Use of HIV health care in HIV-seropositive crack cocaine smokers and other active drug users

Lisa R. Metsch, Margaret Pereyra, Toye H. Brewer

Research output: Contribution to journalArticle

29 Scopus citations


Purpose: We assessed the use of HIV care among HIV-seropositive crack cocaine smokers and other active drug users in Miami-Dade County, FL. Methods: Personal interviews were conducted with 327 adults recruited from inner city neighborhoods. Cross-tabulations and logistic modeling were used to analyze the relationship between selected variables and use of HIV care. Results: One-third of respondents had not seen a provider for HIV-related health care in the past 12 months. Among those who had seen a provider, only 33.8% were receiving highly active antiretroviral therapy (HAART). Factors associated with utilization of HIV-related health care were age, race, having a usual source of care, health insurance, time elapsed since time of diagnosis, and reports of moderate to extreme interference of pain with daily activities. Implications: These findings suggest the need to develop, implement, and evaluate intervention strategies to improve use of HIV medical care among active drug users.

Original languageEnglish (US)
Pages (from-to)155-167
Number of pages13
JournalJournal of Substance Abuse
Issue number1-2
StatePublished - Dec 1 2001



  • Care
  • Crack
  • Drug users
  • HIV-positive

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Neuroscience(all)

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