HIV and Substance Use Disorders

Authors

Audun J. Lier, Renaissance School of Medicine at Stony Brook University; Northport Veterans Administration Medical Center, 79 Middleville Road, Northport, NY 11768, USA.
Adati Tarfa, Yale University School of Medicine, 135 College Street, Suite 280, New Haven, CT 06510, USA.
Sheela V. Shenoi, Veterans Administration Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516, USA; Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT 06510, USA.
Irene Kuo, Department of Epidemiology, The George Washington University, Milken Institute School of Public Health, 950 New Hampshire Avenue Northwest, Suite 500, Washington, DC 20052, USA.
Sandra A. Springer, Veterans Administration Connecticut Healthcare System, 950 Campbell Avenue, West Haven, CT 06516, USA; Yale University School of Medicine, 135 College Street, Suite 323, New Haven, CT 06510, USA. Electronic address: Sandra.Springer@yale.edu.

Document Type

Journal Article

Publication Date

9-1-2024

Journal

Infectious disease clinics of North America

Volume

38

Issue

3

DOI

10.1016/j.idc.2024.06.003

Keywords

HIV; Integrated care; Substance use disorder

Abstract

Over 1.2 million Americans aged 13 years and older have been diagnosed with human immunodeficiency virus (HIV). While HIV incidence has been declining since 2017, the risk of HIV acquisition and transmission persists among persons who use drugs via injection drug use and unprotected sexual intercourse associated with substance use. Untreated substance use disorder (SUD) is associated with poor adherence to HIV antiretroviral therapy, poor HIV outcomes, and increased risk for HIV acquisition. Herein, we describe the intertwined syndemic of HIV and SUD, as well as treatment strategies and evidence-based public health efforts to engage and retain persons who use drugs into care.

APA Citation

Lier, Audun J.; Tarfa, Adati; Shenoi, Sheela V.; Kuo, Irene; and Springer, Sandra A., "HIV and Substance Use Disorders" (2024). GW Authored Works. Paper 5739.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/5739

Department

Epidemiology