254322 Drug treatment utilization among adults receiving HIV prevention services in Los Angeles County

Tuesday, October 30, 2012 : 11:10 AM - 11:30 AM

Jo Brocato, PhD , School of Social Work, California State University Long Beach, Long Beach, CA
Dennis Fisher, PhD , Center for Behavioral Research and Services, California State University, Long Beach, Long Beach, CA
Grace L. Reynolds, DPA , Center for Behavioral Research and Services, California State University, Long Beach, Long Beach, CA
Mike Janson, MPH , Division of HIV and STD Programs, Los Angeles County Department of Public Health, County of Los Angeles, Department of Public Health, Los Angeles, CA
Background: 23.1 million individuals meet the diagnostic criteria for a substance use disorder and are in need of treatment, yet only about 10% receive treatment. Risk behaviors for HIV among illicit drug users are endemic. Less than half of AOD treatment programs offer testing for HIV or STIs. Methods: Data were from 1189 respondents who reported using 1 or more illicit drugs in the past 30 days and were sampled in the Countywide Risk Assessment Survey (CRAS) conducted by 51 HIV prevention contractors in Los Angeles County CA. Results: A logistic regression model determined that those respondents who accessed drug treatment were more likely to: use a needle exchange, use mental health, HIV, and STD treatment services. They were also more likely to be involved with child welfare. Those who accessed AOD treatment had more concurrent sex partners and used a greater number of drugs, particularly heroin, methamphetamine, and crack cocaine, than those who did not. They were also more likely to be HIV+. Conclusions: This analysis of data from a community-based sample of illicit drug users found further evidence of the critical importance of integrating AOD treatment and HIV services. Findings also indicate a need to screen for STIs among those accessing AOD treatment and to focus on safer sex practices regarding concurrent relationships. Mental health and child welfare agencies were found to be potential linkage points for HIV prevention services.

Learning Areas:
Chronic disease management and prevention
Public health or related organizational policy, standards, or other guidelines
Social and behavioral sciences

Learning Objectives:
1. List factors associated with AOD treatment utilization. 2. Name other services used by those accessing AOD treatment services. 3. Identify HIV risk behaviors of those in AOD treatment. 4. Identify settings for intervening with illicit drug users.

Keywords: Access and Services, Drug Abuse

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The project was supported by the National Center On Minority Health and Health Disparities.I have been on the faculty of the School of Social Work since 2008. For the past ten years I have developed, directed, and evaluated programs in both community-based and secure custody settings. I have presented research at national and international conferences and my scholarship includes HIV and drug use, alternatives to incarceration and reentry for drug users, and harm reduction.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.