title: Substance abuse treatment in human immunodeficiency virus: the role of patient-provider discussions.
abstract: Substance abuse treatment is associated with decreases in human immunodeficiency virus (HIV) risk behavior and can improve HIV outcomes. The purpose of this study was to examine factors associated with substance abuse treatment utilization, including patient-provider discussions of substance use issues. We surveyed 951 HIV-infected adults receiving care at 14 HIV Research Network primary care sites regarding drug and alcohol use, substance abuse treatment, and provider discussions of substance use issues. Although 71% reported substance use, only 24% reported receiving substance abuse treatment and less than half reported discussing substance use issues with their HIV providers. In adjusted logistic regression models, receipt of substance abuse treatment was associated with patient-provider discussions. Patient-provider discussions of substance use issues were associated with current drug use, hazardous or binge drinking, and Black race or ethnicity, though substance use was comparable between Blacks and Whites. These data suggest potential opportunities for improving engagement in substance abuse treatment services.
authors.affiliation: Department of Medicine, Oregon Health and Science University, Portland, OR 97239, USA. korthuis@ohsu.edu
authors.forename: Philip Todd
authors.initials: PT
authors.lastname: Korthuis
authors.forename: Joshua S
authors.initials: JS
authors.lastname: Josephs
authors.forename: John A
authors.initials: JA
authors.lastname: Fleishman
authors.forename: James
authors.initials: J
authors.lastname: Hellinger
authors.forename: Seth
authors.initials: S
authors.lastname: Himelhoch
authors.forename: Geetanjali
authors.initials: G
authors.lastname: Chander
authors.forename: Elizabeth B
authors.initials: EB
authors.lastname: Morse
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Gebo
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D003625:Data Collection; D005260:Female; D015658:HIV Infections / Q000523:psychology* / Q000628:therapy; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011320:Primary Health Care; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome; D044465:White People / Q000523:psychology