Alcohol and substance use diagnoses among HIV-positive patients receiving care in NYC clinic settings

•Immunocompromised patients were found to be lower in the reference group.•The reference group was significantly younger than the three comparison groups.•Diagnosis of alcohol and drug use was significantly associated.•Higher proportion of patients in all three comparison groups had an inpatient sta...

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Bibliographic Details
Published in:Drug and alcohol dependence 2017-11, Vol.180, p.62-67
Main Authors: Gurung, Sitaji, Ventuneac, Ana, Cain, Demetria, Mirzayi, Chloe, Ferraris, Christopher, Rendina, H. Jonathon, Sparks, Martha A., Parsons, Jeffrey T.
Format: Article
Language:English
Subjects:
Alcohol use
Alcoholic beverages
Ambulatory Care Facilities
Amylin
Blood
Cocaine
Cohort Studies
Comorbidity
Drug abuse
Drug use
Drugs
Food intake
Ghrelin
Glucagon
Glucagon-like peptide 1
Heart
HIV
HIV Infections - epidemiology
Hormones
Human immunodeficiency virus
Humans
Insulin
Intravenous administration
Leptin
Logistic Models
Management
Medical diagnosis
Narcotics
New York City
Patients
Peptides
Prevalence
Serum
Substance abuse
Substance use
Substance-Related Disorders - epidemiology
Viral Load - immunology
Viral Load - physiology
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Summary:•Immunocompromised patients were found to be lower in the reference group.•The reference group was significantly younger than the three comparison groups.•Diagnosis of alcohol and drug use was significantly associated.•Higher proportion of patients in all three comparison groups had an inpatient stay.•HIV treatment providers should routinely screen for alcohol and substances. Substance use among HIV-positive persons exacerbates health problems. This study sought to estimate the prevalence of alcohol and drug-use diagnoses and examined hypothesized predictors associated with alcohol and drug-use diagnoses among HIV-positive patients in New York City (NYC). This cohort study reviewed electronic medical records (EMRs) of 4965 HIV-positive patients based on diagnostic codes. These patients attended a comprehensive care clinic in NYC in 2012. Multinomial logistic regression was used to predict the odds of classification into substance use diagnosis grouping. Of the full sample, only 12.7% of patients had an alcohol use diagnosis documented in their EMR compared with more than one-quarter (26.4%) of patients having a recorded drug use diagnosis (p
ISSN:0376-8716
1879-0046
DOI:10.1016/j.drugalcdep.2017.07.034