Substance use and HIV stage at entry into care among people with HIV

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dc.contributor.authorParrish, Canada
dc.contributor.authorWhitney, Bridget M.
dc.contributor.authorNance, Robin M.
dc.contributor.authorPuttkammer, Nancy
dc.contributor.authorFishman, Paul
dc.contributor.authorChristopoulos, Katerina
dc.contributor.authorFleming, Julia
dc.contributor.authorHeath, Sonya
dc.contributor.authorMathews, William C.
dc.contributor.authorChander, Geetanjali
dc.contributor.authorMoore, Richard D.
dc.contributor.authorNapravnik, Sonia
dc.contributor.authorWebel, Allison
dc.contributor.authorDelaney, Joseph
dc.contributor.authorCrane, Heidi M.
dc.contributor.authorKitahata, Mari M.
dc.date.accessioned2021-09-01T03:26:15Z
dc.date.issued2021-08-28
dc.date.updated2021-09-01T03:26:15Z
dc.description.abstractAbstract Background 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. Methods 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. Results 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. Conclusion 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.
dc.identifier.citationArchives of Public Health. 2021 Aug 28;79(1):153
dc.identifier.urihttps://doi.org/10.1186/s13690-021-00677-2
dc.identifier.urihttp://hdl.handle.net/1993/35888
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.titleSubstance use and HIV stage at entry into care among people with HIV
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciencesen_US
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