@article{jin_over_2018-1,
	title = {Over the influence: {The} {HIV} care continuum among methamphetamine-using men who have sex with men},
	volume = {192},
	issn = {0376-8716},
	shorttitle = {Over the influence},
	url = {http://www.sciencedirect.com/science/article/pii/S0376871618305477},
	doi = {10.1016/j.drugalcdep.2018.07.038},
	abstract = {Background
HIV-positive persons who use stimulants such as methamphetamine experience greater difficulties in navigating the HIV care continuum. In the era of HIV treatment as prevention (TasP), little is known about the prevalence and correlates of success along the HIV care continuum among people who use stimulants.
Setting
San Francisco, California USA
Methods
Cross-sectional study that enrolled 129 HIV-positive men who have sex with men (MSM) from 2013 through 2017 who had biologically confirmed, recent methamphetamine use. Multivariable logistic regressions were built to identify correlates of success across the HIV care continuum.
Results
Although two-thirds (87/129) of participants had undetectable HIV viral load ({\textless}40 copies/mL), only one-in-four (32/129) reported taking at least 90\% of their antiretroviral therapy (ART). Those who were homeless in the past year (adjusted odds ratio [aOR] = 0.20; 95\% CI = 0.06–0.65) had 80\% lower odds of being undetectable and adherent to ART. Substance use disorder treatment was associated with 77\% lower odds of being engaged in HIV care (aOR = 0.23; 95\% CI = 0.06–0.84) but also close to 3-fold greater odds of being adherent to ART (aOR = 2.91; 95\% CI = 1.12–7.60).
Conclusion
Despite the fact that many HIV-positive, methamphetamine-using MSM are able to achieve undetectable viral load in this sample, difficulties with ART adherence threaten to undermine the clinical and public health benefits of TasP. Expanded efforts to boost the effectiveness of TasP in this population should focus on meeting the unique needs of homeless individuals, optimizing ART adherence, and facilitating the integration of HIV care with substance use disorder treatment.},
	urldate = {2019-05-08},
	journal = {Drug and Alcohol Dependence},
	author = {Jin, Harry and Ogunbajo, Adedotun and Mimiaga, Matthew J. and Duncan, Dustin T. and Boyer, Edward and Chai, Peter and Dilworth, Samantha E. and Carrico, Adam W.},
	month = nov,
	year = {2018},
	keywords = {HIV care continuum, Men who have sex with men, Methamphetamine, Viral load},
	pages = {125--128}
}

{"_id":"JWPDqcDJSK58vCQoK","bibbaseid":"jin-ogunbajo-mimiaga-duncan-boyer-chai-dilworth-carrico-overtheinfluencethehivcarecontinuumamongmethamphetamineusingmenwhohavesexwithmen-2018","authorIDs":[],"author_short":["Jin, H.","Ogunbajo, A.","Mimiaga, M. J.","Duncan, D. T.","Boyer, E.","Chai, P.","Dilworth, S. E.","Carrico, A. W."],"bibdata":{"bibtype":"article","type":"article","title":"Over the influence: The HIV care continuum among methamphetamine-using men who have sex with men","volume":"192","issn":"0376-8716","shorttitle":"Over the influence","url":"http://www.sciencedirect.com/science/article/pii/S0376871618305477","doi":"10.1016/j.drugalcdep.2018.07.038","abstract":"Background HIV-positive persons who use stimulants such as methamphetamine experience greater difficulties in navigating the HIV care continuum. In the era of HIV treatment as prevention (TasP), little is known about the prevalence and correlates of success along the HIV care continuum among people who use stimulants. Setting San Francisco, California USA Methods Cross-sectional study that enrolled 129 HIV-positive men who have sex with men (MSM) from 2013 through 2017 who had biologically confirmed, recent methamphetamine use. Multivariable logistic regressions were built to identify correlates of success across the HIV care continuum. Results Although two-thirds (87/129) of participants had undetectable HIV viral load (\\textless40 copies/mL), only one-in-four (32/129) reported taking at least 90% of their antiretroviral therapy (ART). Those who were homeless in the past year (adjusted odds ratio [aOR] = 0.20; 95% CI = 0.06–0.65) had 80% lower odds of being undetectable and adherent to ART. Substance use disorder treatment was associated with 77% lower odds of being engaged in HIV care (aOR = 0.23; 95% CI = 0.06–0.84) but also close to 3-fold greater odds of being adherent to ART (aOR = 2.91; 95% CI = 1.12–7.60). Conclusion Despite the fact that many HIV-positive, methamphetamine-using MSM are able to achieve undetectable viral load in this sample, difficulties with ART adherence threaten to undermine the clinical and public health benefits of TasP. Expanded efforts to boost the effectiveness of TasP in this population should focus on meeting the unique needs of homeless individuals, optimizing ART adherence, and facilitating the integration of HIV care with substance use disorder treatment.","urldate":"2019-05-08","journal":"Drug and Alcohol Dependence","author":[{"propositions":[],"lastnames":["Jin"],"firstnames":["Harry"],"suffixes":[]},{"propositions":[],"lastnames":["Ogunbajo"],"firstnames":["Adedotun"],"suffixes":[]},{"propositions":[],"lastnames":["Mimiaga"],"firstnames":["Matthew","J."],"suffixes":[]},{"propositions":[],"lastnames":["Duncan"],"firstnames":["Dustin","T."],"suffixes":[]},{"propositions":[],"lastnames":["Boyer"],"firstnames":["Edward"],"suffixes":[]},{"propositions":[],"lastnames":["Chai"],"firstnames":["Peter"],"suffixes":[]},{"propositions":[],"lastnames":["Dilworth"],"firstnames":["Samantha","E."],"suffixes":[]},{"propositions":[],"lastnames":["Carrico"],"firstnames":["Adam","W."],"suffixes":[]}],"month":"November","year":"2018","keywords":"HIV care continuum, Men who have sex with men, Methamphetamine, Viral load","pages":"125–128","bibtex":"@article{jin_over_2018-1,\n\ttitle = {Over the influence: {The} {HIV} care continuum among methamphetamine-using men who have sex with men},\n\tvolume = {192},\n\tissn = {0376-8716},\n\tshorttitle = {Over the influence},\n\turl = {http://www.sciencedirect.com/science/article/pii/S0376871618305477},\n\tdoi = {10.1016/j.drugalcdep.2018.07.038},\n\tabstract = {Background\nHIV-positive persons who use stimulants such as methamphetamine experience greater difficulties in navigating the HIV care continuum. In the era of HIV treatment as prevention (TasP), little is known about the prevalence and correlates of success along the HIV care continuum among people who use stimulants.\nSetting\nSan Francisco, California USA\nMethods\nCross-sectional study that enrolled 129 HIV-positive men who have sex with men (MSM) from 2013 through 2017 who had biologically confirmed, recent methamphetamine use. Multivariable logistic regressions were built to identify correlates of success across the HIV care continuum.\nResults\nAlthough two-thirds (87/129) of participants had undetectable HIV viral load ({\\textless}40 copies/mL), only one-in-four (32/129) reported taking at least 90\\% of their antiretroviral therapy (ART). Those who were homeless in the past year (adjusted odds ratio [aOR] = 0.20; 95\\% CI = 0.06–0.65) had 80\\% lower odds of being undetectable and adherent to ART. Substance use disorder treatment was associated with 77\\% lower odds of being engaged in HIV care (aOR = 0.23; 95\\% CI = 0.06–0.84) but also close to 3-fold greater odds of being adherent to ART (aOR = 2.91; 95\\% CI = 1.12–7.60).\nConclusion\nDespite the fact that many HIV-positive, methamphetamine-using MSM are able to achieve undetectable viral load in this sample, difficulties with ART adherence threaten to undermine the clinical and public health benefits of TasP. Expanded efforts to boost the effectiveness of TasP in this population should focus on meeting the unique needs of homeless individuals, optimizing ART adherence, and facilitating the integration of HIV care with substance use disorder treatment.},\n\turldate = {2019-05-08},\n\tjournal = {Drug and Alcohol Dependence},\n\tauthor = {Jin, Harry and Ogunbajo, Adedotun and Mimiaga, Matthew J. and Duncan, Dustin T. and Boyer, Edward and Chai, Peter and Dilworth, Samantha E. and Carrico, Adam W.},\n\tmonth = nov,\n\tyear = {2018},\n\tkeywords = {HIV care continuum, Men who have sex with men, Methamphetamine, Viral load},\n\tpages = {125--128}\n}\n","author_short":["Jin, H.","Ogunbajo, A.","Mimiaga, M. J.","Duncan, D. T.","Boyer, E.","Chai, P.","Dilworth, S. E.","Carrico, A. W."],"key":"jin_over_2018-1","id":"jin_over_2018-1","bibbaseid":"jin-ogunbajo-mimiaga-duncan-boyer-chai-dilworth-carrico-overtheinfluencethehivcarecontinuumamongmethamphetamineusingmenwhohavesexwithmen-2018","role":"author","urls":{"Paper":"http://www.sciencedirect.com/science/article/pii/S0376871618305477"},"keyword":["HIV care continuum","Men who have sex with men","Methamphetamine","Viral load"],"downloads":0},"bibtype":"article","biburl":"https://bibbase.org/zotero/mooa","creationDate":"2019-08-19T00:22:08.785Z","downloads":0,"keywords":["hiv care continuum","men who have sex with men","methamphetamine","viral load"],"search_terms":["over","influence","hiv","care","continuum","methamphetamine","using","men","sex","men","jin","ogunbajo","mimiaga","duncan","boyer","chai","dilworth","carrico"],"title":"Over the influence: The HIV care continuum among methamphetamine-using men who have sex with men","year":2018,"dataSources":["WFyEizFyjyd5zRruT"]}