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Hospitalized HIV-Infected Patients in the Era of Highly Active Antiretroviral Therapy

2009; American Public Health Association; Volume: 99; Issue: 6 Linguagem: Inglês

10.2105/ajph.2008.139931

1541-0048

Lisa R. Metsch, Christine Bell, Margaret Pereyra, Gabriel Cardenas, Tanisha Sullivan, Allan Rodríguez, Lauren Gooden, Nayla M. Khoury, Tamy Kuper, Toye H. Brewer, Carlos del Rı́o,

Sex work and related issues

We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack cocaine and heavy drinking were associated with never having had an HIV-care provider, high-risk sexual behavior, and not receiving antiretroviral therapy. Inpatient interventions that link and retain HIV-positive persons in primary care services could prevent HIV transmission and unnecessary hospitalizations.