Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States

被引：170

作者：

Hartzler, Bryan ^{[1
]}

Dombrowski, Julia C. ^{[2
]}

Crane, Heidi M. ^{[2
]}

Eron, Joseph J. ^{[3
,4
]}

Geng, Elvin H. ^{[5
]}

Mathews, W. Christopher ^{[6
]}

Mayer, Kenneth H. ^{[7
,8
]}

Moore, Richard D. ^{[9
,10
,11
]}

Mugavero, Michael J. ^{[12
]}

Napravnik, Sonia ^{[3
]}

Rodriguez, Benigno ^{[13
]}

Donovan, Dennis M. ^{[1
,14
]}

机构：

[1] Univ Washington, Alcohol & Drug Abuse Inst, Box 354805,1107 NE 45th St,Suite 120, Seattle, WA 98105 USA

[2] Univ Washington, Div Allergy & Infect Dis, Seattle, WA 98195 USA

[3] Univ N Carolina, Dept Med, Chapel Hill, NC USA

[4] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA

[5] Univ Calif San Francisco, Sch Med, San Francisco, CA USA

[6] Univ Calif San Diego, Dept Med, San Diego, CA 92103 USA

[7] Harvard Univ, Sch Med, Boston, MA USA

[8] Harvard Univ, Sch Publ Hlth, 665 Huntington Ave, Boston, MA 02115 USA

[9] Johns Hopkins Univ, Dept Med, Baltimore, MD USA

[10] Johns Hopkins Univ, Dept Epidemiol, Baltimore, MD USA

[11] Johns Hopkins Univ, Ctr Global Hlth, Baltimore, MD USA

[12] Univ Alabama Birmingham, Dept Med, Birmingham, AL 35294 USA

[13] Case Western Reserve Univ, Dept Med, Cleveland, OH 44106 USA

[14] Univ Washington, Psychiat & Behav Sci, Seattle, WA 98195 USA

来源：

AIDS AND BEHAVIOR | 2017年 / 21卷 / 04期

关键词：

HIV care settings; Substance use disorders; Patient demography; United States; HUMAN-IMMUNODEFICIENCY-VIRUS; NATIONAL EPIDEMIOLOGIC SURVEY; COGNITIVE-BEHAVIORAL THERAPY; IMMUNE-DEFICIENCY SYNDROME; AIDS-RESEARCH-NETWORK; INJECTION-DRUG USERS; ANTIRETROVIRAL THERAPY; PSYCHIATRIC MORBIDITY; INFECTED PATIENTS; ALCOHOL-USE;

D O I：

10.1007/s10461-016-1584-6

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Prior efforts to estimate U.S. prevalence of substance use disorders (SUDs) in HIV care have been undermined by caveats common to single-site trials. The current work reports on a cohort of 10,652 HIV-positive adults linked to care at seven sites, with available patient data including geography, demography, and risk factor indices, and with substance-specific SUDs identified via self-report instruments with validated diagnostic thresholds. Generalized estimating equations also tested patient indices as SUD predictors. Findings were: (1) a 48 % SUD prevalence rate (between-site range of 21-71 %), with 20 % of the sample evidencing polysubstance use disorder; (2) substance-specific SUD rates of 31 % for marijuana, 19 % alcohol, 13 % methamphetamine, 11 % cocaine, and 4 % opiate; and (3) emergence of younger age and male gender as robust SUD predictors. Findings suggest high rates at which SUDs occur among patients at these urban HIV care sites, detail substance-specific SUD rates, and identify at-risk patient subgroups.

引用

页码：1138 / 1148

页数：11

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