Department of Global Health, Rollins School of Public Health and Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA 30322, USA.
J Acquir Immune Defic Syndr. 2010 Aug;54(4):376-80. doi: 10.1097/QAI.0b013e3181d01d31.
There are very limited data available of the correlates of HIV-infected crack users who have never been to HIV care.
Interviews were conducted at bedside with HIV-infected crack cocaine users who were recruited from the inpatient wards at Jackson Memorial Hospital in Miami, FL, and Grady Memorial Hospital in Atlanta, GA, between August 2006 and July 2009. Participants were asked about their sociodemographic characteristics, drug use, drug/alcohol treatment history, use of HIV care, perceived social support, and mental health status. Multiple logistic regression was performed to identify factors associated with never having been to HIV care.
Among 355 study participants, 21% reported never having been to a doctor or clinic for HIV care. Higher adjusted odds of never having been in care were associated with an annual income of less than $5000 [adjusted odds ratio (AOR) = 8.17, 95% confidence interval (CI) = 3.35 to 19.94], residence in Atlanta compared with Miami (AOR = 2.57, 95% CI = 1.36 to 4.83), no history of drug treatment (AOR = 4.13, 95% CI = 2.24 to 7.62), and not being helped into care at the time of HIV diagnosis (AOR = 2.83, 95% CI = 1.56 to 5.15).
Our data show that a significant proportion of HIV-infected crack cocaine users in 2 city hospitals have never been to HIV care. Interventions at the time of HIV diagnosis and drug treatment participation may facilitate linkage to care.
目前仅有非常有限的数据可以了解从未接受过艾滋病毒护理的感染艾滋病毒的可卡因吸食者的相关情况。
2006 年 8 月至 2009 年 7 月，在佛罗里达州迈阿密杰克逊纪念医院和佐治亚州亚特兰大格莱迪纪念医院的住院病房，对新诊断为感染艾滋病毒的可卡因吸食者进行床边访谈。参与者被问及他们的社会人口统计学特征、药物使用、药物/酒精治疗史、使用艾滋病毒护理、感知社会支持和心理健康状况。采用多变量逻辑回归分析确定与从未接受过艾滋病毒护理相关的因素。
在 355 名研究参与者中，21%报告从未因艾滋病毒护理而看过医生或去过诊所。从未接受过护理的调整后优势比（AOR）与年收入低于 5000 美元（调整后 OR = 8.17，95%可信区间（CI）= 3.35 至 19.94）、居住在亚特兰大而非迈阿密（AOR = 2.57，95% CI = 1.36 至 4.83）、没有药物治疗史（AOR = 4.13，95% CI = 2.24 至 7.62）和在艾滋病毒诊断时没有得到护理帮助（AOR = 2.83，95% CI = 1.56 至 5.15）相关。
我们的数据表明，两家城市医院的感染艾滋病毒的可卡因吸食者中，有相当一部分从未接受过艾滋病毒护理。在艾滋病毒诊断和药物治疗参与时的干预措施可能有助于将他们纳入护理。
