Primary Medical Care and Reductions in HIV Risk Behaviors in Adults with Addictions

Carolina Takizawa MD Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center & Boston University School of Medicine, Boston, MA, 02118, USA

Debbie Cheng ScD Department of Biostatistics, Boston University School of Public Health, Boston, MA, 02118, USA

Jeffrey Samet MD Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center & Boston University School of Medicine, Boston, MA, 02118, USA; Department of Social and Behavioral Sciences, Boston University School of Public Health, Boston, MA, 02118, USA

Michael Winter MPH Data Coordinating Center, Boston University School of Public Health, Boston, MA, 02118, USA

Mary Jo Larson PhD New England Research Institutes, Watertown, MA, 02472, USA

Richard Saitz MD Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center & Boston University School of Medicine, Boston, MA, 02118, USA; Youth Alcohol Prevention Center, Department of Epidemiology, Boston University School of Public Health, Boston, MA, 02118, USA

Abstract

Human immunodeficiency virus (HIV) risk behaviors are prevalent in persons with addictions.

Objectives: To assess whether exposure to primary medical care is associated with decreases in HIV risk behaviors.

Design: Prospective 2-year cohort of 298 adults with addictions.

Outcomes: Sex and drug-related HIV risk behaviors, measured by the Risk Assessment Battery.

Predictors: Cumulative number of primary care visits (0, 1, p  2). Associations were tested using regression models for correlated data.

Results: In women, receipt of primary care was associated with less sex risk behavior (mean decrease 2.1, p 0.1). Among women and men, 2 primary care visits was associated with lower odds of any drug risk behavior (OR = 0.37, p = 0.03).

Conclusions: Exposure to primary care can impact HIV risk behavior favorably among adults with addictions.

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Primary Medical Care and Reductions in HIV Risk Behaviors in Adults with Addictions

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