Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users

A Latent Class Analysis

Karen Shiu-Yee, Ahnalee M. Brincks, Daniel J Feaster, Jemima A. Frimpong, Ank Nijhawan, Raul N. Mandler, Robert Schwartz, Carlos Del Rio, Lisa R. Metsch

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Using baseline data from the NIDA Clinical Trials Network 0049 study (Project HOPE), we performed latent class analyses (LCA) to identify discrete classes, or clusters, of people living with HIV (PLWH) based on their past year substance use behaviors and lifetime arrest history. We also performed multinomial logistic regressions to identify key characteristics associated with class membership. We identified 5 classes of substance users (minimal drug users, cocaine users, substantial cocaine/hazardous alcohol users, problem polysubstance users, substantial cocaine/heroin users) and 3 classes of arrest history (minimal arrests, non-drug arrests, drug-related arrests). While several demographic variables such as age and being Black or Hispanic were associated with class membership for some of the latent classes, participation in substance use treatment was the only covariate that was significantly associated with membership in all classes in both substance use and arrest history LCA models. Our analyses reveal complex patterns of behaviors among substance using PLWH and suggest that HIV intervention strategies may need to take into consideration such nuanced differences to better inform future studies and program implementation.

Original languageEnglish (US)
Pages (from-to)1-9
Number of pages9
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jan 5 2018

Fingerprint

Drug Users
Cocaine
History
HIV
Heroin
Hispanic Americans
Logistic Models
Alcohols
Demography
Clinical Trials
Pharmaceutical Preparations
Therapeutics

Keywords

  • Arrest
  • Criminal justice
  • HIV/AIDS
  • Latent class analysis
  • Substance abuse

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Shiu-Yee, K., Brincks, A. M., Feaster, D. J., Frimpong, J. A., Nijhawan, A., Mandler, R. N., ... Metsch, L. R. (Accepted/In press). Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users: A Latent Class Analysis. AIDS and Behavior, 1-9. https://doi.org/10.1007/s10461-017-2024-y

Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users : A Latent Class Analysis. / Shiu-Yee, Karen; Brincks, Ahnalee M.; Feaster, Daniel J; Frimpong, Jemima A.; Nijhawan, Ank; Mandler, Raul N.; Schwartz, Robert; Del Rio, Carlos; Metsch, Lisa R.

In: AIDS and Behavior, 05.01.2018, p. 1-9.

Research output: Contribution to journalArticle

Shiu-Yee, K, Brincks, AM, Feaster, DJ, Frimpong, JA, Nijhawan, A, Mandler, RN, Schwartz, R, Del Rio, C & Metsch, LR 2018, 'Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users: A Latent Class Analysis', AIDS and Behavior, pp. 1-9. https://doi.org/10.1007/s10461-017-2024-y
Shiu-Yee, Karen ; Brincks, Ahnalee M. ; Feaster, Daniel J ; Frimpong, Jemima A. ; Nijhawan, Ank ; Mandler, Raul N. ; Schwartz, Robert ; Del Rio, Carlos ; Metsch, Lisa R. / Patterns of Substance Use and Arrest Histories Among Hospitalized HIV Drug Users : A Latent Class Analysis. In: AIDS and Behavior. 2018 ; pp. 1-9.
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