Substance abuse treatment utilization among adults living with HIV/AIDS and alcohol or drug problems

J Subst Abuse Treat. 2011 Oct;41(3):233-42. doi: 10.1016/j.jsat.2011.04.002. Epub 2011 Jun 22.

Abstract

This is a prospective cohort study to identify factors associated with receipt of substance abuse treatment (SAT) among adults with alcohol problems and HIV/AIDS. Data from the HIV Longitudinal Interrelationships of Viruses and Ethanol study were analyzed. Generalized estimating equation logistic regression models were fit to identify factors associated with any service utilization. An alcohol dependence diagnosis had a negative association with SAT (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [95% CI] = 0.19-0.67), as did identifying sexual orientation other than heterosexual (AOR = 0.46, CI = 0.29-0.72) and having social supports that use alcohol/drugs (AOR = 0.62, CI = 0.45-0.83). Positive associations with SAT include presence of hepatitis C antibody (AOR = 3.37, CI = 2.24-5.06), physical or sexual abuse (AOR = 2.12, CI = 1.22-3.69), social supports that help with sobriety (AOR = 1.92, CI = 1.28-2.87), homelessness (AOR = 2.40, CI = 1.60-3.62), drug dependence diagnosis (AOR = 2.64, CI = 1.88-3.70), and clinically important depressive symptoms (AOR = 1.52, CI = 1.08-2.15). While reassuring that factors indicating need for SAT among people with HIV and alcohol problems (e.g., drug dependence) are associated with receipt, nonneed factors (e.g., sexual orientation, age) that should not decrease likelihood of receipt of treatment were identified.

Publication types

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

MeSH terms

  • Acquired Immunodeficiency Syndrome / drug therapy
  • Acquired Immunodeficiency Syndrome / epidemiology*
  • Adult
  • Alcoholism / epidemiology*
  • Alcoholism / rehabilitation
  • Ambulatory Care
  • Causality
  • Cohort Studies
  • Comorbidity
  • Databases, Factual
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology*
  • HIV*
  • Humans
  • Longitudinal Studies
  • Male
  • Prospective Studies
  • Residential Treatment
  • Sexual Behavior
  • Substance-Related Disorders / epidemiology*
  • Substance-Related Disorders / rehabilitation*
  • Substance-Related Disorders / therapy