TY - JOUR
T1 - Prevalence and Predictors of Substance Use Disorders Among HIV Care Enrollees in the United States
AU - Hartzler, Bryan
AU - Dombrowski, Julia C.
AU - Crane, Heidi M.
AU - Eron, Joseph J.
AU - Geng, Elvin H.
AU - Christopher Mathews, W.
AU - Mayer, Kenneth H.
AU - Moore, Richard D.
AU - Mugavero, Michael J.
AU - Napravnik, Sonia
AU - Rodriguez, Benigno
AU - Donovan, Dennis M.
N1 - Publisher Copyright:
© 2016, Springer Science+Business Media New York.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Prior efforts to estimate U.S. prevalence of substance use disorders (SUDs) in HIV care have been undermined by caveats common to single-site trials. The current work reports on a cohort of 10,652 HIV-positive adults linked to care at seven sites, with available patient data including geography, demography, and risk factor indices, and with substance-specific SUDs identified via self-report instruments with validated diagnostic thresholds. Generalized estimating equations also tested patient indices as SUD predictors. Findings were: (1) a 48 % SUD prevalence rate (between-site range of 21–71 %), with 20 % of the sample evidencing polysubstance use disorder; (2) substance-specific SUD rates of 31 % for marijuana, 19 % alcohol, 13 % methamphetamine, 11 % cocaine, and 4 % opiate; and (3) emergence of younger age and male gender as robust SUD predictors. Findings suggest high rates at which SUDs occur among patients at these urban HIV care sites, detail substance-specific SUD rates, and identify at-risk patient subgroups.
AB - Prior efforts to estimate U.S. prevalence of substance use disorders (SUDs) in HIV care have been undermined by caveats common to single-site trials. The current work reports on a cohort of 10,652 HIV-positive adults linked to care at seven sites, with available patient data including geography, demography, and risk factor indices, and with substance-specific SUDs identified via self-report instruments with validated diagnostic thresholds. Generalized estimating equations also tested patient indices as SUD predictors. Findings were: (1) a 48 % SUD prevalence rate (between-site range of 21–71 %), with 20 % of the sample evidencing polysubstance use disorder; (2) substance-specific SUD rates of 31 % for marijuana, 19 % alcohol, 13 % methamphetamine, 11 % cocaine, and 4 % opiate; and (3) emergence of younger age and male gender as robust SUD predictors. Findings suggest high rates at which SUDs occur among patients at these urban HIV care sites, detail substance-specific SUD rates, and identify at-risk patient subgroups.
KW - HIV care settings
KW - Patient demography
KW - Substance use disorders
KW - United States
UR - https://www.scopus.com/pages/publications/84991105179
U2 - 10.1007/s10461-016-1584-6
DO - 10.1007/s10461-016-1584-6
M3 - Article
C2 - 27738780
AN - SCOPUS:84991105179
SN - 1090-7165
VL - 21
SP - 1138
EP - 1148
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 4
ER -