Participant Characteristics and HIV Risk Behaviors Among Individuals Entering Integrated Buprenorphine/Naloxone and HIV Care

Abstract

Addressing transmission risk behaviors is an important secondary HIV prevention strategy. In addition to treatment for opioid dependence, addressing other substance use, social issues, particularly housing, and mental health may have important implications for reducing HIV transmission in HIV-infected opioid-dependent patients.

Hepatic Safety and Lack of Antiretroviral Interactions With Buprenorphine/Naloxone in HIV-Infected Opioid-Dependent Patients

“…14,15 The majority of patients were male, black, high school graduates, unemployed, on antiretroviral medications, infected with HCV, and reported recent injection drug use and recent cocaine use. One hundred and eighty-one of the 303 patients (60%) were prescribed antiretroviral medications at baseline.…”

“…As described more fully in this supplement, [13][14][15] from 2004 to 2009, the HIV/AIDS Bureau of the Health Resources and Services Administration funded, through its Special Projects of National Significance (SPNS), the development of demonstration programs that integrated HIV care and bup/nx treatment for opioid dependence at 10 sites across the United States. Health Resources and Services Administration also funded an Evaluation and Technical Assistance Center (the Center) to coordinate the multisite evaluation, provide clinical and evaluation support and technical assistance, and promote dissemination of findings.…”

Self‐reported alcohol abuse in HIV–HCV co‐infected patients: a better predictor of HIV virological rebound than physician's perceptions (HEPAVIH ARNS CO13 cohort)

“…Alcohol abuse in HIV-infected patients is a proxy of poor positive prevention owing to its strong association with both unprotected sex [1][2][3][4][5][6][7][8] and needle and syringe sharing [7]. It has also been shown to follow the causal path that leads to reduced adherence, treatment interruptions and virological failure [9][10][11][12][13].…”

Differential Risk Factors for HIV Drug and Sex Risk-Taking Among Non-treatment-seeking Hospitalized Injection Drug Users

“…Important factors identified in both the HIV drug and sex risk literature, and found to be variously associated with HIV risks, but not studied among hospitalized IDUs in North America, include gender [4–6], alcohol use [7–11], cocaine use [12, 13], mental health function [14–16], and homelessness [14, 17, 18]. Hospitalization can provide a unique opportunity for identifying drug users who are not seeking addiction treatment and are at risk for acquiring HIV.…”

“…The use of substances other than opioids, particularly alcohol [19] and cocaine [20], is among those factors. Other potential predictors of HIV drug risk behaviors among IDUs that have previously been identified include decreased mental health functioning [16, 21], homelessness [14] and White/Caucasian [6] race/ethnicity. Among those with an opiate addiction, Caucasians have been found to be associated with a higher likelihood of being homeless [22] and a greater likelihood of psychiatric dysfunction and social/family problems [6].…”