Substance use and HIV risk profile of gay/bisexual males who drop out of substance abuse treatment

This analysis was undertaken to identify (a) the level of HIV sexual risk behaviors of men who drop out of treatment and (b) baseline variables associated with later treatment dropout. A cross-sectional sample of 340 gay/bisexual men were recruited from an outpatient substance abuse treatment facili...

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Bibliographic Details
Published in:AIDS education and prevention 2000-02, Vol.12 (1), p.38-48
Main Authors: CROSBY, G. M, STALL, R. D, PAUL, J. P, BARRETT, D. C
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Addictive behaviors
Adolescent
Adult
AIDS
Alcoholism
Biological and medical sciences
Bisexuality
Coping
Cross-Sectional Studies
Demography
Disease transmission
Drug abuse
Drug use
Group Counseling
Health risks
HIV
HIV Infections - epidemiology
Homosexuality
Homosexuality, Male
Human immunodeficiency virus
Human viral diseases
Humans
Indexing in process
Infections
Infectious diseases
Longitudinal Studies
Male
Males
Medical sciences
Miscellaneous
Multivariate Analysis
Narcotics
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk
Risk Factors
Risk reduction
Risk taking
San Francisco, California
Sexual Behavior
Sexual Orientation
Sexually transmitted diseases
Social conditions
Social Problems
STD
Substance Abuse
Substance abuse treatment
Substance use
Substance-Related Disorders - rehabilitation
Termination of Treatment
Treatment Programs
Treatment Refusal
USA, California, San Francisco
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Description
Summary:This analysis was undertaken to identify (a) the level of HIV sexual risk behaviors of men who drop out of treatment and (b) baseline variables associated with later treatment dropout. A cross-sectional sample of 340 gay/bisexual men were recruited from an outpatient substance abuse treatment facility in San Francisco. We compared participants who completed less than 15 visits with participants who graduated from the program. Men who dropped out were more likely than treatment graduates to report injection drug use, social problems related to substance use, self-blaming coping strategies, and more recent substance use prior to entering treatment and less likely to have a college degree, report using sex for tension relief, and have previously attended Alcoholics Anonymous or Narcotics Anonymous. Given the strong link between the substance abuse and HIV epidemics, substance abuse treatment agencies have been forced into addressing the issues of HIV sexual risk taking with their clients. Strategies toward reducing substance use relapse and HIV risk reduction are offered.
ISSN:0899-9546
1943-2755