Original Paper

AIDS and Behavior

, Volume 11, Issue 6, pp 897-904

Initiating HIV Care: Attitudes and Perceptions of HIV Positive Crack Cocaine Users

  • Toye H. BrewerAffiliated withDepartment of Medicine, University of Miami School of Medicine Email author 
  • , Wei ZhaoAffiliated withDepartment of Epidemiology and Public Health, University of Miami School of Medicine
  • , Margaret PereyraAffiliated withDepartment of Epidemiology and Public Health, University of Miami School of Medicine
  • , Carlos del RioAffiliated withDepartment of Medicine, Emory School of Medicine
  • , Anita LoughlinAffiliated withDepartment of Epidemiology, Johns Hopkins UniversityCenter for Pediatric and Vaccine Research, Boston University
  • , Pamela Anderson-MahoneyAffiliated withHealth Research Association
  • , Lytt GardnerAffiliated withDivision of HIV/AIDS, Centers for Disease Control and Prevention
  • , Lisa R. MetschAffiliated withDepartment of Epidemiology and Public Health, University of Miami School of Medicine
  • , for the ARTAS Study Group

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access

Abstract

There is limited data on the initiation and use of HIV care services by HIV-positive crack cocaine users. We analyzed data from a study of 286 recently infected HIV-positive persons recruited from 4 U.S. cities. Participants completed an Audio Computer Assisted Self Interview (A-CASI) regarding HIV care knowledge, attitudes, beliefs and practices related to the initiation of HIV care. In multiple logistic regression analysis, higher scores on an assessment of knowledge, attitudes and beliefs regarding HIV care, and Hispanic race were positively associated with initiating HIV primary care. Crack cocaine use in the past 30 days and male gender were negatively associated with initiating care. Injection drug use was not associated with initiation of care. Targeted interventions for crack cocaine users, including drug treatment, may be required to provide optimal HIV primary care use in this population.

Keywords

HIV primary care Crack cocaine use Access to care Minorities