TY - JOUR
T1 - Associations between medical service use and HIV risk among HIV-positive drug users in Baltimore, MD
AU - Latkin, Carl A.
AU - Forman-Hoffman, V. L.
AU - D'Souza, G.
AU - Knowlton, A. R.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2004/10
Y1 - 2004/10
N2 - The objectives of this study were first, to identify psychosocial and medical service utilization factors associated with unprotected sex with HIV-negative or unknown serostatus partners among persons living with HIV/AIDS, and second, to identify risk behaviours associated with HIV medical service use. We assessed 244 HIV-positive participants in an HIV intervention targeting drug users (1997-99). Fifty-seven per cent of HIV-positive participants reported unprotected sex within the past 90 days, 16.4% with serodiscordant partners. Odds of risky sex were lower among those currently receiving HIV medical care (odds ratio (OR) = 0.36), and were greater among females (OR = 2.6), those having friends with lower norms of condom use (OR = 3.3), and those having a main sexual partner (OR = 6.2). Lower odds of receiving HIV medical care were associated with current drug use (OR = 0.33), sharing drugs with a sex partner (OR = 0.27), and exchanging sex for drugs or money (OR = 0.24). Findings suggest the importance of community-based HIV prevention intervention targeting HIV-positive drug users not receiving HIV medical care.
AB - The objectives of this study were first, to identify psychosocial and medical service utilization factors associated with unprotected sex with HIV-negative or unknown serostatus partners among persons living with HIV/AIDS, and second, to identify risk behaviours associated with HIV medical service use. We assessed 244 HIV-positive participants in an HIV intervention targeting drug users (1997-99). Fifty-seven per cent of HIV-positive participants reported unprotected sex within the past 90 days, 16.4% with serodiscordant partners. Odds of risky sex were lower among those currently receiving HIV medical care (odds ratio (OR) = 0.36), and were greater among females (OR = 2.6), those having friends with lower norms of condom use (OR = 3.3), and those having a main sexual partner (OR = 6.2). Lower odds of receiving HIV medical care were associated with current drug use (OR = 0.33), sharing drugs with a sex partner (OR = 0.27), and exchanging sex for drugs or money (OR = 0.24). Findings suggest the importance of community-based HIV prevention intervention targeting HIV-positive drug users not receiving HIV medical care.
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U2 - 10.1080/09540120412331290239
DO - 10.1080/09540120412331290239
M3 - Article
C2 - 15385245
AN - SCOPUS:4944219937
VL - 16
SP - 901
EP - 908
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - 7
ER -