Substance Use Disorders in People Living with HIV

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Presentation transcript:

Substance Use Disorders in People Living with HIV Nicole Ennis, PhD Director, intervention Research Advancing Care Equity Lab (iRACE) Assistant Professor, Clinical and Health Psychology University of Florida May 11, 2017

Objectives Estimate the prevalence of alcohol and drug use among persons with HIV in the U.S. Estimate the prevalence of alcohol and drug use among persons with HIV in Florida Identify the relationship of alcohol and drug use with HIV treatment outcomes Discuss intervention techniques for substance use disorder in people living with HIV

Hartzler, et al 2017

How Does Alcohol and Other Substance Use Relate to HIV? Poor Medication Adherence Sexual Risk Behaviors Declining Health Liver damage now a leading cause of mortality in PLWH Impaired Cognitive Functioning Associated with increased mortality in PLWH

Role of Behavioral Medicine Adherence to cART & Healthy Lifestyle Managing Mental Health Disorder Managing Behavioral Health Disorders Social Network Insufficiency

Brief Intervention as a First Step? 15-20 minutes Empathic, culturally-sensitive Feedback Goal Setting Follow-Up

Summary Estimate the prevalence of alcohol and drug use among persons with HIV in the U.S. Based on data published in 2017 we know the prevalence of any substance use is 48% Estimate the prevalence of alcohol and drug use among persons with HIV in Florida Prevalence in Florida is similar on many substance but higher for cocaine/crack Identify the relationship of alcohol and drug use with HIV treatment outcomes Durable viral suppression appears to be negatively impacted by substance use Discuss intervention techniques for substance use disorder in people living with HIV MFR-DPF

For more information contact: Dr. Nicole Ennis, Ph. D For more information contact: Dr. Nicole Ennis, Ph.D. Assistant Professor Department of Clinical and Health Psychology College of Public Health and Health Professions Email: nwhitehead@phhp.ufl.edu