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Methamphetamine Use Drives Decreases in Viral Suppression for People Living with HIV Released from a Large Municipal Jail: Results of the LINK LA Clinical Trial (Drug and Alcohol Dependence)

Publication Topics

African-American; Hispanic/Latino; Alcohol Use

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Journal Article

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<a onclick="OpenPopUpPage('http:\u002f\\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1628\u0026RootFolder=*', RefreshPage); return false;" href=";ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1628&amp;RootFolder=*">David Goodman-Meza</a>

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​People living with HIV (PLWH) often experience decreases in HIV viral suppression (VS) after release from jail. The Linking Inmates to Care in LA (LINK LA) peer navigation intervention helped maintain VS 12 months after release from jail compared to standard of care. In this study, authors analyzed correlates of substance use and tested whether substance use was an independent correlate of decreased VS in LINK LA participants. Study authors analyzed LINK LA data collected at baseline, 3, and 12 months. They defined high-risk drug use as any reported methamphetamine, cocaine, or opioid use in the 30 days prior to a study visit (or jail entry at baseline). Generalized linear mixed models were used to test associations of sociodemographic variables with type of substance used, and we tested correlates of VS while controlling for time, the intervention, and their interaction.

At baseline (n = 356), 71% of participants reported high-risk drug use: 58%, methamphetamine; 17%, cocaine; 7%, heroin; and 4%, prescription opioids. Non-Hispanic Whites and those younger than 35 were most likely to use methamphetamine; Blacks were most likely to use cocaine; people who inject drugs were most likely to use opioids. Participants who used high-risk drugs had 53% lower adjusted odds than non-users of maintaining VS). Authors concluded that  high-risk drug use, dominated by methamphetamine use, independently correlated with decreased VS among recently incarcerated PLWH. Improving HIV care continuum outcomes among


Article 1

Journal Article: Methamphetamine Use Drives Decreases in Viral Suppression for People Living with HIV Released from a Large Municipal Jail: Results of the LINK LA Clinical Trial

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Version: 3.0
Created at 9/10/2019 11:37 AM by i:0#.f|uclachissqlmembershipprovider|bhan
Last modified at 9/12/2019 3:07 PM by i:0#.f|uclachissqlmembershipprovider|celeste