Predictors of substance use frequency and reductions in seriousness of use among persons living with HIV

Drug Alcohol Depend. 2005 Feb 14;77(2):129-38. doi: 10.1016/j.drugalcdep.2004.07.009.


Aims: To examine predictors of the current level of substance use and reductions in seriousness of substance use among adults living with HIV.

Design: Cross-sectional survey.

Setting: Four major metropolitan areas of the United States.

Participants: Three thousand eight hundred six adults living with HIV.

Measurement: Self-reported substance use, depression, and quality of life from audio computer assisted self-interviewing and computer assisted personal interviewing structured assessments.

Findings: Recent substance use of persons living with HIV was classified as frequent (40%), occasional (32%), or abstinent (28%). Participants using drugs at a frequent level identified as heterosexual, had public insurance, and had higher levels of depression. Participants who reduced from a lifetime high seriousness in substance use were female, older, and knew their HIV status for a longer period of time.

Conclusions: Screening and identification of substance use should be included in all treatment settings and community-based organizations serving adults living with HIV.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Forecasting
  • HIV Infections / complications*
  • HIV Infections / epidemiology*
  • HIV Infections / therapy
  • HIV-1*
  • Humans
  • Male
  • Middle Aged
  • Substance-Related Disorders / complications*
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / therapy
  • Urban Population* / statistics & numerical data