Substance use service availability in HIV treatment programs: Data from the global IeDEA consortium, 2014-2015 and 2017
Year: 2020
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Substance use is common among people living with HIV and has been associated with suboptimal HIV treatment outcomes. Integrating substance use services into HIV care is a promising strategy to improve patient outcomes. METHODS: We report on substance use education, screening, and referral practices from two surveys of HIV care and treatment sites participating in the International epidemiology Databases to Evaluate AIDS (IeDEA) consortium. HIV care and treatment sites participating in IeDEA are primarily public-sector health facilities and include both academic and community-based hospitals and health facilities. A total of 286 sites in 45 countries participated in the 2014-2015 survey and 237 sites in 44 countries participated in the 2017 survey. We compared changes over time for 147 sites that participated in both surveys. RESULTS: In 2014-2015, most sites (75%) reported providing substance use-related education on-site (i.e., at the HIV clinic or the same health facility). Approximately half reported on-site screening for substance use (52%) or referrals for substance use treatment (51%). In 2017, the proportion of sites providing on-site substance use-related education, screening, or referrals increased by 9%, 16%, and 8%, respectively. In 2017, on-site substance use screening and referral were most commonly reported at sites serving only adults (compared to only children/adolescents or adults and children/adolescents; screening: 86%, 37%, and 59%, respectively; referral: 76%, 47%, and 46%, respectively) and at sites in high-income countries (compared to upper middle income, lower middle income or low-income countries; screening: 89%, 76%, 68%, and 45%, respectively; referral: 82%, 71%, 57%, and 34%, respectively). CONCLUSION: Although there have been increases in the proportion of sites reporting substance use education, screening, and referral services across IeDEA sites, gaps persist in the integration of substance use services into HIV care, particularly in relation to screening and referral practices, with reduced availability for children/adolescents and those receiving care within resource-constrained settings.
Source: PLoS ONE
Institutions: University of North Carolina at Chapel Hill, The Ohio State University, Yale University, American Foundation for AIDS Research, Moi University, University of Cape Town, Johns Hopkins University, Centre Hospitalier National Universitaire de Fann, Vanderbilt University Medical Center, Vanderbilt University, Vanderbilt Health, City University of New York
Language: English
Topic: HIV, Drug Use, Sexual Risk
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,695
Funders: Vanderbilt University, Vanderbilt Institute for Clinical and Translational Research, National Institutes of Health, Center for AIDS Research, University of Washington, National Institute on Alcohol Abuse and Alcoholism, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Cancer Institute, National Institute of Allergy and Infectious Diseases, Fogarty International Center, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Child Health and Human Development, U.S. National Library of Medicine, National Center for Advancing Translational Sciences, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Center for AIDS Research, University of North Carolina at Chapel Hill, Carolina Population Center, University of North Carolina at Chapel Hill
Awards: G100239846, G1120543537, G1265315430, G1508009684, G1756058388, G1762564124, G1789099407, G1825977350, G1859885209, G1866914209, Understanding and addressing mental and substance use disorders among people living with HIV in low-resource settings, G2127051194, G240136927, G2466661058, G2484801677, G2517021052, G2537422520, G2602991252, G2606189360, G2915904895, G295270083, G3026053108, G3090742097, G311558797, G325158278, G3475612999, G3527861497, G3533447256, G3544296662, G4038955393, G4118374008, G4136037232, G4176875957, G4275245238, G4346769292, G4536063133, G4592013985, G5012601499, G5355865466, G5679716143, G569290698, G5785870036, G596821015, G5984172584, G617683515, G6199130729, G6246704175, G6256613848, G6607000333, G6761848313, G6796974715, G6965689831, G7300457456, The Vanderbilt Institute for Clinical and Translational Research (VICTR), G7927980121, G8717451453, G8800573163, G9000001595, G9000030772, G9000041915, G9000052486, Tennessee Center for AIDS Research (TN-CFAR), G9000103628, G9000103636, G9000170186, North American AIDS Cohorts on Collaboration and Design (NAACCORD), Central Africa International Epidemiology databases to Evaluate AIDS, Caribbean, Central, and South America network for HIV Epidemiology (CCASAnet)
OpenAlex ID: W3080497900