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AIDS Behav. 2010 Aug;14(4):769-77. doi: 10.1007/s10461-008-9513-y. Epub 2009 Jan 6.

Affective correlates of stimulant use and adherence to anti-retroviral therapy among HIV-positive methamphetamine users.

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1
Center for AIDS Prevention Studies, University of California, San Francisco, San Francisco, CA 94105, USA. adam.carrico@ucsf.edu

Abstract

The use of stimulants has important implications for HIV prevention and care. However, few investigations have examined psychological correlates of substance use and adherence to anti-retroviral therapy (ART) among HIV-positive stimulant users. This cross-sectional investigation examined affective correlates of stimulant use and ART adherence among HIV-positive methamphetamine users. In total, 122 HIV-positive men who have sex with men or transgendered individuals on ART who reported using methamphetamine in the past 30 days were recruited from the community. HIV-specific traumatic stress was consistently and independently associated with more frequent cocaine/crack use (but not with methamphetamine use). Positive affect was independently associated with a decreased likelihood of reporting any injection drug use and an increased likelihood of reporting perfect ART adherence. HIV-specific traumatic stress may be an important determinant of increased cocaine/crack use in this population. Positive affect may increase the likelihood that individuals will refrain from injection drug use and achieve high levels of ART adherence.

PMID:
19125321
PMCID:
PMC2891867
DOI:
10.1007/s10461-008-9513-y
[Indexed for MEDLINE]
Free PMC Article
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