Skip to main content
profile image
John Orwat
Article
Substance abuse treatment utilization among adults living with HIV/AIDS and alcohol or drug problems
Journal of Substance Abuse Treatment (2011)
  • John Orwat, PhD, Loyola University Chicago
  • Richard Saitz, MD, MPH, Boston University School of Medicine and Public Health
  • Christopher P. Tompkins, PhD, Brandeis University
  • Debbie M Cheng, ScD, Boston University
  • Michael P. Dentato, PhD, MSW
  • Jeffrey H. Samet, MD, Boston University
Find in your library
Abstract
This is a prospective cohort study to identify factors associated with receipt of substance abuse treatment (SAT) among adults with alcohol problems and HIV/AIDS. Data from the HIV Longitudinal Interrelationships of Viruses and Ethanol study were analyzed. Generalized estimating equation logistic regression models were fit to identify factors associated with any service utilization. An alcohol dependence diagnosis had a negative association with SAT (adjusted odds ratio [AOR] = 0.36, 95% confidence interval [95% CI] = 0.19–0.67), as did identifying sexual orientation other than heterosexual (AOR = 0.46, CI = 0.29–0.72) and having social supports that use alcohol/drugs (AOR = 0.62, CI = 0.45–0.83). Positive associations with SAT include presence of hepatitis C antibody (AOR = 3.37, CI = 2.24–5.06), physical or sexual abuse (AOR = 2.12, CI = 1.22–3.69), social supports that help with sobriety (AOR = 1.92, CI = 1.28–2.87), homelessness (AOR = 2.40, CI = 1.60–3.62), drug dependence diagnosis (AOR = 2.64, CI = 1.88–3.70), and clinically important depressive symptoms (AOR = 1.52, CI = 1.08–2.15). While reassuring that factors indicating need for SAT among people with HIV and alcohol problems (e.g., drug dependence) are associated with receipt, nonneed factors (e.g., sexual orientation, age) that should not decrease likelihood of receipt of treatment were identified.
Keywords
  • Substance abuse,
  • Treatment,
  • Addiction,
  • HIV/AIDS,
  • Alcohol
Disciplines
Publication Date
April 15, 2011
DOI
10.1016/j.jsat.2011.04.002
Publisher Statement
© 2011 Elsevier Inc. All rights reserved.
Citation Information
John Orwat, Richard Saitz, Christopher P. Tompkins, Debbie M Cheng, et al.. "Substance abuse treatment utilization among adults living with HIV/AIDS and alcohol or drug problems" Journal of Substance Abuse Treatment Vol. 41 (2011) p. 233 - 242
Available at: http://works.bepress.com/john_orwat/8/