Primary medical care and reductions in HIV risk behaviors in adults with addictions

J Addict Dis. 2007;26(3):17-25. doi: 10.1300/J069v26n03_03.

Abstract

Human immunodeficiency virus (HIV) risk behaviors are prevalent in persons with addictions.

Objectives: To assess whether exposure to primary medical care is associated with decreases in HIV risk behaviors.

Design: Prospective 2-year cohort of 298 adults with addictions.

Outcomes: Sex and drug-related HIV risk behaviors, measured by the Risk Assessment Battery.

Predictors: Cumulative number of primary care visits (0, 1, > or = 2). Associations were tested using regression models for correlated data.

Results: In women, receipt of primary care was associated with less sex risk behavior (mean decrease 2.1, p < or = 0.1). Among women and men, > or = 2 primary care visits was associated with lower odds of any drug risk behavior (OR = 0.37, p = 0.03).

Conclusions: Exposure to primary care can impact HIV risk behavior favorably among adults with addictions.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Behavior, Addictive / epidemiology*
  • Cohort Studies
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control*
  • Humans
  • Male
  • Primary Health Care / methods*
  • Prospective Studies
  • Risk-Taking*
  • Substance-Related Disorders / epidemiology*
  • Surveys and Questionnaires