Substance abuse treatment in human immunodeficiency virus: The role of patient-provider discussions

Philip Todd Korthuis; Joshua S. Josephs; John A. Fleishman; James Hellinger; Seth Himelhoch; Geetanjali Chander; Elizabeth B. Morse; Kelly A. Gebo

doi:10.1016/j.jsat.2007.11.005

Substance abuse treatment in human immunodeficiency virus: The role of patient-provider discussions

Philip Todd Korthuis, Joshua S. Josephs, John A. Fleishman, James Hellinger, Seth Himelhoch, Geetanjali Chander, Elizabeth B. Morse, Kelly A. Gebo

Research output: Contribution to journal › Article › peer-review

33 Scopus citations

Abstract

Substance abuse treatment is associated with decreases in human immunodeficiency virus (HIV) risk behavior and can improve HIV outcomes. The purpose of this study was to examine factors associated with substance abuse treatment utilization, including patient-provider discussions of substance use issues. We surveyed 951 HIV-infected adults receiving care at 14 HIV Research Network primary care sites regarding drug and alcohol use, substance abuse treatment, and provider discussions of substance use issues. Although 71% reported substance use, only 24% reported receiving substance abuse treatment and less than half reported discussing substance use issues with their HIV providers. In adjusted logistic regression models, receipt of substance abuse treatment was associated with patient-provider discussions. Patient-provider discussions of substance use issues were associated with current drug use, hazardous or binge drinking, and Black race or ethnicity, though substance use was comparable between Blacks and Whites. These data suggest potential opportunities for improving engagement in substance abuse treatment services.

Original language	English
Pages (from-to)	294-303
Number of pages	10
Journal	Journal of Substance Abuse Treatment
Volume	35
Issue number	3
DOIs	https://doi.org/10.1016/j.jsat.2007.11.005
State	Published - Oct 2008

Bibliographical note

Funding Information:
This work was supported by the Agency for Healthcare Research and Quality (AHRQ; 290-01-0012) and the National Institute on Aging (R01 AG026250), NIAAA (K23 AA015313), and National Institute on Drug Abuse (K23-DA00523, K23-DA019809, and K23-DA019820). Dr. Gebo was also supported by the Johns Hopkins University Richard Ross Clinician Scientist Award. The views expressed in this article are those of the authors. No official endorsement by the Department of Health and Human Services, the National Institutes of Health, or the AHRQ is intended or should be inferred. Special thanks to Moriah McSharry McGrath, MPH, MSUP, for assistance in manuscript preparation. Preliminary results were presented in abstract form at the International AIDS Conference (August 2006, Toronto, Canada) and the annual Society of General Internal Medicine meeting (April 2007, Toronto, Canada).

Keywords

African Americans
Communication
HIV
Health services accessibility
Substance-related disorders
Transportation

ASJC Scopus subject areas

Psychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.jsat.2007.11.005

Cite this

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title = "Substance abuse treatment in human immunodeficiency virus: The role of patient-provider discussions",

abstract = "Substance abuse treatment is associated with decreases in human immunodeficiency virus (HIV) risk behavior and can improve HIV outcomes. The purpose of this study was to examine factors associated with substance abuse treatment utilization, including patient-provider discussions of substance use issues. We surveyed 951 HIV-infected adults receiving care at 14 HIV Research Network primary care sites regarding drug and alcohol use, substance abuse treatment, and provider discussions of substance use issues. Although 71% reported substance use, only 24% reported receiving substance abuse treatment and less than half reported discussing substance use issues with their HIV providers. In adjusted logistic regression models, receipt of substance abuse treatment was associated with patient-provider discussions. Patient-provider discussions of substance use issues were associated with current drug use, hazardous or binge drinking, and Black race or ethnicity, though substance use was comparable between Blacks and Whites. These data suggest potential opportunities for improving engagement in substance abuse treatment services.",

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note = "Funding Information: This work was supported by the Agency for Healthcare Research and Quality (AHRQ; 290-01-0012) and the National Institute on Aging (R01 AG026250), NIAAA (K23 AA015313), and National Institute on Drug Abuse (K23-DA00523, K23-DA019809, and K23-DA019820). Dr. Gebo was also supported by the Johns Hopkins University Richard Ross Clinician Scientist Award. The views expressed in this article are those of the authors. No official endorsement by the Department of Health and Human Services, the National Institutes of Health, or the AHRQ is intended or should be inferred. Special thanks to Moriah McSharry McGrath, MPH, MSUP, for assistance in manuscript preparation. Preliminary results were presented in abstract form at the International AIDS Conference (August 2006, Toronto, Canada) and the annual Society of General Internal Medicine meeting (April 2007, Toronto, Canada). ",

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Substance abuse treatment in human immunodeficiency virus: The role of patient-provider discussions

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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