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. 2016 Dec 1:169:11-18.
doi: 10.1016/j.drugalcdep.2016.10.002. Epub 2016 Oct 11.

Prevalence and correlates of substance use among youth living with HIV in clinical settings

Kristi E Gamarel  1 , Larry Brown  2 , Christopher W Kahler  3 , M Isabel Fernandez  4 , Douglas Bruce  5 , Sharon Nichols  6 ; Adolescent Medicine Trials Network for HIV/AIDS Intervention
Affiliations

Prevalence and correlates of substance use among youth living with HIV in clinical settings

Kristi E Gamarel et al. Drug Alcohol Depend. .

Abstract

Objectives: The purpose of this study was to better understand the prevalence and correlates of substance use behaviors among HIV-infected adolescents in HIV care settings.

Methods: A cross-sectional sample of 2216 youth living with HIV (YLWH; ages 12-26) were recruited through the Adolescent Trials Network for HIV Interventions. Participants completed a one-time survey on sociodemographic factors, substance use and health behaviors. We used logistic regression models to understand the correlates of substance use outcomes.

Results: Overall, weekly or more frequent tobacco use was reported by 32.9% of participants, 27.5% marijuana use, and 21.3% alcohol use; and 22.5% reported any other illicit drug use. In multivariable models, young MSM had higher odds of reporting each substance use behavior, and transgender women had increased odds of marijuana and other illicit drug use. Criminal justice involvement, unstable housing, condomless sex, and suboptimal antiretroviral therapy was associated with increased risk of substance use behaviors.

Conclusions: Study findings highlight the need for regular screening for substance use in HIV care settings in order to improve access to and delivery of culturally competent substance use prevention and treatment services.

Keywords: HIV; Substance use; Youth.

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Figures

Figure 1
Figure 1
Percentages of participants who endorsed alcohol, tobacco and marijuana use in the past 3 months
Figure 2
Figure 2
Percentages of participants who endorsed any past 3 month other illicit drug use
See this image and copyright information in PMC

References

    1. Center for Disease Control and Prevention CDC Fact Sheet New HIV infections in the United States. 2012
    1. Phillips G, Wohl A, Xavier J, Jones K, Hidalgo J. Epidemiologic data on young men who color who have sex with men. AIDS Patient Care STDs. 2011;25(Supple 1):S3–S8. - PubMed
    1. Hosek SG, Harper GW, Domanico R. Predictors of medication adherence among HIV-infected youth. Psychology, Health, & Medicine. 2005;10(2):166–179. - PMC - PubMed
    1. Bruce D, Kahana SY, Fernández MI, Harper GW, ATN Alcohol use predicts sexual risk behavior with HIV-negative or partners of unknown status among young HIV-positive men who have sex with men. AIDS Care. 2013;25(5):559–65. - PMC - PubMed
    1. Alperen J, Brummel S, Tassiopoulos K, Mellins CA, Kacanek D, Smith R, et al. Prevalence of and risk factors for substance use among perinatally HIV-infected and perinatally exposured but uninfected youth. J Adolesc Health. 2014;54(3):341–349. - PMC - PubMed