L R Metsch

..We examined the effectiveness of risk reduction counseling and the role of on-site HIV testing in drug treatment...

..These findings highlight the need for prevention interventions to elicit prevention myths and the full range of risk reduction strategies practiced...

..These services could be integrated into existing behavioral health programs already targeting active drug users...

..This article summarizes current research findings and examines implications for welfare reform reauthorization...

..We investigated physicians' delivery of HIV prevention counseling to newly diagnosed and established HIV-positive patients...

..We assessed the use of HIV care among HIV-seropositive crack cocaine smokers and other active drug users in Miami-Dade County, FL...

..Inpatient interventions that link and retain HIV-positive persons in primary care services could prevent HIV transmission and unnecessary hospitalizations...

..Results indicate that women utilized health care more than men; however, crack use among women appears to be an inhibitory factor in the utilization of health services by women...

..We investigated the prevalence of HIV-positive patients discussing alcohol use with their HIV primary care providers and factors associated with these discussions...

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..57 times more likely to have been in drug treatment compared to their rural counterparts. This differential may be explained in terms of the availability, accessibility, and acceptability of health care services...

..All of these factors are shown to increase the risk of HIV so that the constellation of these practices helps determine the differential rates and spread of HIV in the three different areas...

..Drug use and HIV prevention programs should intervene with individuals and their families and social groups. Migrant workers and their sexual partners also need effective drug-user treatment with long-term relapse prevention services...

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..The next phase of HIV and drug interventions should be attentive to the incorporation of social context and social influences, paying particular attention to understudied populations such as high-risk women...

..We examined the relationship between receipt of medical care for human immunodeficiency virus (HIV) infection and HIV transmission risk behavior among persons who had received a recent diagnosis of HIV infection...

..Both categories of chronic drug users were more likely than non-users not to want health care treatment and to put off seeking needed health care...

..Preliminary evaluation findings suggest that women who participate with their children are more likely to remain drug free than are those who participated without their children...

..The specific purpose of this study was to assess the effect that EDP participation had on stage at diagnosis and on hazard of death...

..317, 1.544). Given that more than one-third of patients reported no discussion of oral health with HIV primary care providers in the past year, there is a need to increase the focus on oral health in the HIV primary care setting...

..Notably, the use of crystal methamphetamine among both HIV-positive and HIV-negative MSM is associated with increased HIV-related risk behaviors...

..53). Efforts are greatly needed to increase the focus on anal health in the HIV primary care setting for both men and women...

..To identify modifiable factors associated with health care utilization by HIV-negative seropositive injection drug users (IDUs)...

..The majority of CDUs were unemployed at both time periods. Men were more likely than women to exhibit consistent employment over the two time periods. The study's limitations are noted and future research is suggested...

..In particular, it indicates that such assistance should be targeted toward Black Americans, persons with low income and unstable housing situations, and those with limited help to navigate the health care system...

..Injection drug use was not associated with initiation of care. Targeted interventions for crack cocaine users, including drug treatment, may be required to provide optimal HIV primary care use in this population...

..To explore the independent and dual risks of injection practices and crack smoking, this study examined HIV seroprevalence rates among distinct drug user groups, based on patterns of daily administration...

..This may be a result of overreporting of condom use or sexual activity in high-risk sexual networks with inefficient use of condoms. Ongoing sexual risk behavior and access to HIV primary care are important issues in this population...

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..Such estimates could be useful for behavioral surveillance and resource allocation, including enhanced targeting of community-based interventions for primary and secondary HIV prevention...

..Effective HIV prevention interventions in primary care settings, including interventions to improve patient-provider communication, are needed for HIV-seropositive IDUs...

..07, 1.24) and for HIV-1/HCV co-infection (odds ratio = 1.17; 95% confidence interval = 1.09, 1.26). This paper demonstrates that HIV-1/HCV co-infection is highly prevalent among so called "shooting galleries"...

..Knowledge significantly increased among the long-term HIV negatives and seroconverters but not among those HIV positive in 1988. This analysis demonstrates the need for continued intervention among IDUs and their sex partners...

..To examine the HIV care needs and hospital admission patterns of HIV-positive Haitian-born blacks (Haitians) and compare them with those of US-born blacks (Blacks)...

..The complex context of addressing cocaine abuse in the setting of HIV-1 infection appears more tractable when decomposed into its components...

..We describe the development of Interventions for Seropositive Injectors-Research and Evaluation (INSPIRE), a randomized controlled trial of an integrated intervention for HIV-positive IDUs, and the characteristics of the baseline sample...

..Multifaceted interventions that address personal, dyadic, and addiction problems are needed for HIV-positive injection drug-using women...

..Working with HIV-positive IDUs to increase or reinforce feelings of responsibility may reduce the sexual transmission of HIV...

..Few research studies have examined the HIV transmission risk behaviors of HIV-positive injection drug users (IDUs) who are men who have sex with men and women (MSMW)...

..A combination of broad and tailored intervention strategies based on the relationship pattern of men's lives may provide the most benefit for reducing unprotected sex with female partners...

..05) were significantly associated with negative condom beliefs (R (2) = 0.36). These findings suggest important gender-specific factors to consider in interventions that seek to promote positive condom beliefs among HIV-positive IDUs...

..The Antiretroviral Treatment Access Study (ARTAS) assessed a case management intervention to improve linkage to care for persons recently receiving an HIV diagnosis...

..Knowing a person's stages of readiness to enter care and their support networks can help case managers formulate optimal client plans...

..To assess the cost-effectiveness of Intervention for HIV-Seropositive injection drug users--Research and Evaluation (INSPIRE), designed to reduce risky sexual and needle-sharing behaviors in research sites in four US cities (2001-2003)...

..We sought to evaluate the efficacy of an intervention to reduce sexual and injection transmission risk behaviors and to increase utilization of medical care and adherence to HIV medications among this population...

..Our research supports the feasibility and general acceptability of A-CASI with HIV-positive IDUs, and it suggests further research exploring the associations between A-CASI attitudes and characteristics of disadvantaged populations...

..Human immunodeficiency virus (HIV) counseling, testing, and referral (CTR) are provided in a wide variety of settings...

..Active drug use is often associated with poor adherence, but few studies have determined psychosocial correlates of adherence in injection drug users (IDUs)...

..An interdisciplinary team of behavioral and clinical research scientists with experience in developing and evaluating health care and prevention interventions targeting low income, HIV+s will conduct this research. ..

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..The primary outcome of the study will be to reduce unprotected sex. Secondary outcomes will include increasing the use of HIV primary outpatient cars and increasing readiness for and entry to drug treatment. ..

..The primary outcome of the study will be to reduce unprotected sex. Secondary outcomes will include increasingthe use of HIV primary outpatient cars and increasing readiness for and entry to drugtreatment. ..

..An interdisciplinary team of behavioral and clinical research scientists with experience in developing and evaluating health care and prevention interventions targeting low income, HIV+s will conduct this research. ..

..The primary outcome of the study will be to reduce unprotected sex. Secondary outcomes will include increasing the use of HIV primary outpatient cars and increasing readiness for and entry to drug treatment. ..

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