| Title |
Contribution of Substance Use Disorders on HIV Treatment Outcomes and Antiretroviral Medication Adherence Among HIV-Infected Persons Entering Jail
|
|---|---|
| Published in |
AIDS and Behavior, May 2013
|
| DOI | 10.1007/s10461-013-0506-0 |
| Pubmed ID | |
| Authors |
Ehsan Chitsaz, Jaimie P. Meyer, Archana Krishnan, Sandra A. Springer, Ruthanne Marcus, Nick Zaller, Alison O. Jordan, Thomas Lincoln, Timothy P. Flanigan, Jeff Porterfield, Frederick L. Altice |
| Abstract |
HIV and substance use are inextricably intertwined. One-sixth of people living with HIV/AIDS (PLWHA) transition through the correctional system annually. There is paucity of evidence on the impact of substance use disorders on HIV treatment engagement among jail detainees. We examined correlates of HIV treatment in the largest sample of PLWHA transitioning through jail in 10 US sites from 2007 to 2011. Cocaine, alcohol, cannabis, and heroin were the most commonly used substances. Drug use severity was negatively and independently correlated with three outcomes just before incarceration: (1) having an HIV care provider (AOR = 0.28; 95 % CI 0.09-0.89); (2) being prescribed antiretroviral therapy (AOR = 0.12; 95 % CI 0.04-0.35) and (3) high levels (>95 %) of antiretroviral medication adherence (AOR = 0.18; 95 % CI 0.05-0.62). Demographic, medical and psychiatric comorbidity, and social factors also contributed to poor outcomes. Evidence-based drug treatments that include multi-faceted interventions, including medication-assisted therapies, are urgently needed to effectively engage this vulnerable population. |
X Demographics
The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 80% |
| Canada | 1 | 20% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 5 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Puerto Rico | 1 | <1% |
| Unknown | 142 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 20 | 14% |
| Student > Master | 16 | 11% |
| Student > Doctoral Student | 14 | 10% |
| Student > Bachelor | 13 | 9% |
| Student > Ph. D. Student | 13 | 9% |
| Other | 29 | 20% |
| Unknown | 38 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 32 | 22% |
| Social Sciences | 26 | 18% |
| Psychology | 14 | 10% |
| Nursing and Health Professions | 12 | 8% |
| Pharmacology, Toxicology and Pharmaceutical Science | 4 | 3% |
| Other | 14 | 10% |
| Unknown | 41 | 29% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 April 2014.
All research outputs
#13,839,532
of 23,849,058 outputs
Outputs from AIDS and Behavior
#1,822
of 3,566 outputs
Outputs of similar age
#103,346
of 196,658 outputs
Outputs of similar age from AIDS and Behavior
#32
of 63 outputs
Altmetric has tracked 23,849,058 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,566 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
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We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one is in the 46th percentile – i.e., 46% of its contemporaries scored the same or lower than it.