Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men
Aims of this study were to assess the associations between stimulant use and attitudes toward and engagement in HIV medical care and to examine technology use among stimulant-using and nonstimulant-using men who have sex with men (MSM). HIV-positive MSM (n=276; mean age = 42 years; 71% white, non-Hi...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2013/121352 |
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| author | Keith J. Horvath Adam W. Carrico Jane Simoni Edward W. Boyer K. Rivet Amico Andy E. Petroll |
| author_facet | Keith J. Horvath Adam W. Carrico Jane Simoni Edward W. Boyer K. Rivet Amico Andy E. Petroll |
| author_sort | Keith J. Horvath |
| collection | DOAJ |
| description | Aims of this study were to assess the associations between stimulant use and attitudes toward and engagement in HIV medical care and to examine technology use among stimulant-using and nonstimulant-using men who have sex with men (MSM). HIV-positive MSM (n=276; mean age = 42 years; 71% white, non-Hispanic; 43% with college degree) completed an online survey in 2009. Most men (69%) had not missed any scheduled HIV medical appointments in the past year, while 23% had missed at least one, and 9% had not attended any appointments. Stimulant use was significantly associated with not attending any HIV medical appointments in the unadjusted model (relative risk ratio (RRR)=2.84, 95% CI [1.07, 7.58]), as well as in models adjusted for demographic (RRR=3.16, 95% CI [1.13, 8.84]) and psychosocial (RRR=3.44, 95% CI [1.17, 10.15]) factors (Ps<0.05). Fewer stimulant-using than non-stimulant-using men rated HIV medical care a high priority (57% versus 85%; P<0.01). Few significant differences were found in online social networking or mobile phone use between stimulant-using and non-stimulant-using MSM, even when stratified by engagement in HIV care. Findings indicate that stimulant use is uniquely associated with nonengagement in HIV medical care in this sample, and that it may be possible to reach stimulant-using MSM using online social networking and mobile technologies. |
| format | Article |
| id | doaj-art-fe101f77247449009ea86723d21a0704 |
| institution | Kabale University |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-fe101f77247449009ea86723d21a07042025-02-03T01:07:58ZengWileyAIDS Research and Treatment2090-12402090-12592013-01-01201310.1155/2013/121352121352Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with MenKeith J. Horvath0Adam W. Carrico1Jane Simoni2Edward W. Boyer3K. Rivet Amico4Andy E. Petroll5Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Avenue, Milwaukee, WI 53202, USASchool of Nursing, University of California, San Francisco 2 Koret Way, San Francisco, CA 94143, USADepartment of Psychology, University of Washington, Box 351525, Seattle, WA 98195-1525, USADepartment of Emergency Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USACenter for Health, Intervention and Prevention, University of Connecticut, 2006 Hillside Road, Unit 1248, Storrs, CT 06269-1248, USACenter for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit Avenue, Milwaukee, WI 53202, USAAims of this study were to assess the associations between stimulant use and attitudes toward and engagement in HIV medical care and to examine technology use among stimulant-using and nonstimulant-using men who have sex with men (MSM). HIV-positive MSM (n=276; mean age = 42 years; 71% white, non-Hispanic; 43% with college degree) completed an online survey in 2009. Most men (69%) had not missed any scheduled HIV medical appointments in the past year, while 23% had missed at least one, and 9% had not attended any appointments. Stimulant use was significantly associated with not attending any HIV medical appointments in the unadjusted model (relative risk ratio (RRR)=2.84, 95% CI [1.07, 7.58]), as well as in models adjusted for demographic (RRR=3.16, 95% CI [1.13, 8.84]) and psychosocial (RRR=3.44, 95% CI [1.17, 10.15]) factors (Ps<0.05). Fewer stimulant-using than non-stimulant-using men rated HIV medical care a high priority (57% versus 85%; P<0.01). Few significant differences were found in online social networking or mobile phone use between stimulant-using and non-stimulant-using MSM, even when stratified by engagement in HIV care. Findings indicate that stimulant use is uniquely associated with nonengagement in HIV medical care in this sample, and that it may be possible to reach stimulant-using MSM using online social networking and mobile technologies.http://dx.doi.org/10.1155/2013/121352 |
| spellingShingle | Keith J. Horvath Adam W. Carrico Jane Simoni Edward W. Boyer K. Rivet Amico Andy E. Petroll Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men AIDS Research and Treatment |
| title | Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men |
| title_full | Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men |
| title_fullStr | Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men |
| title_full_unstemmed | Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men |
| title_short | Engagement in HIV Medical Care and Technology Use among Stimulant-Using and Nonstimulant-Using Men who have Sex with Men |
| title_sort | engagement in hiv medical care and technology use among stimulant using and nonstimulant using men who have sex with men |
| url | http://dx.doi.org/10.1155/2013/121352 |
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