2006
DOI: 10.1089/apc.2006.20.399
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Type of Substance Use and Access to HIV-Related Health Care

Abstract: HIV-infected substance users have poorer health outcomes than other HIV risk groups. Few studies have examined the impact of specific types of substance use on health care. This study investigated the associations between specific types of substances of abuse and access to health care. HIV-infected individuals living in eight different single room occupancy hotels in the Bronx, New York, were interviewed between August 1999 and February 2001 regarding demographics, health care access and utilization, and drug … Show more

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Cited by 43 publications
(32 citation statements)
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“…The data point to important differences in the incidence of diagnosed HIV infection among IDUs (Table 1 12,[15][16][17] In the 27 EU countries, opioid substitution treatment and needle-and-syringe programs have generally been available since the late 1990s. In some EU countries (e.g., the United Kingdom and the Netherlands), opioid substitution treatment and needle-and-syringe programs became available much earlier than that.…”
Section: Resultsmentioning
confidence: 99%
“…The data point to important differences in the incidence of diagnosed HIV infection among IDUs (Table 1 12,[15][16][17] In the 27 EU countries, opioid substitution treatment and needle-and-syringe programs have generally been available since the late 1990s. In some EU countries (e.g., the United Kingdom and the Netherlands), opioid substitution treatment and needle-and-syringe programs became available much earlier than that.…”
Section: Resultsmentioning
confidence: 99%
“…8 This study and other research shows that people with a history of injection drug use have more hospitalizations, more emergency room visits, less optimal outpatient care, and lower HAART utilization than non-injection drug users. 7,8,[15][16][17][18][19][20] However, it is uncertain whether these patterns are due to behaviors that are associated with injecting drugs or with the use of specific types of drugs that are most likely to be injected. For example, there is indication that cocaine/crack users have particular difficulty engaging in appropriate HIV care, but little evidence that heroin users differ from non-users in this regard.…”
Section: Introductionmentioning
confidence: 99%
“…For example, there is indication that cocaine/crack users have particular difficulty engaging in appropriate HIV care, but little evidence that heroin users differ from non-users in this regard. 12,13,16,21,22 However, few studies have directly compared groups of drug users by type of drug. In fact, little is known about HIV treatment patterns of noninjection drug users, or about differences between injection and non-injection drug users.…”
Section: Introductionmentioning
confidence: 99%
“…They have fewer primary routine care appointments (French, McGeary, Chitwood, & McCoy, 2000), poorer adherence to antiretroviral regimens (Battaglioli-DeNero, 2007;Cunningham, Sohler, Berg, Shapiro, & Heller, 2006;Palepu et al, 2006), and more hospitalizations and sick call visits compared with HIV-infected patients without substance use disorders (Cunningham, Sohler, McCoy, Heller, & Selwyn, 2005;French et al). Ensuring their participation in primary care is, therefore, crucial.…”
Section: Introductionmentioning
confidence: 99%
“…These are important factors associated with their level of adherence. Utilization of health care services differs depending on the type of substance used (Lucas et al, 2001); for example, utilization is poorer among individuals addicted to crack=cocaine than among injection drug users, heroin users, and binge alcohol users (Cunningham et al, 2006). Thus, depending on these factors, we may have underestimated or overestimated adherence.…”
mentioning
confidence: 99%