title: Primary medical care and reductions in HIV risk behaviors in adults with addictions.
abstract: Human immunodeficiency virus (HIV) risk behaviors are prevalent in persons with addictions.
  
  
  OBJECTIVE
  To assess whether exposure to primary medical care is associated with decreases in HIV risk behaviors.
  
  
  METHODS
  Prospective 2-year cohort of 298 adults with addictions.
  
  
  RESULTS
  Sex and drug-related HIV risk behaviors, measured by the Risk Assessment Battery.
  
  
  METHODS
  Cumulative number of primary care visits (0, 1, > or = 2). Associations were tested using regression models for correlated data.
  
  
  RESULTS
  In women, receipt of primary care was associated with less sex risk behavior (mean decrease 2.1, p < or = 0.1). Among women and men, > or = 2 primary care visits was associated with lower odds of any drug risk behavior (OR = 0.37, p = 0.03).
  
  
  CONCLUSIONS
  Exposure to primary care can impact HIV risk behavior favorably among adults with addictions.
authors.affiliation: Department of Medicine, Boston Medical Center, Boston University School of Medicine, MA 02118, USA. kinacmt@hotmail.com
authors.forename: Carolina
authors.initials: C
authors.lastname: Takizawa
authors.forename: Debbie
authors.initials: D
authors.lastname: Cheng
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Samet
authors.forename: Michael
authors.initials: M
authors.lastname: Winter
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Larson
authors.forename: Richard
authors.initials: R
authors.lastname: Saitz
mesh_terms: D000328:Adult; D016739:Behavior, Addictive / Q000453:epidemiology*; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D011320:Primary Health Care / Q000379:methods*; D011446:Prospective Studies; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires