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

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    13690_2021_Article_677.pdf (551.4Kb)
    Date
    2021-08-28
    Author
    Parrish, Canada
    Whitney, Bridget M.
    Nance, Robin M.
    Puttkammer, Nancy
    Fishman, Paul
    Christopoulos, Katerina
    Fleming, Julia
    Heath, Sonya
    Mathews, William C.
    Chander, Geetanjali
    Moore, Richard D.
    Napravnik, Sonia
    Webel, Allison
    Delaney, Joseph
    Crane, Heidi M.
    Kitahata, Mari M.
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    Abstract
    Abstract 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.
    URI
    https://doi.org/10.1186/s13690-021-00677-2
    http://hdl.handle.net/1993/35888
    Collections
    • Rady Faculty of Health Sciences Scholarly Works [1296]
    • University of Manitoba Scholarship [1981]

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