Dept. of Public Health and Preventive Medicine
Oregon Health & Science University
Drug and alcohol use is a pervasive problem among HIV-infected patients that can hinder patientsâ 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
School of Medicine
Ray, Moira K., "Patient and provider characteristics associated with comfort discussing substance use in HIV clinics" (2011). Scholar Archive. 662.