Substance Use Disorders in People Living with Human Immunodeficiency Virus/AIDS

Priyanka Amin; Antoine Douaihy

doi:10.1016/j.cnur.2017.10.007

Substance Use Disorders in People Living with Human Immunodeficiency Virus/AIDS

Nurs Clin North Am. 2018 Mar;53(1):57-65. doi: 10.1016/j.cnur.2017.10.007. Epub 2017 Dec 9.

Authors

Priyanka Amin¹, Antoine Douaihy²

Affiliations

¹ Department of Psychiatry, Western Psychiatric Institute and Clinic of UPMC, 3811 O'Hara Street, Pittsburgh, PA 15213, USA.
² Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O'Hara Street, Pittsburgh, PA 15213, USA. Electronic address: douaihya@upmc.edu.

PMID: 29362061
DOI: 10.1016/j.cnur.2017.10.007

Abstract

Persons living with human immunodeficiency virus (HIV)/AIDS have a substantial burden of co-occurring substance use disorders (SUDs); untreated alcohol and drug use disorders among people living with HIV/AIDS contribute to worse HIV care outcomes. SUDs are associated with key health behaviors and outcomes, including delays in seeking medical care, poor engagement in treatment, reduced adherence to medical treatment and antiretroviral therapy, immunosuppression, increased HIV transmission through risky sexual behaviors, and increased burdens on health care systems. HIV infection comorbid with SUD and a psychiatric disorder is a clinically challenging condition creating a complex set of medical and psychosocial challenges.

Keywords: AIDS; ART; HIV; Health outcomes; Substance use disorder.

Publication types

Review

MeSH terms

Acquired Immunodeficiency Syndrome / complications
Acquired Immunodeficiency Syndrome / therapy*
Adaptation, Psychological
Alcohol Drinking / epidemiology
Female
Health Behavior*
Humans
Male
Patient Acceptance of Health Care / psychology*
Risk-Taking*
Sexual Behavior
Sexually Transmitted Diseases / prevention & control
Social Adjustment
Substance-Related Disorders / complications
Substance-Related Disorders / prevention & control*