Abstract
Background: There are very limited data available of the correlates of HIV-infected crack users who have never been to HIV care. Methods: Interviews were conducted at bedside with HIV-infected crack cocaine users who were recruited from the inpatient wards at Jackson Memorial Hospital in Miami, FL, and Grady Memorial Hospital in Atlanta, GA, between August 2006 and July 2009. Participants were asked about their sociodemographic characteristics, drug use, drug/alcohol treatment history, use of HIV care, perceived social support, and mental health status. Multiple logistic regression was performed to identify factors associated with never having been to HIV care. Results: Among 355 study participants, 21% reported never having been to a doctor or clinic for HIV care. Higher adjusted odds of never having been in care were associated with an annual income of less than $5000 [adjusted odds ratio (AOR) = 8.17, 95% confidence interval (CI) = 3.35 to 19.94], residence in Atlanta compared with Miami (AOR = 2.57, 95% CI = 1.36 to 4.83), no history of drug treatment (AOR = 4.13, 95% CI = 2.24 to 7.62), and not being helped into care at the time of HIV diagnosis (AOR = 2.83, 95% CI = 1.56 to 5.15). Conclusions: Our data show that a significant proportion of HIV-infected crack cocaine users in 2 city hospitals have never been to HIV care. Interventions at the time of HIV diagnosis and drug treatment participation may facilitate linkage to care.
| Original language | English |
|---|---|
| Pages (from-to) | 376-380 |
| Number of pages | 5 |
| Journal | Journal of Acquired Immune Deficiency Syndromes |
| Volume | 54 |
| Issue number | 4 |
| DOIs | |
| State | Published - Aug 1 2010 |
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Keywords
- drug use
- HIV care
- HIV/AIDS
- hospital
- intervention
ASJC Scopus subject areas
- Infectious Diseases
- Pharmacology (medical)
- Medicine(all)
Cite this
Never in care : Characteristics of HIV-infected crack cocaine users in 2 US cities who have never been to outpatient HIV care. / Bell, Christine; Metsch, Lisa R.; Vogenthaler, Nicholas; Cardenas, Gabriel; Rodriguez, Allan E; Locascio, Virginia; Kuper, Tamy; Scharf, Elizabeth; Marquez, Alexandra; Yohannan, Mary; Del Rio, Carlos.
In: Journal of Acquired Immune Deficiency Syndromes, Vol. 54, No. 4, 01.08.2010, p. 376-380.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Never in care
T2 - Characteristics of HIV-infected crack cocaine users in 2 US cities who have never been to outpatient HIV care
AU - Bell, Christine
AU - Metsch, Lisa R.
AU - Vogenthaler, Nicholas
AU - Cardenas, Gabriel
AU - Rodriguez, Allan E
AU - Locascio, Virginia
AU - Kuper, Tamy
AU - Scharf, Elizabeth
AU - Marquez, Alexandra
AU - Yohannan, Mary
AU - Del Rio, Carlos
PY - 2010/8/1
Y1 - 2010/8/1
N2 - Background: There are very limited data available of the correlates of HIV-infected crack users who have never been to HIV care. Methods: Interviews were conducted at bedside with HIV-infected crack cocaine users who were recruited from the inpatient wards at Jackson Memorial Hospital in Miami, FL, and Grady Memorial Hospital in Atlanta, GA, between August 2006 and July 2009. Participants were asked about their sociodemographic characteristics, drug use, drug/alcohol treatment history, use of HIV care, perceived social support, and mental health status. Multiple logistic regression was performed to identify factors associated with never having been to HIV care. Results: Among 355 study participants, 21% reported never having been to a doctor or clinic for HIV care. Higher adjusted odds of never having been in care were associated with an annual income of less than $5000 [adjusted odds ratio (AOR) = 8.17, 95% confidence interval (CI) = 3.35 to 19.94], residence in Atlanta compared with Miami (AOR = 2.57, 95% CI = 1.36 to 4.83), no history of drug treatment (AOR = 4.13, 95% CI = 2.24 to 7.62), and not being helped into care at the time of HIV diagnosis (AOR = 2.83, 95% CI = 1.56 to 5.15). Conclusions: Our data show that a significant proportion of HIV-infected crack cocaine users in 2 city hospitals have never been to HIV care. Interventions at the time of HIV diagnosis and drug treatment participation may facilitate linkage to care.
AB - Background: There are very limited data available of the correlates of HIV-infected crack users who have never been to HIV care. Methods: Interviews were conducted at bedside with HIV-infected crack cocaine users who were recruited from the inpatient wards at Jackson Memorial Hospital in Miami, FL, and Grady Memorial Hospital in Atlanta, GA, between August 2006 and July 2009. Participants were asked about their sociodemographic characteristics, drug use, drug/alcohol treatment history, use of HIV care, perceived social support, and mental health status. Multiple logistic regression was performed to identify factors associated with never having been to HIV care. Results: Among 355 study participants, 21% reported never having been to a doctor or clinic for HIV care. Higher adjusted odds of never having been in care were associated with an annual income of less than $5000 [adjusted odds ratio (AOR) = 8.17, 95% confidence interval (CI) = 3.35 to 19.94], residence in Atlanta compared with Miami (AOR = 2.57, 95% CI = 1.36 to 4.83), no history of drug treatment (AOR = 4.13, 95% CI = 2.24 to 7.62), and not being helped into care at the time of HIV diagnosis (AOR = 2.83, 95% CI = 1.56 to 5.15). Conclusions: Our data show that a significant proportion of HIV-infected crack cocaine users in 2 city hospitals have never been to HIV care. Interventions at the time of HIV diagnosis and drug treatment participation may facilitate linkage to care.
KW - drug use
KW - HIV care
KW - HIV/AIDS
KW - hospital
KW - intervention
UR - http://www.scopus.com/inward/record.url?scp=77955503975&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77955503975&partnerID=8YFLogxK
U2 - 10.1097/QAI.0b013e3181d01d31
DO - 10.1097/QAI.0b013e3181d01d31
M3 - Article
C2 - 20173648
AN - SCOPUS:77955503975
VL - 54
SP - 376
EP - 380
JO - Journal of acquired immune deficiency syndromes (1999)
JF - Journal of acquired immune deficiency syndromes (1999)
SN - 1525-4135
IS - 4
ER -