Nonmedical prescription drug users in private vs. public substance abuse treatment: a cross sectional comparison of demographic and HIV risk behavior profiles.
BACKGROUND
Little is known regarding the demographic and behavioral characteristics of nonmedical prescription drug users (NMPDUs) entering substance abuse treatment settings, and information on the HIV-related risk profiles of NMPDUs is especially lacking. Participation in substance abuse treatment provides a critical opportunity for HIV prevention and intervention, but successful initiatives will require services appropriately tailored for the needs of NMPDUs.


METHODS
This paper compares the HIV risk profiles of NMPDUs in public (n = 246) and private (n = 249) treatment facilities. Participants included in the analysis reported five or more recent episodes of nonmedical prescription drug use, a prior HIV negative test result, and current enrollment in a substance abuse treatment facility. A standardized questionnaire was administered by trained interviewers with questions about demographics, HIV risk, and substance use.


RESULTS
Private treatment clients were more likely to be non-Hispanic White, younger, and opioid and heroin users. Injection drug use was higher among private treatment clients, whereas public clients reported higher likelihood of trading or selling sex. Public treatment clients reported higher rates of HIV testing and availability at their treatment facilities compared to private clients.


CONCLUSIONS
Findings suggest differing demographics, substance use patterns, profiles of HIV risk and access to HIV testing between the two treatment samples. Population tailored HIV interventions, and increased access to HIV testing in both public and private substance treatment centers, appear to be warranted.
ARSH: Center for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, 2 NE 40th Street, Suite 404, Miami, FL 33137, USA. cogrady@nova.edu.
Catherine L
CL
O'Grady
Hilary L
HL
Surratt
Steven P
SP
Kurtz
Maria A
MA
Levi-Minzi
D000293:Adolescent; D000328:Adult; D003710:Demography; D005260:Female; D005431:Florida; D015658:HIV Infections / Q000523:psychology*; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D063487:Prescription Drug Misuse / Q000523:psychology* / Q000706:statistics & numerical data*; D017149:Private Sector / Q000706:statistics & numerical data*; D017150:Public Sector / Q000706:statistics & numerical data*; D012309:Risk-Taking; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D055815:Young Adult