Gamarel Kristi E, Brown Larry, Kahler Christopher W, Fernandez M Isabel, Bruce Douglas, Nichols Sharon
Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI USA; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI USA.
Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI USA; Department of Psychiatry, Rhode Island Hospital, Providence, RI USA.
Drug Alcohol Depend. 2016 Dec 1;169:11-18. doi: 10.1016/j.drugalcdep.2016.10.002. Epub 2016 Oct 11.
The purpose of this study was to better understand the prevalence and correlates of substance use behaviors among HIV-infected adolescents in HIV care settings.
A cross-sectional sample of 2216 youth living with HIV (YLWH; ages 12-26) were recruited through the Adolescent Trials Network for HIV Interventions. Participants completed a one-time survey on sociodemographic factors, substance use and health behaviors. We used logistic regression models to understand the correlates of substance use outcomes.
Overall, weekly or more frequent tobacco use was reported by 32.9% of participants, 27.5% marijuana use, and 21.3% alcohol use; and 22.5% reported any other illicit drug use. In multivariable models, young MSM had higher odds of reporting each substance use behavior, and transgender women had increased odds of marijuana and other illicit drug use. Criminal justice involvement, unstable housing, condomless sex, and suboptimal antiretroviral therapy was associated with increased risk of substance use behaviors.
Study findings highlight the need for regular screening for substance use in HIV care settings in order to improve access to and delivery of culturally competent substance use prevention and treatment services.
本研究旨在更好地了解接受艾滋病护理的青少年艾滋病毒感染者中物质使用行为的患病率及其相关因素。
通过青少年艾滋病干预试验网络招募了2216名感染艾滋病毒的青年（年龄在12 - 26岁之间）作为横断面样本。参与者完成了一项关于社会人口学因素、物质使用和健康行为的一次性调查。我们使用逻辑回归模型来了解物质使用结果的相关因素。
总体而言，32.9%的参与者报告每周或更频繁使用烟草，27.5%使用大麻，21.3%使用酒精；22.5%报告使用任何其他非法药物。在多变量模型中，年轻男男性行为者报告每种物质使用行为的几率更高，而跨性别女性使用大麻和其他非法药物的几率增加。涉及刑事司法、住房不稳定、无保护性行为以及抗逆转录病毒治疗效果不佳与物质使用行为风险增加有关。
研究结果强调了在艾滋病护理环境中定期筛查物质使用情况的必要性，以便更好地获得并提供具有文化胜任力的物质使用预防和治疗服务。
