Substance Use and Adherence Among People Living with HIV/AIDS Receiving cART in Latin America

dc.creatorDe Boni, Raquel Brandini
dc.creatorShepherd, Bryan E.
dc.creatorGrinsztejn, Beatriz
dc.creatorCesar, Carina
dc.creatorCortés, Claudia
dc.creatorPadgett, Denis
dc.creatorGotuzzo, Eduardo
dc.creatorBelaunzarán-Zamudio, Pablo F.
dc.creatorRebeiro, Peter F.
dc.creatorDuda, Stephany N.
dc.creatorMcGowan, Catherine C.
dc.date2018-10-04T15:50:01Z
dc.date2018-10-04T15:50:01Z
dc.date2016
dc.date.accessioned2023-09-27T00:13:15Z
dc.date.available2023-09-27T00:13:15Z
dc.identifierDE BONI, R. B. et al. Substance Use and Adherence among People Living with HIV/AIDS Receiving cART in Latin America. AIDS and Behavior, v. 20, n. 11, p. 2692–2699, Nov. 2016.
dc.identifier1090-7165
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/29344
dc.identifier10.1007/s10461-016-1398-6
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8898650
dc.descriptionThis cross-sectional study describes substance use prevalence and its association with combination antiretroviral therapy (cART) adherence among 3343 individuals receiving care at HIV clinics in Argentina, Brazil, Chile, Honduras, Mexico, and Peru. A rapid screening tool evaluated self-reported 7-day recall of alcohol, marijuana, cocaine, heroin, and methamphetamine use, and missed cART doses. Overall, 29.3 % individuals reported having ≥1 alcoholic drinks, 5.0 % reported any illicit drug use and 17.0 % reported missed cART doses. In the logistic regression model, compared to no substance use, alcohol use [adjusted odds ratio (AOR) = 2.46, 95 % confidence interval (CI): 1.99-3.05], illicit drug use (AOR = 3.57, 95 % CI: 2.02-6.30), and using both alcohol and illicit drugs (AOR = 4.98, 95 % CI: 3.19-7.79) were associated with missed cART doses. The associations between substance use and likelihood of missing cART doses point to the need of targeting alcohol and illicit drug use to improve adherence among people living with HIV in Latin America.
dc.formatapplication/pdf
dc.languageeng
dc.rightsopen access
dc.subjectSubstance use
dc.subjectAdherence
dc.subjectHIV/AIDS
dc.subjectLatin America
dc.titleSubstance Use and Adherence Among People Living with HIV/AIDS Receiving cART in Latin America
dc.typeArticle


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