Substance use and HIV stage at entry into care among people with HIV.
Substance use and HIV stage at entry into care among people with HIV.
复制标题
DOI：
10.1186/s13690-021-00677-2
复制
发表时间：
2021-08-28
期刊：
影响因子：
--
通讯作者：
Kitahata MM
中科院分区：
文献类型：
--
作者：
Parrish C;Whitney BM;Nance RM;Puttkammer N;Fishman P;Christopoulos K;Fleming J;Heath S;Mathews WC;Chander G;Moore RD;Napravnik S;Webel A;Delaney J;Crane HM;Kitahata MM
缺乏关于药物使用对进入艾滋病毒护理的时间的影响的信息。更好地了解这一关系有助于指导改进艾滋病毒检测和联系的方法和政策。我们研究了特殊物质对5000多名新加入护理的HIV(PWH)患者进入护理时HIV疾病阶段的影响。物质使用情况是从AUDIT-C和ASSIST工具中获得的。我们使用Logistic和相对风险回归模型检验了早期接受护理与药物使用(高风险酒精、甲基苯丙胺、可卡因/可卡因、非法阿片类药物、大麻)之间的关系，并对人口因素、精神健康症状和诊断以及临床地点进行了调整。我们发现，与报告没有使用这些物质的人相比，目前使用甲基苯丙胺、过去和现在使用可卡因和大麻的人更早进入护理。有物质使用者的早期接受护理表明，艾滋病毒检测可能会以不同的方式提供给有已知艾滋病毒风险因素的人，而且由于与医疗系统的互动增加，有物质使用障碍的人可能更有可能接受检测并与护理联系起来。
Information regarding the impact of substance use on the timing of entry into HIV care is lacking. Better understanding of this relationship can help guide approaches and policies to improve HIV testing and linkage. We examined the effect of specific substances on stage of HIV disease at entry into care in over 5000 persons with HIV (PWH) newly enrolling in care. Substance use was obtained from the AUDIT-C and ASSIST instruments. We examined the association between early entry into care and substance use (high-risk alcohol, methamphetamine, cocaine/crack, illicit opioids, marijuana) using logistic and relative risk regression models adjusting for demographic factors, mental health symptoms and diagnoses, and clinical site. We found that current methamphetamine use, past and current cocaine and marijuana use was associated with earlier entry into care compared with individuals who reported no use of these substances. Early entry into care among those with substance use suggests that HIV testing may be differentially offered to people with known HIV risk factors, and that individuals with substances use disorders may be more likely to be tested and linked to care due to increased interactions with the healthcare system.
登录
查看更多内容
影响因子：
8.1
作者：
Levi J;Raymond A;Pozniak A;Vernazza P;Kohler P;Hill A
通讯作者：
Hill A
影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
影响因子：
168.9
作者：
Maartens, Gary;Celum, Connie;Lewin, Sharon R.
通讯作者：
Lewin, Sharon R.
DOI：
10.1097/qai.0000000000000603
发表时间：
2015-07-01
影响因子：
3.6
作者：
May, Margaret T.;Justice, Amy C.;Sterne, Jonathan A. C.
通讯作者：
Sterne, Jonathan A. C.
影响因子：
11.8
作者：
Mugavero, Michael J.;Westfall, Andrew O.;Raper, James L.
通讯作者：
Raper, James L.