title: Use of HIV health care in HIV-seropositive crack cocaine smokers and other active drug users.
abstract: OBJECTIVE
  We assessed the use of HIV care among HIV-seropositive crack cocaine smokers and other active drug users in Miami-Dade County, FL.
  
  
  METHODS
  Personal interviews were conducted with 327 adults recruited from inner city neighborhoods. Cross-tabulations and logistic modeling were used to analyze the relationship between selected variables and use of HIV care.
  
  
  RESULTS
  One-third of respondents had not seen a provider for HIV-related health care in the past 12 months. Among those who had seen a provider, only 33.8% were receiving highly active antiretroviral therapy (HAART). Factors associated with utilization of HIV-related health care were age, race, having a usual source of care, health insurance, time elapsed since time of diagnosis, and reports of moderate to extreme interference of pain with daily activities.
  
  
  CONCLUSIONS
  These findings suggest the need to develop, implement, and evaluate intervention strategies to improve use of HIV medical care among active drug users.
authors.affiliation: Department of Epidemiology and Public Health, University of Miami School of Medicine, Miami, Florida, USA. lmetsch@med.miami.edu
authors.forename: L R
authors.initials: LR
authors.lastname: Metsch
authors.forename: M
authors.initials: M
authors.lastname: Pereyra
authors.forename: T H
authors.initials: TH
authors.lastname: Brewer
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D019970:Cocaine-Related Disorders / Q000523:psychology*; D016578:Crack Cocaine / Q000009:adverse effects*; D005260:Female; D005431:Florida; D015658:HIV Infections / Q000628:therapy*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D015819:Substance Abuse, Intravenous / Q000523:psychology*; D019966:Substance-Related Disorders / Q000523:psychology*
chemical_list: D016578:Crack Cocaine