Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy

Am J Public Health. 2009 Jun;99(6):1045-9. doi: 10.2105/AJPH.2008.139931. Epub 2009 Apr 16.


We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack cocaine and heavy drinking were associated with never having had an HIV-care provider, high-risk sexual behavior, and not receiving antiretroviral therapy. Inpatient interventions that link and retain HIV-positive persons in primary care services could prevent HIV transmission and unnecessary hospitalizations.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • AIDS-Related Opportunistic Infections / epidemiology
  • Adult
  • Alcoholism / epidemiology
  • Alcoholism / virology
  • Antiretroviral Therapy, Highly Active
  • Cocaine-Related Disorders / epidemiology
  • Cocaine-Related Disorders / virology
  • Female
  • Florida / epidemiology
  • Georgia / epidemiology
  • HIV Infections / complications*
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology
  • Hospitalization / statistics & numerical data
  • Humans
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Patient Acceptance of Health Care
  • Sexual Behavior / statistics & numerical data
  • Socioeconomic Factors