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Associations between substance use, sexual risk taking and HIV treatment adherence among homeless people living with HIV

Friedman, MS and Marshal, MP and Stall, R and Kidder, DP and Henny, KD and Courtenay-Quirk, C and Aidala, A and Royal, S and Holtgrave, DR (2009) Associations between substance use, sexual risk taking and HIV treatment adherence among homeless people living with HIV. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 21 (6). 692 - 700. ISSN 0954-0121

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Abstract

Prior research suggests that the interconnections between substance use, HIV risk and lack of adherence to HIV medications are especially strong among homeless individuals. Thus, study of these interconnections warrants public health attention. The objectives of this paper are to describe patterns of alcohol and drug use, associations between substance use and participation in high-risk sex, and associations between substance use and adherence to HIV treatment regimens among a sample of 602 homeless or unstably housed HIV-seropositive individuals who are part of a housing-based intervention - the Housing and Health Study. Participants experienced high levels of substance use. Significant associations were found between substance use and adherence to HIV treatment medications, and between substance use and high-risk sexual practices within the entire group. Group analyses by sexual orientation/gender show that the association between substance use and treatment adherence is found primarily among heterosexual males whereas the relationship between several drugs and high-risk sexual practices is strongest among gay and bisexual men. Health professionals working with HIV-seropositive individuals should routinely ascertain housing status and screen for substance use and risky sex.

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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Friedman, MSmsf11@pitt.eduMSF11
Marshal, MPmpm1@pitt.eduMPM1
Stall, Rrstall@pitt.eduRSTALL
Kidder, DP
Henny, KD
Courtenay-Quirk, C
Aidala, A
Royal, S
Holtgrave, DR
Centers: Other Centers, Institutes, Offices, or Units > Center for LGBT Health Research
Date: 1 June 2009
Date Type: Publication
Journal or Publication Title: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume: 21
Number: 6
Page Range: 692 - 700
DOI or Unique Handle: 10.1080/09540120802513709
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Refereed: Yes
ISSN: 0954-0121
MeSH Headings: Adolescent; Adult; Aged; Female; HIV Infections--drug therapy; HIV Infections--psychology; Homeless Persons--psychology; Housing--standards; Housing--statistics & numerical data; Humans; Male; Middle Aged; Patient Compliance; Randomized Controlled Trials as Topic; Sexual Behavior--psychology; Socioeconomic Factors; Substance-Related Disorders--psychology; Unsafe Sex; Young Adult
PubMed ID: 19806485
Date Deposited: 25 Jun 2013 19:37
Last Modified: 02 Feb 2019 15:55
URI: http://d-scholarship-dev.library.pitt.edu/id/eprint/18976

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