-related disparities. Substance use might be a contributing factor to these disparities, but there is limited research on this topic. This study investigated various substance risks by HIV status race/ethnicity (Black, Hispanic, White) among U.S. adults. We used data from the 2005–2019 National Survey Drug Use Health ( N = 541,921). In each racial/ethnic group, prevalence rates of past-year past-month tobacco, alcohol, cannabis, cocaine use, alcohol illicit drug disorders were estimated status. A series logistic regressions with interaction term x performed examine race/ethnicity’s moderating effect HIV-substance associations, while controlling for sociodemographic factors survey year. Moderation analysis showed that status’s association tobacco (AOR 1.67, 95% CI 1.01–2.75), 3.80, 1.91–7.57), 5.34, 2.10–13.60), disorder 2.52, 1.29–4.92) differed significantly between Black White Between groups, 2.00, 1.09–3.69), 2.40, 1.06–5.39), 3.69, 1.36–10.02) also significantly. It well-established individuals face an elevated risk use. Our added valuable insights highlighting phenomenon particularly more adults several substances when compared Implications practice are discussed.