Blair Cheríe S, Shoptaw Steven J
University of California Los Angeles, Los Angeles, California, USA.
Top Antivir Med. 2024 Dec 23;32(5):571-578.
Stimulant use disorder poses substantial challenges to the health and well-being of people with HIV, contributing to increased HIV transmission risk and poor clinical outcomes. This article highlights the cultural significance of stimulant use, its epidemiology, and the latest evidencebased interventions for stimulant use disorder among individuals with HIV. Contingency management has emerged as the most effective treatment, with harm-reduction approaches serving as vital tools for improving the health of individuals unable or unwilling to achieve abstinence. Integrated care models that combine behavioral interventions, pharmacotherapy, and harm reduction offer a promising framework to improve health outcomes for people with HIV who use stimulants, addressing the intersection of stimulant use and HIV in care settings.
兴奋剂使用障碍给艾滋病毒感染者的健康和福祉带来了重大挑战，增加了艾滋病毒传播风险，并导致不良临床结果。本文强调了兴奋剂使用的文化意义、其流行病学以及针对艾滋病毒感染者中兴奋剂使用障碍的最新循证干预措施。应急管理已成为最有效的治疗方法，减少伤害的方法是改善无法或不愿戒除兴奋剂者健康的重要工具。将行为干预、药物治疗和减少伤害相结合的综合护理模式，为改善使用兴奋剂的艾滋病毒感染者的健康结果提供了一个有前景的框架，在护理环境中解决了兴奋剂使用与艾滋病毒的交叉问题。
