Initiating HIV care: Attitudes and perceptions of HIV positive crack cocaine users

Toye H. Brewer, Wei Zhao, Margaret Pereyra, Carlos Del Rio, Anita Loughlin, Pamela Anderson-Mahoney, Lytt Gardner, Lisa R. Metsch

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


There is limited data on the initiation and use of HIV care services by HIV-positive crack cocaine users. We analyzed data from a study of 286 recently infected HIV-positive persons recruited from 4 U.S. cities. Participants completed an Audio Computer Assisted Self Interview (A-CASI) regarding HIV care knowledge, attitudes, beliefs and practices related to the initiation of HIV care. In multiple logistic regression analysis, higher scores on an assessment of knowledge, attitudes and beliefs regarding HIV care, and Hispanic race were positively associated with initiating HIV primary care. Crack cocaine use in the past 30 days and male gender were negatively associated with initiating care. Injection drug use was not associated with initiation of care. Targeted interventions for crack cocaine users, including drug treatment, may be required to provide optimal HIV primary care use in this population.

Original languageEnglish (US)
Pages (from-to)897-904
Number of pages8
JournalAIDS and Behavior
Issue number6
StatePublished - Nov 2007


  • Access to care
  • Crack cocaine use
  • HIV primary care
  • Minorities

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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