Abstract
This article reports findings from a cohort study that investigated drug injection cessation over an 18-month period among HIV-infected injecting drug users followed up in a clinical setting. At 18th month visit, individuals reporting persistent injection practices were compared with individuals who reported drug injection cessation for at least 12 months. Crude and adjusted odds ratios were used to assess the impact of change in addictive and sexual behaviors, contacts with the drug network, depression, negative life events, clinical status, HIV therapy, and drug maintenance treatment (DMT) on drug injection cessation. After multiple adjustment, a general decrease of addiction practices (alcohol and cannabis) and of unsafe sexual behaviors significantly accompanied injection cessation. Individuals with higher education level, still in contact with the drug network, and not yet treated for their HIV disease were significantly more likely to persist injecting behaviors. These results underscore the importance and the need of monitoring addiction practices and unsafe sexual behaviors among HIV-positive individuals to properly address primary and secondary prevention in the era of highly active antiretroviral treatments (HAART).
References
Feb 1, 1989·Archives of General Psychiatry·D B Kandel, V H Raveis
Jan 1, 1986·Acta Psychiatrica Scandinavica·R FuhrerJ Lellouch
Aug 1, 1995·American Journal of Epidemiology·O S LevineK E Nelson
Mar 1, 1996·The Journal of Infectious Diseases·O S LevineK E Nelson
Feb 1, 1996·Journal of Clinical Psychopharmacology·U E BustoE M Sellers
Apr 29, 1998·Journal of Clinical Psychopharmacology·M K RomachE M Sellers
May 18, 1999·Journal of Epidemiology and Community Health·M P CarrieriM Chesney
Sep 3, 1999·The American Journal of Drug and Alcohol Abuse·C A LatkinW Mandell
Mar 9, 2000·AIDS·J P MoattiJ Moreau
Jun 1, 2000·Addiction·M W LangendamE J van Ameijden
Nov 25, 2000·AIDS Care·C Reynaud-MauruptJ P Moatti
Feb 13, 2001·Drug and Alcohol Dependence·X ThirionG Lagier
Feb 15, 2001·Addiction·J Ross, S Darke
Apr 11, 2001·Drug and Alcohol Dependence·M GossopS Treacy
Apr 12, 2001·Journal of Epidemiology and Community Health·E J van Ameijden, R A Coutinho
Jul 27, 2001·Drug and Alcohol Dependence·A GogineniP D Friedmann
Sep 26, 2001·AIDS Care·A R KnowltonD D Celentano
Jan 19, 2002·AIDS Care·M GossopS Treacy
Jan 31, 2002·Addictive Behaviors·Michael GossopSamantha Treacy
Citations
May 10, 2007·AIDS and Behavior·Alexander Y WalleyJeffrey H Samet
Jul 26, 2011·AIDS Care·Lin ZhaoCarol D Rose
Sep 9, 2010·AIDS Care·Laurent MichelUNKNOWN VESPA study group
Nov 17, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Maria Patrizia CarrieriGeorge E Woody
Jan 23, 2010·American Journal of Epidemiology·Arijit NandiShruti H Mehta
Oct 20, 2012·AIDS·Tsung-chieh FuGregory D Kirk
Feb 25, 2014·Drug and Alcohol Dependence·Joseph CoxUNKNOWN Canadian Co-infection Cohort (CTN 222)
Jul 1, 2010·Addictive Behaviors·Matthew DunnRaimondo Bruno
May 27, 2008·The International Journal on Drug Policy·Lynne LeonardJoyce Seto
Feb 13, 2007·Drug and Alcohol Dependence·Judith A CookAlexandra M Levine
Aug 11, 2007·The International Journal on Drug Policy·Bruno SpireM Patrizia Carrieri
Jun 30, 2009·Addiction·Maria Patrizia Carrieri, Jean-Claude Desenclos
Sep 10, 2008·Addiction·Perrine RouxUNKNOWN MANIF2000 cohort study group
Aug 6, 2011·Addiction·Shruti H MehtaSunil S Solomon
May 20, 2011·Addiction·Becky L GenbergShruti H Mehta
Sep 16, 2010·Addiction·M Patrizia CarrieriAndrew Rosenblum
Dec 25, 2010·Addiction·Mary E Mackesy-AmitiRichard S Garfein
Jul 15, 2015·Drug and Alcohol Dependence·Dhanya NambiarPaul Dietze
Sep 9, 2008·Drug and Alcohol Dependence·Laurent MichelM Patrizia Carrieri
Feb 27, 2013·Epidemics·Amparo Yovanna Castro SanchezNiel Hens
Apr 15, 2014·Drug and Alcohol Dependence·E Jennifer EdelmanLynn E Fiellin
Aug 11, 2016·Journal of Behavioral Medicine·Marco Pereira, Renata Fialho
Jul 6, 2018·PloS One·Issifou YayaUNKNOWN ANRS CO13 HEPAVIH Study Group
Nov 3, 2010·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Juana Tomás-RossellóWalter Ling
Aug 13, 2011·The Cochrane Database of Systematic Reviews·Linda GowingRobert Ali
Jul 23, 2011·AIDS Care·Marie Jauffret-RoustideUNKNOWN Manif 2000 Study Group
Aug 20, 2020·Addiction·Abby E RudolphJennifer R Havens