Initiating HIV care: attitudes and perceptions of HIV positive crack cocaine users.
There is limited data on the initiation and use of HIV care services by HIV-positive crack cocaine users. We analyzed data from a study of 286 recently infected HIV-positive persons recruited from 4 U.S. cities. Participants completed an Audio Computer Assisted Self Interview (A-CASI) regarding HIV care knowledge, attitudes, beliefs and practices related to the initiation of HIV care. In multiple logistic regression analysis, higher scores on an assessment of knowledge, attitudes and beliefs regarding HIV care, and Hispanic race were positively associated with initiating HIV primary care. Crack cocaine use in the past 30 days and male gender were negatively associated with initiating care. Injection drug use was not associated with initiation of care. Targeted interventions for crack cocaine users, including drug treatment, may be required to provide optimal HIV primary care use in this population.
Brewer
Toye H
TH
Department of Medicine, University of Miami School of Medicine, 1400 NW 10th Avenue Ste. 813 (D-90A), Miami, FL 33136, USA. tbrewer@med.miami.edu
Zhao
Wei
W
Pereyra
Margaret
M
Del Rio
Carlos
C
Loughlin
Anita
A
Anderson-Mahoney
Pamela
P
Gardner
Lytt
L
Metsch
Lisa R
LR
D000328:Adult; D019970:Cocaine-Related Disorders / Q000150:complications*; D016578:Crack Cocaine; D005260:Female; D006679:HIV Seropositivity / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008913:Minority Groups; D011320:Primary Health Care; D015819:Substance Abuse, Intravenous / Q000150:complications
D016578:Crack Cocaine