Syndemic vulnerability, sexual and injection risk behaviors, and HIV continuum of care outcomes in HIV-positive injection drug users
Published Date:Apr 2015
Source:AIDS Behav. 19(4):684-693.
Antiretroviral Therapy, Highly Active
Continuity Of Patient Care
HIV-positive Injection Drug Users
HIV Continuum Of Care
HIV Risk Behaviors
Substance Abuse, Intravenous
Pubmed Central ID:PMC4636202
Funding:CC999999/Intramural CDC HHS/United States
Description:Limited investigations have been conducted on syndemics and HIV continuum of care outcomes. Using baseline data from a multi-site, randomized controlled study of HIV-positive injection drug users (n = 1,052), we examined whether psychosocial factors co-occurred, and whether these factors were additively associated with behavioral and HIV continuum of care outcomes. Experiencing one type of psychosocial problem was significantly (p < 0.05) associated with an increased odds of experiencing another type of problem. Persons with 3 or more psychosocial problems were significantly more likely to report sexual and injection risk behaviors and were less likely to be adherent to HIV medications. Persons with 4 or more problems were less likely to be virally suppressed. Reporting any problems was associated with not currently taking HIV medications. Our findings highlight the association of syndemics not only with risk behaviors, but also with outcomes related to the continuum of care for HIV-positive persons.
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