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AIDS and Behavior
Published in: AIDS and Behavior 3/2012

01-04-2012 | Original Paper

Patterns of Substance Use Among a Large Urban Cohort of HIV-Infected Men Who Have Sex With Men in Primary Care

Authors: Margie R. Skeer, Matthew J. Mimiaga, Kenneth H. Mayer, Conall O’Cleirigh, Charles Covahey, Steven A. Safren

Published in: AIDS and Behavior | Issue 3/2012

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Abstract

The present study sought to identify characteristics of HIV-infected MSM that are associated with the use of specific substances and substance abuse in general. Participants were 503 HIV-infected MSM who were receiving primary care. A self-assessment and medical records were used to obtain information about past 3-month alcohol and drug use and abuse, and demographics, HIV-disease stage and treatment, sexual risk, and mental health. Associations of these four domains with substance use and abuse outcomes were examined using hierarchical block-stepwise multivariable logistic regression. Substance use and abuse in the sample was high. Transmission risk behavior was significantly associated with over half of the outcomes. The associations of demographic and HIV-disease stage and treatment variables varied by substance, and mental health problems contributed differentially to almost every outcome. These findings should be considered for designing, implementing, and evaluating substance use programming for HIV-infected MSM.
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Metadata
Title
Patterns of Substance Use Among a Large Urban Cohort of HIV-Infected Men Who Have Sex With Men in Primary Care
Authors
Margie R. Skeer
Matthew J. Mimiaga
Kenneth H. Mayer
Conall O’Cleirigh
Charles Covahey
Steven A. Safren
Publication date
01-04-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9880-7

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