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

• DOI: 10.2105/ajph.2012.301162
• Publication Date: 2013-06-13T19:59:17Z
• Authors: Matthew J. Mimiaga; Sari L. Reisner; Chris Grasso; Heidi M. Crane; Steven A. Safren; Mari M. Kitahata; Joseph E. Schumacher; W. Christopher Ma...; Kenneth H. Mayer
• Keywords: Odds; Injection drug use

The purpose of this study was to better understand substance use behaviors and deleterious health consequences among individuals with HIV.We examined a multicenter cohort HIV-infected patients (n = 3,413) receiving care in 4 US cities (Seattle, Birmingham, San Diego, Boston) between December 2005 April 2010 the Centers for AIDS Research Network Integrated Clinical Systems (CNICS). We used generalized estimating equations model specific outcomes.Overall, 24% reported recent marijuana; 9% amphetamine use, crack-cocaine 2% opiate 3.8% injection drug 10.3% polydrug use. In adjusted multivariable models, those who unprotected anal sex had higher odds marijuana, amphetamine, drug, An increased number distinct vaginal sexual partners associated Nonadherence antiretroviral therapy all substances other than marijuana.The co-occurrence intercourse, medication nonadherence could attenuate public benefits test, treat, link strategies. Prevention programs are needed that address these coprevalent conditions.