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Opioid misuse among persons with HIV engaged in care in the Southeastern US

机译：阿片类药物在艾滋病毒在美国东南部关心的人中滥用

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摘要

The prevalence of opioid misuse by people living with HIV (PLWH) during the current US opioid epidemic has not been fully described. Among a cohort of persons engaged in HIV care in North Carolina, we examined the prevalence of and risk factors for opioid misuse, defined as self-reported "street" opioid use (e.g., heroin) or nonmedical prescription opioid use on a patient reported outcomes survey. Recent (past three-month) opioid misuse among 1,440 PLWH in care 2012-2017 was 2% (95% CI 2-3%) and lifetime misuse 15% (13-16%). Persons reporting lifetime or recent misuse more commonly had hepatitis C and reported injecting drugs. In multivariable logistic regression models, male-to-male sexual contact was inversely associated with recent or lifetime misuse. White/non-Hispanic race/ethnicity was associated with lifetime misuse and CD4 count and viral load were not associated with opioid misuse. Among 32 persons reporting recent misuse, 81% had a contemporaneous viral load <50 copies/mL. In this cohort of PLWH engaged in care, recent opioid misuse prevalence was similar to general population estimates. Assessments of opioid misuse among PLWH not in care are urgently needed to fully characterize the impact of opioids on all PLWH.
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  • 来源
    《AIDS care.》 |2021年第2期|共6页
  • 作者

    Schranz Asher J.; Davy-Mendez Thibaut; Eron Joseph J.; Napravnik Sonia;

  • 作者单位

    Univ N Carolina Dept Med Div Infect Dis Chapel Hill NC 27515 USA;

    Univ N Carolina Dept Epidemiol Chapel Hill NC 27515 USA;

    Univ N Carolina Dept Med Div Infect Dis Chapel Hill NC 27515 USA;

    Univ N Carolina Dept Med Div Infect Dis Chapel Hill NC 27515 USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    HIV; opioids; survey;

    机译：艾滋病毒;阿片类药物;调查;

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