Prevalence of Substance Use in an HIV Primary Care Safety Net Clinic: A Call for Screening.
Prevalence of Substance Use in an HIV Primary Care Safety Net Clinic: A Call for Screening.
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DOI：
10.1016/j.jana.2015.12.001
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发表时间：
2017-03
期刊：
影响因子：
--
通讯作者：
Lum PJ
中科院分区：
文献类型：
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作者：
Dawson-Rose C;Draughon JE;Zepf R;Cuca YP;Huang E;Freeborn K;Lum PJ
物质使用使艾滋病毒护理和预防复杂化。初级保健诊所是筛查不健康的酒精和药物使用并提供干预措施的理想场所；然而，很少有艾滋病毒诊所定期筛查药物使用。我们在一家服务不足的城市艾滋病毒初级保健诊所招募了208名门诊患者。我们通过酒精、吸烟和物质参与评分测试(ASSIST)和尿毒学测试对患者进行药物使用筛查。在168名完成筛查的参与者中，大多数人报告在过去3个月内使用过烟草或非处方物质。白人男性报告的苯丙胺类兴奋剂使用量显著高于非裔美国人和拉丁裔男性(p<；0.001)。需要在艾滋病毒初级保健诊所实施筛查和评估药物使用的标准临床做法。
Substance use complicates HIV care and prevention. Primary care clinics are an ideal setting to screen for and offer interventions for unhealthy alcohol and drug use; however, few HIV clinics routinely screen for substance use. We enrolled 208 clinic patients at an urban underserved HIV primary care clinic. We screened the patients for substance use with the Alcohol, Smoking, and Substance Involvement Score Test (ASSIST) and measured urine toxicology. Of the 168 participants who completed screening, the majority reported tobacco or non-prescribed substance use in the previous 3 months. White men reported significantly more amphetamine-type stimulant use compared to African American and Latino men (p < 0.001). Implementing standard clinic practice for screening and assessing substance use in HIV primary care clinics is needed.