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. 2023;41(4):373-385.
doi: 10.1080/07347324.2023.2241419. Epub 2023 Aug 8.

Substance Use Outcomes Among Sexual and Gender Minority Individuals Living with HIV Following Residential Substance Use Treatment in Washington, DC

Jennifer M Belus  1   2   3 , Hannah Tralka  4 , Emily N Satinsky  5 , C J Seitz-Brown  3 , Stacey B Daughters  6 , Jessica F Magidson  3   7
Affiliations

Substance Use Outcomes Among Sexual and Gender Minority Individuals Living with HIV Following Residential Substance Use Treatment in Washington, DC

Jennifer M Belus et al. Alcohol Treat Q. 2023.

Abstract

This study explored how sexual or gender minority (SGM) status influenced substance use (SU) treatment outcomes in a predominantly African American and unemployed sample of people with HIV. N = 60 participants were enrolled in an abstinence-focused inpatient SU treatment center, followed by outpatient treatment sessions. At 12-months follow-up, the survival rate (i.e. those who did not reuse substances) was 37.6% (non-SGM group) vs. 4.8% (SGM group). The impact of SGM status on reuse was .54 log odds, p = .11, which translates to a 71.8% increase in the hazard of reusing substances for SGM vs. non-SGM individuals. For both groups, frequency of reuse remained stable and problems associated with SU decreased over time. Results suggest a potentially clinically relevant finding that SGM individuals have possible heigh-tened risk of SU after a mixed inpatient-outpatient program. ClinicalTrials.gov trial registration number: NCT01351454.

Keywords: HIV; gender minority; minority stress; sexual minority; substance use.

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Conflict of interest statement

Disclosure statement No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
Survival function (i.e., those not using substances) by SGM status from residential discharge to 12-month follow-up.
Figure 2.
Figure 2.
Hazard function (i.e., risk of substance use) by SGM status from residential discharge to 12-month follow-up.
Figure 3.
Figure 3.
Mean score on substance related problems using the SIP by SGM status from study entry to 12-months follow-up.
See this image and copyright information in PMC

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