The Longitudinal Effects of Non-injection Substance Use on Sustained HIV Viral Load Undetectability Among MSM and Heterosexual Men in Brazil and Thailand: The Role of ART Adherence and Depressive Symptoms (HPTN 063).
Adult
Anti-HIV Agents
/ therapeutic use
Brazil
/ epidemiology
Depression
/ psychology
Drug Users
Female
HIV Infections
/ drug therapy
HIV-1
/ drug effects
Heterosexuality
/ psychology
Homosexuality, Male
/ psychology
Humans
Longitudinal Studies
Male
Medication Adherence
/ psychology
Middle Aged
Substance-Related Disorders
/ complications
Thailand
/ epidemiology
Viral Load
Young Adult
Zambia
/ epidemiology
Adherence
Depression
HIV
Substance use
Undetectable viral load
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
7
2
2019
medline:
17
4
2019
entrez:
7
2
2019
Statut:
ppublish
Résumé
The effect of non-injection substance use on HIV viral load (VL) is understudied in international settings. Data are from HPTN063, a longitudinal observational study of HIV-infected individuals in Brazil, Thailand, and Zambia, with focus on men with VL data (Brazil = 146; Thailand = 159). Generalized linear mixed models (GLMM) assessed whether non-injection substance use (stimulants, cannabis, alcohol, polysubstance) was associated with VL undetectability. ART adherence and depressive symptoms were examined as mediators of the association. In Thailand, substance use was not significantly associated with VL undetectability or ART adherence, but alcohol misuse among MSM was associated with increased odds of depression (AOR = 2.75; 95% CI 1.20, 6.32, p = 0.02). In Brazil, alcohol misuse by MSM was associated with decreased odds of undetectable VL (AOR = 0.34; 95% CI 0.13, 0.92, p = 0.03). Polysubstance use by heterosexual men in Brazil was associated with decreased odds of ART adherence (AOR = 0.25; 95% CI 0.08, 0.78, p = 0.02). VL suppression appears attainable among non-injection substance users. Substance use interventions among HIV-positive men should address depression, adherence, and VL undetectability.
Identifiants
pubmed: 30725397
doi: 10.1007/s10461-019-02415-w
pii: 10.1007/s10461-019-02415-w
pmc: PMC6414080
mid: NIHMS1520937
doi:
Substances chimiques
Anti-HIV Agents
0
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
649-660Subventions
Organisme : NIMH NIH HHS
ID : K01 MH111374
Pays : United States
Organisme : NICHD NIH HHS
ID : R01 HD077891
Pays : United States
Organisme : Eunice Kennedy Shriver National Institute of Child Health and Human Development
ID : R01 HD077891-04S1
Organisme : NIMH NIH HHS
ID : K01MH111374
Pays : United States
Organisme : NIMHD NIH HHS
ID : L60MD011184
Pays : United States
Organisme : NIDA NIH HHS
ID : K24 DA040489
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI069424
Pays : United States
Organisme : NIDA NIH HHS
ID : T32 DA023356
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068619
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH083617
Pays : United States
Organisme : NIMH NIH HHS
ID : P30 MH058107
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069412
Pays : United States
Organisme : NIAAA NIH HHS
ID : K01 AA025009
Pays : United States
Organisme : NIAID NIH HHS
ID : U01 AI069412
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI068617
Pays : United States
Organisme : NIMHD NIH HHS
ID : L60 MD011184
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH083620
Pays : United States
Organisme : NIAID NIH HHS
ID : UM1 AI069424
Pays : United States
Organisme : NIAAA NIH HHS
ID : K01AA025009
Pays : United States
Organisme : NIDA NIH HHS
ID : 9K24DA040489
Pays : United States
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