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Published in: AIDS and Behavior 6/2007

01-11-2007 | Original Paper

Initiating HIV Care: Attitudes and Perceptions of HIV Positive Crack Cocaine Users

Authors: Toye H. Brewer, Wei Zhao, Margaret Pereyra, Carlos del Rio, Anita Loughlin, Pamela Anderson-Mahoney, Lytt Gardner, Lisa R. Metsch, for the ARTAS Study Group

Published in: AIDS and Behavior | Issue 6/2007

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Abstract

There is limited data on the initiation and use of HIV care services by HIV-positive crack cocaine users. We analyzed data from a study of 286 recently infected HIV-positive persons recruited from 4 U.S. cities. Participants completed an Audio Computer Assisted Self Interview (A-CASI) regarding HIV care knowledge, attitudes, beliefs and practices related to the initiation of HIV care. In multiple logistic regression analysis, higher scores on an assessment of knowledge, attitudes and beliefs regarding HIV care, and Hispanic race were positively associated with initiating HIV primary care. Crack cocaine use in the past 30 days and male gender were negatively associated with initiating care. Injection drug use was not associated with initiation of care. Targeted interventions for crack cocaine users, including drug treatment, may be required to provide optimal HIV primary care use in this population.
Literature
go back to reference Anderson, K. H., & Mitchell, J. M. (2000). Differential access in the receipt of antiviral drugs for the treatment of AIDS and its implication for survival. Archives of Internal Medicine, 160, 3114–3120.PubMedCrossRef Anderson, K. H., & Mitchell, J. M. (2000). Differential access in the receipt of antiviral drugs for the treatment of AIDS and its implication for survival. Archives of Internal Medicine, 160, 3114–3120.PubMedCrossRef
go back to reference Berg, K. M., Demas, P. A., Howard, A. A., Schoenbaum, E. E., Gourevitch, M. N., & Arnsten, J. H. (2004). Gender differences in factors associated with adherence to therapy. Journal of General Internal Medicine, 19, 1111–1117.PubMedCrossRef Berg, K. M., Demas, P. A., Howard, A. A., Schoenbaum, E. E., Gourevitch, M. N., & Arnsten, J. H. (2004). Gender differences in factors associated with adherence to therapy. Journal of General Internal Medicine, 19, 1111–1117.PubMedCrossRef
go back to reference Boyd, C. J., & Mieczkowski, T. (1990). Drug use, health, family and social support in “crack” cocaine users. Addictive Behaviors, 15, 481–485.PubMedCrossRef Boyd, C. J., & Mieczkowski, T. (1990). Drug use, health, family and social support in “crack” cocaine users. Addictive Behaviors, 15, 481–485.PubMedCrossRef
go back to reference Celentano, D. D., Vlahov, D., Cohn, S., Shandle, V. M., Obasanjo, O., & Moore, R. D. (1998). Self-reported antiretroviral therapy in injection drug users. Journal of the American Medical Association, 280, 554–556.CrossRef Celentano, D. D., Vlahov, D., Cohn, S., Shandle, V. M., Obasanjo, O., & Moore, R. D. (1998). Self-reported antiretroviral therapy in injection drug users. Journal of the American Medical Association, 280, 554–556.CrossRef
go back to reference Cohen, M. H., Cook, J. A., Grey, D., Young, M., Hanau, L. H., Tien, P., Levine, A. M., & Wilson, T. E. (2004). Medically eligible women who do not use HAART: the importance of abuse, drug use and race. American Journal of Public Health, 94, 1147–1151.PubMedCrossRef Cohen, M. H., Cook, J. A., Grey, D., Young, M., Hanau, L. H., Tien, P., Levine, A. M., & Wilson, T. E. (2004). Medically eligible women who do not use HAART: the importance of abuse, drug use and race. American Journal of Public Health, 94, 1147–1151.PubMedCrossRef
go back to reference Edlin, B. R., Irwin, K. L., Faruque, S., McCoy, C. B., Word, C., Serrano, Y., Inciardi, J. A., Bowser, B. P., Shilling, R. F., & Holmberg, S. D. (1994). Intersecting epidemics–crack cocaine use and HIV infection among inner-city young adults. Multicenter crack cocaine and HIV infection study team. New England Journal of Medicine, 331, 1422–1427.PubMedCrossRef Edlin, B. R., Irwin, K. L., Faruque, S., McCoy, C. B., Word, C., Serrano, Y., Inciardi, J. A., Bowser, B. P., Shilling, R. F., & Holmberg, S. D. (1994). Intersecting epidemics–crack cocaine use and HIV infection among inner-city young adults. Multicenter crack cocaine and HIV infection study team. New England Journal of Medicine, 331, 1422–1427.PubMedCrossRef
go back to reference Fleishman, J. A., Gebo, K. A., Reilly, E. D., Conviser, R., Mathews, W. C., Korthuis, P. T., Hellinger, J., Rutstein, R., Keiser, P., Rubin, H., & Moore, R. D. for the HIV Research Network (2005). Hospital and outpatient health services utilization among HIV-infected adults in care 2000–2002. Medical Care 43(9 supplement), III40–III52. Fleishman, J. A., Gebo, K. A., Reilly, E. D., Conviser, R., Mathews, W. C., Korthuis, P. T., Hellinger, J., Rutstein, R., Keiser, P., Rubin, H., & Moore, R. D. for the HIV Research Network (2005). Hospital and outpatient health services utilization among HIV-infected adults in care 2000–2002. Medical Care 43(9 supplement), III40–III52.
go back to reference Gardner, L. I., Metsch, L. R., Anderson-Mahoney, P., Laughlin, A. M., del Rio, C., Strathdee, S., Samson, S. L., Siegal, H. A., Greenberg, A. E., & Holmberg, S. for the ARTAS Study Group (2005). Efficacy of a brief case management intervention to link recently diagnosed HIV infected persons to care. AIDS, 19, 423–431. Gardner, L. I., Metsch, L. R., Anderson-Mahoney, P., Laughlin, A. M., del Rio, C., Strathdee, S., Samson, S. L., Siegal, H. A., Greenberg, A. E., & Holmberg, S. for the ARTAS Study Group (2005). Efficacy of a brief case management intervention to link recently diagnosed HIV infected persons to care. AIDS, 19, 423–431.
go back to reference Gebo, K. A., Fleishman, J. A., Conviser, R., Reilly, E. D., Korthuis, P. R., Moore, R. D., Hellinger, J., Keiser, P., Rubin, H. R., Crane, L., Hellinger, F. J., & Mathews, W. C. for the HIV Research Network (2005). Racial and gender disparities in receipt of highly active antiretroviral therapy persist in a multistate sample of HIV patients in 2001. Journal of Acquired Immune Deficiency Syndrome, 38, 96–103. Gebo, K. A., Fleishman, J. A., Conviser, R., Reilly, E. D., Korthuis, P. R., Moore, R. D., Hellinger, J., Keiser, P., Rubin, H. R., Crane, L., Hellinger, F. J., & Mathews, W. C. for the HIV Research Network (2005). Racial and gender disparities in receipt of highly active antiretroviral therapy persist in a multistate sample of HIV patients in 2001. Journal of Acquired Immune Deficiency Syndrome, 38, 96–103.
go back to reference Glynn M., & Rhodes P. (2005). Estimated HIV prevalence in the United States at the end of 2003. National HIV Prevention Conference, June 12–15, 2005, Atlanta, GA. Abstract T1-B1101, abstract book, p. 85. Glynn M., & Rhodes P. (2005). Estimated HIV prevalence in the United States at the end of 2003. National HIV Prevention Conference, June 12–15, 2005, Atlanta, GA. Abstract T1-B1101, abstract book, p. 85.
go back to reference Inciardi, J. A. (1995). Crack, crack house sex and HIV risk. Archives of Sexual Behavior, 24, 249–269.PubMedCrossRef Inciardi, J. A. (1995). Crack, crack house sex and HIV risk. Archives of Sexual Behavior, 24, 249–269.PubMedCrossRef
go back to reference Janz, N. K., & Becker, N. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11, 1–47.PubMed Janz, N. K., & Becker, N. H. (1984). The health belief model: a decade later. Health Education Quarterly, 11, 1–47.PubMed
go back to reference Kalichman, S. C., Graham, J., Luke, W., & Austin, J. (2002). Perceptions of health care among persons living with HIV/AIDS who were not receiving antiretroviral medications. AIDS Patient Care and STDs, 16, 233–240.PubMedCrossRef Kalichman, S. C., Graham, J., Luke, W., & Austin, J. (2002). Perceptions of health care among persons living with HIV/AIDS who were not receiving antiretroviral medications. AIDS Patient Care and STDs, 16, 233–240.PubMedCrossRef
go back to reference Klinkenberg, W. D., & Sacks, S. for the HIV/AIDS Treatment Adherence, Health Outcomes, Cost Study Group (2004). Mental disorders and drug abuse in persons living with HIV/AIDS. AIDS Care, 16(Suppl 1), S22–S42. Klinkenberg, W. D., & Sacks, S. for the HIV/AIDS Treatment Adherence, Health Outcomes, Cost Study Group (2004). Mental disorders and drug abuse in persons living with HIV/AIDS. AIDS Care, 16(Suppl 1), S22–S42.
go back to reference Knowlton, A. R., Hoover, D. R., Chung, S. E., Celetano, D. D., Vlahov, D., & Latkin, C. A. (2001). Access to medical care and service utilization among injection drug users with HIV/AIDS. Drug and Alcohol Dependency, 64, 55–62.CrossRef Knowlton, A. R., Hoover, D. R., Chung, S. E., Celetano, D. D., Vlahov, D., & Latkin, C. A. (2001). Access to medical care and service utilization among injection drug users with HIV/AIDS. Drug and Alcohol Dependency, 64, 55–62.CrossRef
go back to reference Lucas, G. M., Cheever, L. W., Chaisson, R. E., & Moore, R. D. (2001). Detrimental effects of continued illicit drug use on the treatment of HIV-1 infection. Journal of Acquired Immune Deficiency Syndromes, 27, 251–259.PubMed Lucas, G. M., Cheever, L. W., Chaisson, R. E., & Moore, R. D. (2001). Detrimental effects of continued illicit drug use on the treatment of HIV-1 infection. Journal of Acquired Immune Deficiency Syndromes, 27, 251–259.PubMed
go back to reference Lucas, G. M., Mullen, B. A., Weidle, P. J., Hader, S., McCaul, M. E., & Moore, R. D. (2006). Directly administered antiretroviral therapy in methadone clinics is associated with improved HIV treatment outcomes, compared with outcomes among concurrent comparison group. Clinical Infectious Diseases, 42, 1628–1635.PubMedCrossRef Lucas, G. M., Mullen, B. A., Weidle, P. J., Hader, S., McCaul, M. E., & Moore, R. D. (2006). Directly administered antiretroviral therapy in methadone clinics is associated with improved HIV treatment outcomes, compared with outcomes among concurrent comparison group. Clinical Infectious Diseases, 42, 1628–1635.PubMedCrossRef
go back to reference Mays, V. M., Ponce, N. A., Washington, D. L., & Cochran, S. D. (2003). Classification of race and ethnicity: implications for public health. Annual Review of Public Health, 24, 83–110.PubMed Mays, V. M., Ponce, N. A., Washington, D. L., & Cochran, S. D. (2003). Classification of race and ethnicity: implications for public health. Annual Review of Public Health, 24, 83–110.PubMed
go back to reference McCusker, J., Stoddard, A. M., Zapka, J. G., & Zorn, M. (1993). Use of condoms by heterosexually active drug abusers before and after AIDS education. Sexually Transmitted Diseases, 20, 81–88.PubMedCrossRef McCusker, J., Stoddard, A. M., Zapka, J. G., & Zorn, M. (1993). Use of condoms by heterosexually active drug abusers before and after AIDS education. Sexually Transmitted Diseases, 20, 81–88.PubMedCrossRef
go back to reference Melchior, L. A., Huba, G. J., Gallagher, T., Jean-Louis, E., McDonald, S. S., Smereck, G. A., German, V. F., Brown, V. B., & Panter, A. T. (2001). Unmet needs in groups traditionally underserved individuals with HIV/AIDS: empirical models. Home Health Care Service Quarterly, 19, 29–51.CrossRef Melchior, L. A., Huba, G. J., Gallagher, T., Jean-Louis, E., McDonald, S. S., Smereck, G. A., German, V. F., Brown, V. B., & Panter, A. T. (2001). Unmet needs in groups traditionally underserved individuals with HIV/AIDS: empirical models. Home Health Care Service Quarterly, 19, 29–51.CrossRef
go back to reference Messeri, P. A., Abramson, D. M., Aidala, A. A., Lee, F., & Lee, G. (2002). The impact of ancillary HIV services on engagement in medical care in New York City. AIDS Care, 14(Suppl 1), S15–S29.PubMedCrossRef Messeri, P. A., Abramson, D. M., Aidala, A. A., Lee, F., & Lee, G. (2002). The impact of ancillary HIV services on engagement in medical care in New York City. AIDS Care, 14(Suppl 1), S15–S29.PubMedCrossRef
go back to reference Metsch, L. R., McCoy, H. V., McCoy, C. B., Miles, C. C., Edlin, B. R., & Pereyra, M. (1999). Use of health care services by women who use crack cocaine. Women and Health, 30, 35–51. Metsch, L. R., McCoy, H. V., McCoy, C. B., Miles, C. C., Edlin, B. R., & Pereyra, M. (1999). Use of health care services by women who use crack cocaine. Women and Health, 30, 35–51.
go back to reference Mocroft, A., Ledergerber, B., Katlama, C., Kirk, O., Reiss, P., d’Arminio, Monforte, A., Knysz, B., Dietrich, M., Philips, A. N., Lundgren, A. G., & EuroSIDA Study Group (2003). Decline in the AIDS and death rates in the EuroSIDA study: an observational study. Lancet, 362, 22–29. Mocroft, A., Ledergerber, B., Katlama, C., Kirk, O., Reiss, P., d’Arminio, Monforte, A., Knysz, B., Dietrich, M., Philips, A. N., Lundgren, A. G., & EuroSIDA Study Group (2003). Decline in the AIDS and death rates in the EuroSIDA study: an observational study. Lancet, 362, 22–29.
go back to reference Palella, F. J., Delaney, K. M., Moorman, A. C., Loveless, A. C., Fuhrer, J., Joseph, P., Alexander, W. A., & Ashman, D. J. (1998). Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. New England Journal of Medicine, 338, 853–860.PubMedCrossRef Palella, F. J., Delaney, K. M., Moorman, A. C., Loveless, A. C., Fuhrer, J., Joseph, P., Alexander, W. A., & Ashman, D. J. (1998). Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. HIV Outpatient Study Investigators. New England Journal of Medicine, 338, 853–860.PubMedCrossRef
go back to reference Radloff, L. S. (1977). The CS-D scale: a self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef Radloff, L. S. (1977). The CS-D scale: a self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef
go back to reference Samet, J. H., Friedmann, P., & Saitz, R. (2001). Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Archives of Internal Medicine, 161, 85–91.PubMedCrossRef Samet, J. H., Friedmann, P., & Saitz, R. (2001). Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Archives of Internal Medicine, 161, 85–91.PubMedCrossRef
go back to reference Schneider M. F., Gange, S.J., Williams, C.M., Anastos, K., Greenblatt, R. M., Kingsley, L., & Detels, R., Munoz, A. (2005). Patterns of the hazard of death after AIDS through the evolution of antiretroviral therapy: 1984–2004. AIDS, 19, 2009–2018.PubMedCrossRef Schneider M. F., Gange, S.J., Williams, C.M., Anastos, K., Greenblatt, R. M., Kingsley, L., & Detels, R., Munoz, A. (2005). Patterns of the hazard of death after AIDS through the evolution of antiretroviral therapy: 1984–2004. AIDS, 19, 2009–2018.PubMedCrossRef
go back to reference Shapiro, M. F., Morton, S. C., McCaffrey, D. F., Senterfitt, J. W., Fleishman, J. A., Perlman, J. F., Athey, L. A., Kessey, J. W., Goldman, D. P., Barry, S. H., & Bozette, S. A. (1999). Variations in the care of HIV-infected adults in the United States. Results from the HIV Cost and Service Utilization Study. Journal of the American Medical Association, 281, 2305–2315.PubMedCrossRef Shapiro, M. F., Morton, S. C., McCaffrey, D. F., Senterfitt, J. W., Fleishman, J. A., Perlman, J. F., Athey, L. A., Kessey, J. W., Goldman, D. P., Barry, S. H., & Bozette, S. A. (1999). Variations in the care of HIV-infected adults in the United States. Results from the HIV Cost and Service Utilization Study. Journal of the American Medical Association, 281, 2305–2315.PubMedCrossRef
go back to reference Sharpe, T. T., Lee, L. M., Nakashima, A. K., Elam-Evans, L. D., & Fleming, P. L. (2004). Crack cocaine use and adherence to antiretroviral therapy among HIV-infected black women. Journal of Community Health, 29, 117–127.PubMedCrossRef Sharpe, T. T., Lee, L. M., Nakashima, A. K., Elam-Evans, L. D., & Fleming, P. L. (2004). Crack cocaine use and adherence to antiretroviral therapy among HIV-infected black women. Journal of Community Health, 29, 117–127.PubMedCrossRef
go back to reference Sherman, S. G., & Steckler, A. (1998). “What the ‘caine was tellin’ me to do.” Crack users’ risk of HIV: an explanatory study of female inmates. Women’s Health, 4, 117–134.PubMed Sherman, S. G., & Steckler, A. (1998). “What the ‘caine was tellin’ me to do.” Crack users’ risk of HIV: an explanatory study of female inmates. Women’s Health, 4, 117–134.PubMed
go back to reference Shoptaw, S., Frosch, D., Rawson, R. A., & Ling, W. (1997). Cocaine abuse counseling as HIV prevention. AIDS Education and Prevention, 9, 511–520. .PubMed Shoptaw, S., Frosch, D., Rawson, R. A., & Ling, W. (1997). Cocaine abuse counseling as HIV prevention. AIDS Education and Prevention, 9, 511–520. .PubMed
go back to reference Stephens, R. C. (1991). The street addict role. Albany: State University of New York Press. Stephens, R. C. (1991). The street addict role. Albany: State University of New York Press.
go back to reference Sterk, C. E. (1999). Fast lives: women who use crack cocaine. Philadelphia: Temple University Press. Sterk, C. E. (1999). Fast lives: women who use crack cocaine. Philadelphia: Temple University Press.
go back to reference Strathdee, S. A., Palepu, A., Cornelisse, P. G., Yip, B., O’Shaugnessy, M. V., Montaner, J. S., Shechter, M. T., & Hogg, R. S. (1998). Barriers to use of free antiretrovirals in injection drug users. Journal of the American Medical Association, 280, 547–549.PubMedCrossRef Strathdee, S. A., Palepu, A., Cornelisse, P. G., Yip, B., O’Shaugnessy, M. V., Montaner, J. S., Shechter, M. T., & Hogg, R. S. (1998). Barriers to use of free antiretrovirals in injection drug users. Journal of the American Medical Association, 280, 547–549.PubMedCrossRef
go back to reference Turner, B. J., Cunningham, W. E., Duan, N., Andersen, R. M., Shapiro, M. F., Bozzette, S. A., Nakazono, T., Morton, S., Crystal, S., St Clair, P., Stein, M., & Zierler, S. (2000). Delayed medical care after diagnosis in a US national probability sample of persons infected with human immunodeficiency virus. Archives of Internal Medicine, 160, 2614–2622.PubMedCrossRef Turner, B. J., Cunningham, W. E., Duan, N., Andersen, R. M., Shapiro, M. F., Bozzette, S. A., Nakazono, T., Morton, S., Crystal, S., St Clair, P., Stein, M., & Zierler, S. (2000). Delayed medical care after diagnosis in a US national probability sample of persons infected with human immunodeficiency virus. Archives of Internal Medicine, 160, 2614–2622.PubMedCrossRef
go back to reference Williams, M. L., Freeman, R. C., Bowen, A. M., Zhao, Z., Elwood, W. N., Gordon, C., Young, P., Rusek, R., & Signes, C. A. (2000). A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing. AIDS Education and Prevention, 12, 199–213.PubMed Williams, M. L., Freeman, R. C., Bowen, A. M., Zhao, Z., Elwood, W. N., Gordon, C., Young, P., Rusek, R., & Signes, C. A. (2000). A comparison of the reliability of self-reported drug use and sexual behaviors using computer-assisted versus face-to-face interviewing. AIDS Education and Prevention, 12, 199–213.PubMed
go back to reference Wilson, T. E., Minkoff, H., DeHovitz, J., Feldman, J., & Landesman, S. (1998). The relationship of cocaine use and human immunodeficiency virus serostatus to incident sexually transmitted diseases among women. Sexually Transmitted Diseases, 25, 70–75.PubMedCrossRef Wilson, T. E., Minkoff, H., DeHovitz, J., Feldman, J., & Landesman, S. (1998). The relationship of cocaine use and human immunodeficiency virus serostatus to incident sexually transmitted diseases among women. Sexually Transmitted Diseases, 25, 70–75.PubMedCrossRef
Metadata
Title
Initiating HIV Care: Attitudes and Perceptions of HIV Positive Crack Cocaine Users
Authors
Toye H. Brewer
Wei Zhao
Margaret Pereyra
Carlos del Rio
Anita Loughlin
Pamela Anderson-Mahoney
Lytt Gardner
Lisa R. Metsch
for the ARTAS Study Group
Publication date
01-11-2007
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2007
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9210-2

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