1. Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy.
- Author
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Metsch LR, Bell C, Pereyra M, Cardenas G, Sullivan T, Rodriguez A, Gooden L, Khoury N, Kuper T, Brewer T, and del Rio C
- Subjects
- AIDS-Related Opportunistic Infections epidemiology, Adult, Alcoholism epidemiology, Alcoholism virology, Antiretroviral Therapy, Highly Active, Cocaine-Related Disorders epidemiology, Cocaine-Related Disorders virology, Female, Florida epidemiology, Georgia epidemiology, HIV Infections epidemiology, Hospitalization statistics & numerical data, Humans, Logistic Models, Male, Multivariate Analysis, Patient Acceptance of Health Care, Sexual Behavior statistics & numerical data, Socioeconomic Factors, HIV Infections complications, HIV Infections drug therapy
- Abstract
We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack cocaine and heavy drinking were associated with never having had an HIV-care provider, high-risk sexual behavior, and not receiving antiretroviral therapy. Inpatient interventions that link and retain HIV-positive persons in primary care services could prevent HIV transmission and unnecessary hospitalizations.
- Published
- 2009
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