Impact of intensity of behavioral treatment, with or without medication treatment, for opioid use disorder on HIV outcomes in persons with HIV

被引：1

作者：

Kennedy, Amy J. ^{[1
,14
]}

McGinnis, Kathleen A. ^{[2
]}

Merlin, Jessica S. ^{[1
]}

Edelman, E. Jennifer ^{[3
,4
]}

Gordon, Adam J. ^{[5
,6
]}

Korthuis, P. Todd ^{[7
]}

Skanderson, Melissa ^{[2
]}

Williams, Emily C. ^{[8
,9
]}

Wyse, Jessica ^{[10
,11
]}

Oldfield, Benjamin ^{[3
]}

Bryant, Kendall ^{[12
]}

Justice, Amy ^{[2
,3
]}

Fiellin, David A. ^{[3
,4
]}

Kraemer, Kevin L. ^{[1
,13
]}

机构：

[1] Univ Pittsburgh, Div Gen Internal Med, Pittsburgh, PA USA

[2] VA Connecticut Healthcare Syst, West Haven, CT USA

[3] Yale Sch Med, Dept Internal Med, New Haven, CT USA

[4] Yale Sch Publ Hlth, Ctr Interdisciplinary Res AIDS, New Haven, CT USA

[5] Univ Utah, Program Addict Res Clin Care Knowledge & Advocacy, Dept Internal Med, Div Epidemiol, Salt Lake City, UT USA

[6] VA Salt Lake City Hlth Care Syst, Informat Decis Enhancement & Analyt Sci Ctr, Salt Lake City, UT USA

[7] Oregon Hlth & Sci Univ, Div Gen Internal Med, Sect Addict Med, Portland, OR 97201 USA

[8] Univ Washington, VA Puget Sound Healthcare Syst, Dept Hlth Serv, Seattle, WA 98195 USA

[9] Seattle Denver Ctr Innovat Vet Centered & Value D, Hlth Serv Res & Dev, VA Puget Sound Healthcare Syst, Seattle, WA USA

[10] VA Portland Healthcare Syst, Portland, OR USA

[11] Oregon Hlth & Sci Univ, Sch Publ Hlth, Portland, OR 97201 USA

[12] NIAAA, Bethesda, MD USA

[13] VA Pittsburgh Healthcare Syst, Pittsburgh, PA USA

[14] Los Angeles Cty Dept Hlth Serv, Los Angeles, CA USA

来源：

JOURNAL OF SUBSTANCE ABUSE TREATMENT | 2022年 / 132卷

基金：

美国国家卫生研究院;

关键词：

HIV; Opioid use disorder; Veterans; Medication treatment; Behavioral treatment; SUBSTANCE-ABUSE TREATMENT; CARE; BUPRENORPHINE/NALOXONE; PHARMACOTHERAPY; THERAPY;

D O I：

10.1016/j.jsat.2021.108509

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: Persons with HIV (PWH) and opioid use disorder (OUD) can have poor health outcomes. We assessed whether intensity of behavioral treatment for OUD (BOUD) with and without medication for OUD (MOUD) is associated with improved HIV clinical outcomes. Methods: We used Veterans Aging Cohort Study (VACS) data from 2008 to 2017 to identify PWH and OUD with 0.01). VL, CD4 count and VACS Index 2.0 did not differ by BOUD or 6 months of MOUD treatment. Conclusion: Among PWH and OUD who initiated BOUD, higher intensity BOUD was associated with improved ART initiation and adherence, but neither BOUD alone nor BOUD plus >6 months MOUD was associated with improvements in VL, CD4 count or VACS Index 2.0.

引用

页数：7

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