Table 2.
Associations between substance-related factors and HVL and ART adherence for HIV-infected adults on ART reporting past 30-day substance use or with past 12-month substance dependence (n = 202).
| Characteristic | HIV viral load
|
ART Adherencea
|
||||
|---|---|---|---|---|---|---|
| <200 copies/mL n (%) n = 158 | ≥200 copies/mL n (%) n = 44 | p value | ≥90% n (%) n = 149 | <90% n (%) n = 51 | p value | |
| Main independent variables | ||||||
| No. heavy drinking days (median, IQR)b,c | 1 (0–4) | 2 (0–13) | 0.092 | 0 (0–4) | 2 (0–16) | <0.001 |
| Marijuana used | 79 (50.0) | 18 (40.9) | 0.286 | 67 (45.0) | 28 (54.9) | 0.220 |
| Cocaine used | 43 (27.2) | 15 (34.1) | 0.373 | 35 (23.5) | 21 (42.2) | 0.015 |
| No. DSM IV substance dependence criteria met, past 12 monthse | ||||||
| Alcohol (median, IQR) | 4 (0–7) | 6 (2–7) | 0.032 | 4 (0–7) | 6 (2–7) | 0.116 |
| Drug (median, IQR) | 5 (2–7) | 7 (6–7) | 0.001 | 5 (1–7) | 6 (4–7) | 0.003 |
| Secondary independent variables | ||||||
| Tobacco use | 121 (76.6) | 38 (86.4) | 0.161 | 114 (76.5) | 44 (86.3) | 0.140 |
| Heavy alcohol usec,f | 81 (51.3) | 26 (59.1) | 0.202 | 72 (48.3) | 34 (66.7) | 0.059 |
| Heroin use | 25 (15.8) | 7 (15.9) | 0.989 | 18 (12.1) | 14 (27.5) | 0.010 |
| Rx opioid useg | 24 (15.2) | 6 (13.6) | 0.798 | 21 (14.1) | 9 (17.6) | 0.540 |
| Tranquilizer or sedative useg | 15 (9.5) | 3 (6.8) | 0.582 | 12 (8.1) | 6 (11.8) | 0.424 |
| No. drinking days (median, IQR) | 3 (0–10) | 5 (0–17) | 0.119 | 2 (0–9) | 8 (1–19) | 0.001 |
| No. drug use days (median, IQR) | 5 (0–25) | 6 (0–20) | 0.534 | 4 (0–21) | 17 (2–28) | 0.017 |
| > 1 substance use (in a day) | 44 (27.8) | 12 (27.3) | 0.940 | 35 (23.5) | 19 (37.3) | 0.056 |
| Injection drug use | 17 (10.8) | 7 (15.9) | 0.351 | 12 (8.1) | 12 (23.5) | 0.003 |
| Alcohol and drug dependencee | 80 (50.6) | 29 (65.9) | 0.072 | 73 (49.0) | 34 (66.7) | 0.029 |
Note: ART – antiretroviral, IQR – interquartile range, Rx – prescription.
n = 2 missing,
≥4 drinks in a day for women or ≥5 drinks in a day for men,
30-day Timeline follow back,
Addiction severity index, past 30-day use,
MINI (past 12-month, number of DSM-IV criteria),
≥4 drinks in a day or > 7 in a week for women or ≥5/14 for men,
illicit use.