Trajectory of substance use after an HIV risk reduction intervention

Background: Research assessments can confound the results of treatment outcome studies and can be themselves an intervention or form of aftercare. Objective: To determine the trajectory of substance use and substance severity in a sample of African American cocaine users participating in a community...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 2015-07, Vol.41 (4), p.345-352
Main Authors: Booth, Brenda M., Wright, Patricia B., Ounpraseuth, Songthip T., Stewart, Katharine E.
Format: Article
Language:English
Subjects:
Adult
African Americans
Alcohol Drinking - epidemiology
Arkansas
Arkansas - epidemiology
Assessment effects
Clinical outcomes
Cocaine
Cocaine-Related Disorders - epidemiology
Drug Abuse
Drug use
Female
HIV
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Intervention
Interviews as Topic
Male
Marijuana Abuse - epidemiology
natural history
reactivity effects
Risk
Risk assessment
Risk Reduction Behavior
Social Work - statistics & numerical data
Substance Abuse
Substance-Related Disorders - epidemiology
trajectories
Treatment Outcomes
Trials
Unsafe Sex - prevention & control
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Summary:Background: Research assessments can confound the results of treatment outcome studies and can be themselves an intervention or form of aftercare. Objective: To determine the trajectory of substance use and substance severity in a sample of African American cocaine users participating in a community-based sexual risk reduction trial. Methods: Out-of-treatment participants were recruited using Respondent-Driven Sampling in two African American majority counties in rural Arkansas. They participated in either the sexual risk reduction condition or an active control focused on access to social services. They were interviewed at baseline, post-intervention, and 6 and 12 months post-intervention. Substance use outcome measures were use of crack cocaine, powder cocaine, marijuana, alcohol, and the Addiction Severity Index Alcohol and Drug Severity composites. A random sample of participants completed qualitative interviews post-12-month interview. Results: 251 were enrolled. Substance use outcomes did not differ among the two conditions at any point in the study. Use of measured substances and the ASI composites significantly decreased between baseline and post-intervention (p 
ISSN:0095-2990
1097-9891
DOI:10.3109/00952990.2015.1043437