Associations Between Substance Use, Sexual Risk Taking and HIV Treatment Adherence Among Homeless People Living With HIV
July 2, 2009
The interconnections between substance use, HIV risk, and lack of adherence to HIV medications are particularly strong among homeless individuals, as has been noted in earlier research.
In the current study, the authors described patterns of alcohol and drug use, associations between substance use and taking part in high-risk sex, and the associations between substance use and adherence to HIV treatment regimens in a sample of 602 HIV-positive individuals who were homeless or housed unstably. The study subjects were participants in a housing-based intervention, the Housing and Health Study.
"Participants experienced high levels of substance use," the authors wrote, noting significant associations between substance use and treatment adherence, as well as between substance use and high-risk sexual practices within the entire group. In group analyses by sexual orientation/gender, the association between substance use and treatment adherence was found chiefly among heterosexual males; the relationship between several drugs and high-risk sexual practices was strongest among men who have sex with men.
"Health professionals working with HIV-seropositive individuals should routinely ascertain housing status and screen for substance use and risky sex," the authors concluded.
06.2009; Vol. 21; No. 6: P. 692-700; Mark S. Friedman, Michael P. Marshal, Ron Stall, Daniel P. Kidder, Kirk D. Henny, Cari Courtenay-Quirk, Study Group The Project START, Angela Aidala, Scott Royal, David R. Holtgrave
Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
Antidepressants Can Significantly Reduce Viral Load by Improving Adherence Among Homeless or Marginally Housed Patients, Study Says
This article was provided by U.S. Centers for Disease Control and Prevention. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update. Visit the CDC's website to find out more about their activities, publications and services.