Little is known about how substance use patterns affect social stability among persons living with HIV/AIDS (PLWH). This manuscript examines associations, using survey data collected between 2003–2004, between substance use and social stability measures in 1,133 at-risk PLWH enrolled in 10 outreach programs across the US funded by the Health Resources and Services Administration. Substance use patterns were found to impact the social stability indicators of housing status, need for food, and income level. Effect varied by types and numbers of drugs used. These findings have important implications for policy and for planning effective program interventions for HIV-infected substance users.
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References
1.
AbramK.ReplinL.McClellandG.2003Comorbidity of severe psychiatric disorders and substance use disorders among women in jail. The American Journal of Psychiatry, 160, 1007–1010.
2.
BassukE.L.WeinrebL.F.BucknerJ.C.BrowneA.SalomonA.BassuckS.S.1996The characteristics and needs of sheltered homeless and low-income housed mothers. The Journal of the American Medical Association, 276, 640–646.
3.
BonuckK.A.ArnoP.S.GreenJ.FleishmanJ.BennettC.L.FahsM.C.MaffeoC.1996Self-perceived unmet health care needs of persons enrolled in HIV care. Journal of Community Health, 21, 183–198.
4.
BoothR.KwiatkowskiC.WeissmanG.1999Health-related service utilization and HIV risk behaviors among HIV infected injection drug users and crack smokers. Drug and Alcohol Dependence, 55, 69–78.
5.
BouhnikA.D.ChesneyM.CarrieriP.GallaisH.MoreauJ.MoattiJ.P.ObadiaY.SpireB.2002Nonadherence among HIV-infected injecting drug users: The impact of social instability. Journal of Acquired Immune Deficiency Syndromes, 31, S149–S153.
6.
CrispB.WilliamsM.TimpsonS.RossM.2004Medication compliance and satisfaction with treatment for HIV disease in a sample of African-American crack cocaine smokers. AIDS and Behavior, 8, 199–206.
7.
HarrisV.L.RafiiR.TongeS.J.UldallK.K.2002Rearrest: Does HIV serostatus make a difference?AIDS Care, 14, 839–849.
8.
HeffronW.SkipperB.LamberL.1997Health and lifestyle issues as risk factors for homelessness. The Journal of the American Board of Family Practice, 10, 6–12.
9.
KalichmanS.C.RamachandranB.CatzS.1999Adherence to combination antiretroviral therapies in HIV patients of low health literacy. Journal of General Internal Medicine, 14, 267–273.
10.
KenagyG.P.LinskN.L.BruceD.WarneckeR.GordonA.WagawF.DenshamA.2003Service utilization, service barriers, and gender among HIV-positive consumers of primary care. AIDS Patient Care and STDs, 17, 235–244.
11.
KleebergerC.A.PhairJ.P.StrathdeeS.A.DetelsR.KingsleyL.JacobsonL.P.2001Determinants of heterogeneous adherence to HIV-antiretroviral therapies in the Multicenter AIDS Cohort Study. Journal of Acquired Immune Deficiency Syndromes, 26, 82–92.
12.
KushelM.B.HahnJ.A.EvansJ.L.BangsbergD.R.MossA.R.2005Revolving doors: Imprisonment among the homeless and marginally housed population. American Journal of Public Health, 95, 1747–1752.
13.
LohseN.KronborgG.GerstoftJ.LarsenC.S.PedersenG.PedersenC.SorensenH.T.ObelN.2006Virological control during the first 6–18 months after initiating highly active antiretroviral therapy as a predictor for outcome in HIV-infected patients: A Danish, population-based, 6-year follow-up study. Clinical Infectious Disease, 42, 136–144.
14.
MacMasterS.2005Experiences with, and perceptions of, barriers to substance abuse and HIV services among African-American women who use crack cocaine. Journal of Ethnicity in Substance Abuse, 4, 53–75.
15.
McGearyK.FrenchM.2000Illicit drug use and emergency room utilization. Health Services Research, 35, 153–169.
16.
McLellanA.T.KushnerH.MetzgerD.PetersF.SmithI.GrissomG.PettinatiH.ArgeriouM.1992The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9, 199–213.
17.
MelchiorL.HubaG.GallagherT.EustacheJ.McDonaldS.SmereckG.A.GermanV.F.BrownV.B.PanterA.T.2001Unmet needs in groups of traditionally under-served individuals with HIV/AIDS: empirical models. Home Health Care Services Quarterly, 19, 29–51.
18.
PowerR.KoopmanC.VolkJ.IsraelskiD.M.StoneL.ChesneyM.A.SpiegelD.2003Social support, substance use, and denial in relationship to antiretroviral treatment adherence among HIV-infected persons. AIDS Patient Care and STDs, 17, 245–252.
19.
RajabiunS.CabralH.TobiasC.RelfM.2007Program design and evaluation strategies for the Special Projects of National Significance Outreach Initiative. AIDS Patient Care and STDs, 21, S9–S19.
20.
RajabiunS.MallinsonR.McCoyK.ColemanS.DrainoniM.RebholzC.HolbertT.2007Getting me back on track: The role of outreach interventions in engaging and retaining people living with HIV/AIDS in medical care. AIDS Patient Care and STDs, 21, S20–S29.
21.
SametJ.HortonN.TraphagenE.LyonS.FreedbergK.2003Alcohol consumption and HIV disease progression: Are they related?Alcoholism: Clinical and Experimental Research, 27, 862–867.
22.
SinghN.BermanS.M.SwindellsS.JustisJ.C.SquierC.WagenerM.M.1999Adherence of human immunodeficiency virus-infected patients to antiretroviral therapy. Clinical Infectious Disease, 29, 824–830.
23.
SohlerN.WongM.CunninghamW.CabralH.DrainoniM.CunninghamC.2007Type and pattern of illicit drug use and access to health care services for HIV-infected persons. AIDS Patient Care and STDs, 21, S68–S76.
24.
WeissL.McCoyK.KlugerM.FinkelsteinR.2004Access to and use of health care: Perceptions and experiences among people who use heroin and cocaine. Addiction Research and Theory, 12, 155–165.
25.
WelchK.2000Correlates of alcohol and/or drug use among HIV-infected individuals. AIDS Patient Care and STDs, 14, 317–323.
26.
WuL.KouzisA.SchlengerW.2003Substance use, dependence, and service utilization among the US uninsured nonelderly population. American Journal of Public Health, 93, 2079–2085.
