High Substance Use and HIV Risk Behavior Among Young Argentine Men Who Have Sex with Men

Balán, Iván C.; Frasca, Timothy; Pando, María A.; Marone, Rubén; Barreda, Victoria; Dolezal, Curtis; Carballo‐Diéguez, Alex; Ávila, María Mercedes

doi:10.1007/s10461-017-1987-z

Cited by 12 publications

(9 citation statements)

References 52 publications

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“…Each hospitalization in Florida for a PWID with an IDU-associated infection was considered an individual case. We made the assumption that identification of a hospitalized PWID with SSTI, endocarditis, osteomyelitis, or bacteremia/sepsis was an injection-associated infection, based on studies validating this approach [ 21 , 22 ]. The algorithm used in this study was previously validated externally [ 23 ] against a data set of known PWID in Canada [ 24 ].…”

Section: Methodsmentioning

confidence: 99%

Evaluating Differences in Opioid and Stimulant Use-associated Infectious Disease Hospitalizations in Florida, 2016–2017

Serota

Bartholomew

Tookes

2020

Clinical Infectious Diseases

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Background The opioid epidemic has led to increases in injection drug use (IDU)-associated infectious diseases; however, little is known about how more recent increases in stimulant use have affected the incidence and outcomes of hospitalizations for infections among people who inject drugs (PWID). Methods All hospitalizations of PWID for IDU-associated infections in Florida were identified using administrative diagnostic codes and were grouped by substance used (opioids, stimulants, or both) and site of infection. We evaluated the association between substance used and the outcomes: patient-directed discharge (PDD, or “against medical advice”) and in-hospital mortality. Results There were 22,856 hospitalizations for infections among PWID. Opioid use was present in 73%, any stimulants in 43%, and stimulants-only in 27%. Skin and soft tissue infection was present in 50%, sepsis/bacteremia in 52%, osteomyelitis in 10%, and endocarditis in 10%. PWID using opioids/stimulants were youngest, most uninsured, had the highest rate of endocarditis (16%) and hepatitis C (44%). Additionally, 25% of opioid/stimulant users had PDD versus 12% for those using opioids-only. In adjusted models, opioid/stimulant use was associated with PDD compared to opioid-only use (aRR 1.28, 95% CI 1.17-1.40). Younger age and endocarditis were also associated with PDD. Compared to opioid-only use, stimulant-only use had higher risk of in-hospital mortality (aRR 1.26, 95% CI 1.03-1.46). Conclusion While opioid use contributed to most IDU-associated infections, many hospitalizations also involved stimulants. Increasing access to harm reduction interventions could help prevent these infections, while further research on the acute management of stimulant use disorder-associated infections is needed.

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Section: Methodsmentioning

confidence: 99%

Evaluating Differences in Opioid and Stimulant Use-associated Infectious Disease Hospitalizations in Florida, 2016–2017

Serota

Bartholomew

Tookes

2020

Clinical Infectious Diseases

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“…Young MSM who smoked exhibited an impaired score in the physical domain of the QOL. It was also determined that the young MSM population engaged in high-risk sexual behaviors [44,45,46] and that there was a relationship between high-risk behavior and QOL. For example, high-risk behaviors were associated with negative emotions, such as depression and anxiety, and higher depression and anxiety scores were associated with lower QOL scores in the physical, psychological, and relationship domains [41,47].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Factors Associated with Quality of Life in Young Men Who Have Sex with Men Living with HIV/AIDS in Zhejiang, China

Jiang

Zhou

Wang

et al. 2019

IJERPH

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Objectives: To explore the quality of life (QOL) status and related factors in young human immunodeficiency virus (HIV)-infected men who have sex with men (MSM) aged 16 to 24 years in Zhejiang province. Methods: A cross-sectional study was conducted in 22 counties of Zhejiang province, and 395 subjects took part in our research. A t-test, one-way Analysis of variance (ANOVA), and multivariate stepwise linear regression analysis were used to investigate the factors associated with QOL in young HIV-infected MSM. Results: The total score on the QOL was 86.86 ± 14.01. The multivariate stepwise linear regression analysis revealed that self-efficacy and discrimination were associated with all domains on the QOL assessment, monthly income was associated with QOL for all domains except spirituality and consistent condom use during oral sex with men in the past three months was associated with QOL for all domains except the relationship domain. Those individuals within the group of young HIV-infected MSM who have higher self-efficacy, a higher monthly income, greater social support, safer sexual behaviors, a higher level of education, and a higher cluster of differentiation 4 (CD4) count have a better QOL. Conclusions: These findings suggest that to improve the QOL of this population, greater emphasis should be placed on improving social support, self-efficacy, and antiviral therapy adherence and on reducing discrimination, disease progression, and high-risk behaviors.

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“…Para la orientación sexual, este grupo joven presentó mayor frecuencia de ser homosexual (64,52%) que los demás; al comparar con otros estudios se evidencio que en estudiantes en general, la frecuencia de comportamiento homosexual fue 15% en mujeres y 3% en hombres (Klein, et.al., 2012); sin embargo, se encuentran frecuencias de hasta el 75% en la población Homosexual (Balán, et al, 2018), y en una población VIH positiva como la nuestra se reporta la prevalencia del 62% de ser no Heterosexual (Beer et al 2016).…”

Section: Discussionunclassified

Comportamiento sexual de pacientes con infección por VIH según grupos de edad

Montalvo

Fernández-Cosser²,

Serpa-Chumbe³

et al. 2022

BMSA

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Nuestro objetivo fue determinar la prevalencia y conductas de riesgo por grupos de edad entre pacientes con infección por VIH. Se realizó un estudio observacional analítico transversal de pacientes que acuden al servicio de Enfermedades Infecciosas a recibir tratamiento antirretroviral. Resultados: De 117 personas que ingresaron al estudio, se observó que el grupo etario de los jóvenes varones con infección por VIH señalaron una orientación homosexual (HSH) en 64,5% y una mayor tasa de haber sufrido abuso sexual (29%) respecto al resto. En adultos el uso de métodos anticonceptivos es 71,4% y superior al resto de grupos de edad, la concurrencia a lugares de riesgo (visita a trabajadoras sexuales de la calle) se encuentra mayoritariamente en el rango de 45 a 90 años. El rol homosexual activo de los hombres con VIH representa 66,7%. Los hallazgos enfatizan la necesidad de realizar más estudios que profundicen el tema del abuso sexual en adolescentes y adultos jóvenes, debido a la alta prevalencia encontrada en este estudio.

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High Substance Use and HIV Risk Behavior Among Young Argentine Men Who Have Sex with Men

Cited by 12 publications

References 52 publications

Evaluating Differences in Opioid and Stimulant Use-associated Infectious Disease Hospitalizations in Florida, 2016–2017

Evaluating Differences in Opioid and Stimulant Use-associated Infectious Disease Hospitalizations in Florida, 2016–2017

Psychosocial Factors Associated with Quality of Life in Young Men Who Have Sex with Men Living with HIV/AIDS in Zhejiang, China

Comportamiento sexual de pacientes con infección por VIH según grupos de edad

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