Daily and near-daily cannabis use is associated with HIV viral load suppression in people living with HIV who use cocaine
Autor: | Melissa R. Stein, Chinazo O. Cunningham, Robert Grossberg, Nancy L. Sohler, Deepika Slawek, Julia H. Arnsten, Chenshu Zhang |
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Rok vydání: | 2020 |
Předmět: |
Adult
Health (social science) Social Psychology Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article 03 medical and health sciences 0302 clinical medicine Cocaine Humans Medicine 030212 general & internal medicine Viral suppression Cannabis 030505 public health biology business.industry Public Health Environmental and Occupational Health virus diseases Middle Aged Viral Load Cannabis use biology.organism_classification Anti-Retroviral Agents Immunology Substance use 0305 other medical science business Viral load |
Zdroj: | AIDS Care |
ISSN: | 1360-0451 0954-0121 |
DOI: | 10.1080/09540121.2020.1799922 |
Popis: | Disparities remain in HIV viral load (VL) suppression between people living with HIV (PLWH) who use cocaine and those who do not. It is not known how cannabis use affects VL suppression in PLWH who use cocaine. We evaluated the relationship between cannabis use and VL suppression among PLWH who use cocaine. We conducted a secondary data analysis of 119 baseline interviews from a randomized controlled trial in the Bronx, NY (6/2012 to 1/2017). Participants were adult PLWH who were prescribed antiretrovirals for ≥16 weeks, endorsed imperfect antiretroviral adherence and used cocaine in the past 30-days. In bivariate and multivariable regression analyses, we examined how cannabis use [no use, less-frequent use (1-19 days in the past 30-days), or daily/near-daily use (≥20 days in the past 30-days)], is associated with VL suppression among PLWH who use cocaine. Participants were a mean age of 50 years; most were male (64%) and non-Hispanic black (55%). Participants with VL suppression used cocaine less frequently than those with no VL suppression (p |
Databáze: | OpenAIRE |
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