The Prevalence and Negative Impacts of Substance Use Disorders among People with HIV in the United States: A Real-Time Delphi Survey of Key Stakeholders.
The Prevalence and Negative Impacts of Substance Use Disorders among People with HIV in the United States: A Real-Time Delphi Survey of Key Stakeholders.
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DOI：
10.1007/s10461-021-03473-9
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发表时间：
2022-04
影响因子：
4.4
通讯作者：
Gordon T
中科院分区：
文献类型：
--
作者：
Garner BR;Gotham HJ;Knudsen HK;Zulkiewicz BA;Tueller SJ;Berzofsky M;Donohoe T;Martin EG;Brown LL;Gordon T
尽管艾滋病毒和物质使用障碍 (SUD) 构成了一种健康综合症，但迄今为止还没有研究检验不同的 SUD 对艾滋病毒感染者 (PWH) 的负面影响。 2019 年 5 月，美国 643 名利益相关者（代表艾滋病服务组织 (ASO) 的客户、ASO 工作人员和艾滋病毒/艾滋病规划委员会成员）参加了一项创新的利益相关者参与的实时德尔菲 (SE-RTD) 调查，重点关注五种 SUD 对感染者和艾滋病患者的患病率和个人层面的负面影响。 SE-RTD 方法比传统调查方法具有优势，因为它可以有效地共享信息，从而减少组间差异仅仅由于缺乏信息、知识和/或理解而导致的可能性。人口层面的负面影响是通过根据每个 SUD 的感知流行率来加权每个 SUD 对 HIV 护理连续体和其他重要生活领域指标的个人层面负面影响来计算的。总体而言，我们发现这些 SUD 具有最大的人群水平负面影响得分（可能范围 0-24）：酒精使用障碍（人群水平负面影响 = 6.9；感知患病率 = 41.9%）、甲基苯丙胺使用障碍（人群水平负面影响 = 6.5；感知患病率 = 3.2%）和阿片类药物使用障碍（人口层面的负面影响 = 6.4；感知患病率 = 34.6%）。除了进一步证明需要更好地将 SUD 服务纳入 HIV 环境之外，我们的研究结果可能有助于了解如何分配有限的资金来解决美国境内的 HIV-SUD 综合症。根据我们的研究结果，未来的此类工作应优先考虑整合循证治疗，以帮助解决酒精、甲基苯丙胺和阿片类药物的使用障碍。
Although HIV and substance use disorders (SUDs) constitute a health syndemic, no research to date has examined the perceived negative impacts of different SUDs for people with HIV (PWH). In May 2019, 643 stakeholders in the U.S., representing clients of AIDS service organizations (ASOs), ASO staff, and HIV/AIDS Planning Council members, participated in an innovative Stakeholder-Engaged Real-Time Delphi (SE-RTD) survey focused on the prevalence and individual-level negative impact of five SUDs for PWH. The SE-RTD method has advantages over conventional survey methods by efficiently sharing information, thereby reducing the likelihood that between-group differences are simply due to lack of information, knowledge, and/or understanding. The population-level negative impacts were calculated by weighting each SUD’s individual-level negative impact on indicators of the HIV Care Continuum and other important areas of life by the perceived prevalence of each SUD. Overall, we found these SUDs to have the greatest population-level negative impact scores (possible range 0–24): alcohol use disorder (population-level negative impact = 6.9; perceived prevalence = 41.9%), methamphetamine use disorder (population-level negative impact = 6.5; perceived prevalence = 3.2%), and opioid use disorder (population-level negative impact = 6.4; perceived prevalence = 34.6%). Beyond further demonstration of the need to better integrate SUD services within HIV settings, our findings may help inform how finite funding is allocated for addressing the HIV-SUD syndemic within the U.S. Based on our findings, such future efforts should prioritize the integration of evidence-based treatments that help address use disorders for alcohol, methamphetamine, and opioids.
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影响因子：
5.6
作者：
Dubljević V
通讯作者：
Dubljević V
DOI：
10.1097/00126334-200107010-00006
发表时间：
2001-07-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Lucas, GM;Cheever, LW;Moore, RD
通讯作者：
Moore, RD
DOI：
10.1080/09540121.2017.1344350
发表时间：
2018-01-01
影响因子：
1.7
作者：
Haldane, Victoria;Legido-Quigley, Helena;Perel, Pablo
通讯作者：
Perel, Pablo
影响因子：
3.3
作者：
Gaynes, Bradley N.;Pence, Brian Wells;Miller, William C.
通讯作者：
Miller, William C.
影响因子：
4.1
作者：
Bonomo, Yvonne;Norman, Amanda;Castle, David
通讯作者：
Castle, David