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Am J Public Health. 2009 Jun;99(6):1045-9. doi: 10.2105/AJPH.2008.139931. Epub 2009 Apr 16.

Hospitalized HIV-infected patients in the era of highly active antiretroviral therapy.

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  • 1Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, FL, USA.


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.

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