Author

Moira K. Ray

Date

May 2011

Document Type

Thesis

Degree Name

M.P.H.

Department

Dept. of Public Health and Preventive Medicine

Institution

Oregon Health & Science University

Abstract

Drug and alcohol use is a pervasive problem among HIV-infected patients that can hinder patients’ use of antiretroviral medications, harm their health, and complicate patient-provider relationships. Less than half of HIV-infected patients with current substance use report discussing their use with their primary care provider despite the potential benefit of these conversations in decreasing use and increasing engagement in substance abuse treatment. This analysis utilized data from a cross-sectional analysis of 413 HIV-infected patients and their 45 providers to identify of patient and provider characteristics with high comfort discussing substance use for patients and providers using bivariate and multivariate logistic regression. Overall, the majority of patients and providers (>70%) reported high comfort discussing substance use. A quarter of patients reported current illicit drug use and 10% reported problematic alcohol use. In multivariate analysis, fewer patient participants repo

Identifier

doi:10.6083/M4FT8J17

School

School of Medicine

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.