Associations between medical service use and HIV risk among HIV-positive drug users in Baltimore, MD

AIDS Care
C A LatkinA R Knowlton

Abstract

The objectives of this study were first, to identify psychosocial and medical service utilization factors associated with unprotected sex with HIV-negative or unknown serostatus partners among persons living with HIV/AIDS, and second, to identify risk behaviours associated with HIV medical service use. We assessed 244 HIV-positive participants in an HIV intervention targeting drug users (1997-99). Fifty-seven per cent of HIV-positive participants reported unprotected sex within the past 90 days, 16.4% with serodiscordant partners. Odds of risky sex were lower among those currently receiving HIV medical care (odds ratio (OR)=0.36), and were greater among females (OR=2.6), those having friends with lower norms of condom use (OR=3.3), and those having a main sexual partner (OR=6.2). Lower odds of receiving HIV medical care were associated with current drug use (OR=0.33), sharing drugs with a sex partner (OR=0.27), and exchanging sex for drugs or money (OR=0.24). Findings suggest the importance of community-based HIV prevention intervention targeting HIV-positive drug users not recovery HIV medical care.

References

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Citations

Feb 8, 2006·AIDS and Behavior·Steffanie A Strathdee, Thomas L Patterson
Jan 24, 2007·AIDS and Behavior·Robert H RemienUNKNOWN NIMH Healthy Living Project Team
Sep 19, 2007·AIDS and Behavior·Anissa L MoodyDesiree Byrd
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Jun 1, 2005·The Medical Clinics of North America·Victoria A Cargill, Valerie E Stone
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Jul 16, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Lisa R MetschUNKNOWN Antiretroviral Treatment and Access Study (ARTAS) Study Group
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May 16, 2007·Infectious Disease Clinics of North America·Carla J BergSteven A Safren
Aug 26, 2010·Substance Use & Misuse·Joseph R MerighiHutson W Inniss

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