Type and pattern of illicit drug use and access to health care services for HIV-infected people

Nancy L. Sohler, Mitchell D. Wong, William E. Cunningham, Howard Cabral, Mari Lynn Drainoni, Chinazo O. Cunningham

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Approximately 28% of HIV-infected people in treatment in the United States report using illicit drugs. Illicit drug users have poorer course of HIV disease than non-drug users, which is thought to be due to their irregular use of HIV medical services. We examined associations between type (cocaine versus opioids) and pattern of drug use (drug use at baseline, 6-month follow-up, both periods, and nonuse) and health care utilization for a large sample of HIV-infected individuals drawn from a multisite project that evaluated the impact of medical outreach interventions for populations at risk of poor retention in HIV care. Across all types and patterns of drug use, drug users were more likely to have suboptimal ambulatory care, miss scheduled appointments, use the emergency department, have unmet support services needs, and were less likely to take antiretroviral medications. Additionally, while people who started using drugs during the follow-up period and consistently used drugs across both periods differed from nonusers on missed appointments (odds ratio [OR] = 2.20 for starters versus nonusers, OR = 2.92 for consistent users versus nonusers), emergency department use (OR = 4.93 for starters versus nonusers, OR = 2.24 for consistent users versus nonusers), and antiretroviral medication use at follow-up (OR = 0.23 starters versus nonusers, OR = 0.19 for consistent users versus nonusers), those who stopped using drugs after the baseline period did not differ from nonusers. We conclude that health care utilization is poorer for people who use illicit drugs than those who do not, and stopping drug use may facilitate improvements in health care utilization and HIV outcomes for this population.

Original languageEnglish (US)
JournalAIDS Patient Care and STDs
Volume21
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2007

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Health Services Accessibility
Street Drugs
Health Services
HIV
Odds Ratio
Patient Acceptance of Health Care
Pharmaceutical Preparations
Drug Users
Hospital Emergency Service
Appointments and Schedules
Ambulatory Care
Cocaine
Opioid Analgesics
Population

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Leadership and Management
  • Nursing(all)

Cite this

Type and pattern of illicit drug use and access to health care services for HIV-infected people. / Sohler, Nancy L.; Wong, Mitchell D.; Cunningham, William E.; Cabral, Howard; Drainoni, Mari Lynn; Cunningham, Chinazo O.

In: AIDS Patient Care and STDs, Vol. 21, No. SUPPL. 1, 06.2007.

Research output: Contribution to journalArticle

Sohler, Nancy L. ; Wong, Mitchell D. ; Cunningham, William E. ; Cabral, Howard ; Drainoni, Mari Lynn ; Cunningham, Chinazo O. / Type and pattern of illicit drug use and access to health care services for HIV-infected people. In: AIDS Patient Care and STDs. 2007 ; Vol. 21, No. SUPPL. 1.
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