title: Differential risk factors for HIV drug and sex risk-taking among non-treatment-seeking hospitalized injection drug users.
abstract: Injection drug users (IDUs) are at increased risk of contracting HIV. From a clinical trial assessing an intervention to enhance the linkage of hospitalized patients to opioid treatment after discharge, we conducted multivariate analysis of baseline data from hospitalized IDUs with a history of opioid dependence (n = 104) to identify differences in factors predicting HIV drug and sex risk behaviors. Factors significantly associated with HIV drug risk were being non-Hispanic Caucasian and recent cocaine use. Being female, binge drinking, and poorer mental health were significantly associated with higher sex risk. Because factors predicting HIV sex risk behaviors differ from those predicting HIV drug risk, interventions aimed at specific HIV risks should have different behavioral and substance use targets.
authors: Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.
authors: Denise
authors: D
authors: Crooks
authors: Judith
authors: J
authors: Tsui
authors: Bradley
authors: B
authors: Anderson
authors: Shernaz
authors: S
authors: Dossabhoy
authors: Debra
authors: D
authors: Herman
authors: Jane M
authors: JM
authors: Liebschutz
authors: Michael D
authors: MD
authors: Stein
mesh_terms: D000328:Adult; D017677:Age Distribution; D040343:Behavioral Risk Factor Surveillance System; D001900:Boston / Q000453:epidemiology; D019970:Cocaine-Related Disorders / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology / Q000635:transmission*; D006760:Hospitalization / Q000706:statistics & numerical data; D006798:Housing / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology*; D010351:Patient Discharge / Q000706:statistics & numerical data*; D012307:Risk Factors; D012309:Risk-Taking; D017678:Sex Distribution; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D047568:Unsafe Sex / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data*