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Current HIV/AIDS Reports
Erschienen in: Current HIV/AIDS Reports 4/2012

01.12.2012 | Behavioral Aspects of HIV Management (RJ DiClemente and JL Brown, Section Editors)

Current Interventions to Reduce Sexual Risk Behaviors and Crack Cocaine Use among HIV-Infected Individuals

verfasst von: Wendee M. Wechsberg, Carol Golin, Nabila El-Bassel, Jessica Hopkins, William Zule

Erschienen in: Current HIV/AIDS Reports | Ausgabe 4/2012

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Abstract

The dual global epidemics of crack cocaine use and HIV have resulted in a large number of people living with HIV who use crack cocaine, many of whom continue to engage in unprotected sex. Crack use also increases the rate of HIV progression. Consequently, there is an urgent need for effective interventions to decrease crack use and unprotected sex and to improve antiretroviral therapy (ART) adherence in this population. This article reviews the recent published literature on interventions for reducing crack use and unprotected sex among people living with HIV. Only a few intervention outcome studies targeting exclusively HIV positive crack cocaine users were identified, whereas other studies used a mixed sample. Some interventions focused on reducing crack use and several focused on reducing sex-risk behaviors. Consequently, there is a critical need for efficacious interventions that address crack use, risky sex and ART adherence among people living with HIV.
Literatur
1.
Inciardi JA. Editor's introduction. The crack epidemic revisited. J Psychoactive Drugs. 1992;24:305–6.PubMedCrossRef
2.
3.
Fischer B, Coghlan M. Crack use in North American cities: the neglected 'epidemic'. Addiction. 2007;102:1340–1.PubMedCrossRef
4.
Draus PJ, Carlson RG. Change in the scenery: an ethnographic exploration of crack cocaine use in rural Ohio. J Ethn Subst Abuse. 2007;6:81–107.PubMedCrossRef
5.
Ilse J, Prinzleve M, Zurhold H, et al. Cocaine and crack use and dependence in Europe—Experts view on an increasing public health problem. Addict Res Theory. 2006;14:437–52.CrossRef
6.
Vivancos R, Maskrey V, Rumball D, Harvey I, Holland R. Crack/cocaine use in a rural county of England. J Public Health. 2006;28:96–103.CrossRef
7.
Needle R, Kroeger K, Belani H, et al. Sex, drugs, and HIV: rapid assessment of HIV risk behaviors among street-based drug using sex workers in Durban, South Africa. Soc Sci Med. 2008;67:1447–55.PubMedCrossRef
8.
Parry CDH, Bhana A, Plüddemann A, et al. The South African Community Epidemiology Network on Drug Use (SACENDU): description, findings (1997–99), and policy implications. Addiction. 2002;97:969–76.PubMedCrossRef
9.
Pechansky F, Woody G, Inciardi J, et al. HIV seroprevalence among drug users: an analysis of selected variables based on 10 years of data collection in Porto Alegre, Brazil. Drug Alcohol Depend. 2006;82 Suppl 1:S109–13.PubMedCrossRef
10.
Falck RS, Wang J, Carlson RG. Crack cocaine trajectories among users in a midwestern American city. Addiction. 2007;102:1421–31.PubMedCrossRef
11.
Wechsberg WM, Novak SP, Zule WA, et al. Sustainability of intervention effects of an evidence-based HIV prevention intervention for African American women who smoke crack cocaine. Drug Alcohol Depend. 2010;109:205–12.PubMedCrossRef
12.
Hser YI, Huang D, Brecht ML, Li L, Evans E. Contrasting trajectories of heroin, cocaine, and methamphetamine use. J Addict Dis. 2008;27:13–21.PubMedCrossRef
13.
Falck RS, Wang J, Siegal HA, Carlson RG. The prevalence of psychiatric disorder among a community sample of crack cocaine users: an exploratory study with practical implications. J Nerv Ment Dis. 2004;192:503–7.PubMedCrossRef
14.
Fischer B, Rudzinski K, Ivsins A, et al. Social, health and drug use characteristics of primary crack users in 3 mid-sized communities in British Columbia, Canada. Drugs Educ Prev Policy. 2010;17:333–53.CrossRef
15.
Logan TK, Leukefeld C. Sexual and drug use behaviors among female crack users: a multi-site sample. Drug Alcohol Depend. 2000;58:237–45.PubMedCrossRef
16.
Wechsberg WM, Dennis ML, Stevens SJ. Cluster analysis of HIV intervention outcomes among substance-abusing women. Am J Drug Alcohol Abuse. 1998;24:239–57.PubMedCrossRef
17.
Edlin BR, Irwin KL, Faruque S, et al. Intersecting epidemics-crack cocaine use and HIV infection among inner-city young adults. New Eng J Med. 1994;331:1422–7.PubMedCrossRef
18.
Wilson T, DeHovitz JA. STDs, HIV, and crack cocaine: a review. AIDS Patient Care STDS. 1997;1:62–6.CrossRef
19.
Marx R, Aral SO, Rolfs RT, Sterk CE, Kahn JG. Crack, sex, and STD. Sex Trans Dis. 1991;18:92–101.CrossRef
20.
21.
Inciardi J. HIV/AIDS risks among male, heterosexual noninjecting drug users who exchange crack for sex. NIDA Res Monogr. 1994;143:26–40.PubMed
22.
Draus PJ, Carlson RG. “The game turns on you”: crack, sex, gender, and power in small-town Ohio. J Contemp Ethnogr. 2009;38:384–408.CrossRef
23.
El-Bassel N, Schilling RF, Irwin KL, et al. Sex trading and psychological distress among women recruited from the streets of Harlem. Am J Public Health. 1997;87:66–70.PubMedCrossRef
24.
Deren S, Stark M, Rhodes F, et al. Drug-using men who have sex with men: sexual behaviors and sexual identities. Cult Health Sex. 2001;3:329–38.CrossRef
25.
Hatfield LA, Horvath KJ, Jacoby SM, Simon Rosser BR. Comparison of substance use and risky sexual behavior among a diverse sample of urban, HIV-positive men who have sex with men. J Addict Diss. 2009;28:208–18.CrossRef
26.
Tobin KE, German D, Spikes P, Patterson J, Latkin C. A comparison of the social and sexual networks of crack-using and non-crack using African American men who have sex with men. J Urban Health. 2011;88:1052–62.PubMedCrossRef
27.
Kuo I, Greenberg AE, Magnus M, et al. High prevalence of substance use among heterosexuals living in communities with high rates of AIDS and poverty in Washington, DC. Drug Alcohol Depend. 2011;117:139–44.PubMedCrossRef
28.
Brecht ML, Huang D, Evans E, Hser YI. Polydrug use and implications for longitudinal research: ten-year trajectories for heroin, cocaine, and methamphetamine users. Drug Alcohol Depend. 2008;96:193–201.PubMedCrossRef
29.
Staines GL, Magura S, Foote J, Deluca A, Kosanke N. Polysubstance use among alcoholics. J Addict Dis. 2001;20:53–69.PubMedCrossRef
30.
Harrell PT, Mancha BE, Petras H, Trenz RC, Latimer WW. Latent classes of heroin and cocaine users predict unique HIV/HCV risk factors. Drug Alcohol Depend. 2012;122:220–7.PubMedCrossRef
31.
Garrity TF, Leukefeld CG, Carlson RG, et al. Physical health, illicit drug use, and demographic characteristics in rural stimulant users. J Rural Health. 2007;23:99–107.PubMedCrossRef
32.
Baum MK, Rafie C, Lai S, et al. Crack-cocaine use accelerates HIV disease progression in a cohort of HIV-positive drug users. J Acquir Immune Defic Syndr. 2009;50:93–9.PubMedCrossRef
33.
Baum MK, Rafie C, Lai S, et al. Alcohol use accelerates HIV disease progression. AIDS Res Hum Retroviruses. 2010;26:511–8.PubMedCrossRef
34.
Sharpe TT, Lee LM, Nakashima AK, Elam-Evans LD, Fleming PL. Crack cocaine use and adherence to antiretroviral treatment among HIV-infected black women. J Community Health. 2004;29:117–27.PubMedCrossRef
35.
McCoy CB, Weatherby NL, Metsch LR, et al. Effectiveness of HIV interventions among crack users. Drugs Soc. 1996;9:137–54.CrossRef
36.
Wechsberg WM, Lam WK, Zule WA, Bobashev G. Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers. Am J Public Health. 2004;94:1165–73.PubMedCrossRef
37.
• Aharonovich E, Greenstein E, O’Leary A, et al. HealthCall: technology-based extension of motivational interviewing to reduce non-injection drug use in HIV primary care patients-a pilot study. AIDS Care. 2012. [Epub ahead of print]. This pilot study assessed the impact of adding automated interactive voice response (IVR), a telephone-based technology, to a brief motivational interviewing (MI) intervention on drug use outcomes among a sample of HIV-positive, non-injecting drug users. At 60-day follow-up, the effect size for between-group differences moderate (d = 0.62; P = 0.13) that favored the technology-enhanced arm. Adding IVR to a brief MI intervention may be a feasible low-cost way to improve outcomes in this population.
38.
•• Feaster DJ, Mitrani VB, Burns MJ, et al. A randomized controlled trial of Structural Ecosystems Therapy for HIV medication adherence and substance abuse relapse prevention. Drug Alcohol Depend. 2010;111:227–34. This study described a family-based, structural intervention designed to improve drug use and medication adherence outcomes in HIV-positive, drug-using females (cocaine had to be either the women’s primary or secondary drug of choice). Females in the intervention condition did not show positive improvements in either outcome. PubMedCrossRef
39.
•• Ingersoll KS, Farrell-Carnahan L, Cohen-Filipic J, et al. A pilot randomized clinical trial of 2 medication adherence and drug use interventions for HIV+ crack cocaine users. Drug Alcohol Depend. 2011;116:177–87. This study compared the effects of a counseling intervention with a video-based control group on reducing crack cocaine use and increasing highly active antiretroviral therapy (HAART) adherence in a small sample of HIV-positive people who used crack cocaine. Crack cocaine use decreased and HAART adherence increased in both groups, but there were no significant between-group differences. Video-based interventions, which require fewer resources than traditional counseling. PubMedCrossRef
40.
Miller WR, Rollnick S. Motivational interviewing. Preparing people for change. 2nd ed. New York: Guilford Press; 2002.
41.
42.
Szapocznik J, Feaster DJ, Mitrani VB, et al. Structural ecosystems therapy for HIV-seropositive African American women: effects on psychological distress, family hassles, and family support. J Consult Clin Psychol. 2004;72:288–303.PubMedCrossRef
43.
Meade CS, Drabkin AS, Hansen NB, et al. Reductions in alcohol and cocaine use following a group coping intervention for HIV-positive adults with childhood sexual abuse histories. Addiction. 2010;105:1942–51.PubMedCrossRef
44.
Folkman S. Personal control and stress and coping processes: a theoretical analysis. J Pers Soc Psychol. 1984;46:839–52.PubMedCrossRef
45.
Sikkema KJ, Hansen NB, Kochman A, et al. Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: reductions in traumatic stress. AIDS Behav. 2007;11:49–60.PubMedCrossRef
46.
•• Williams M, Bowen A, Atkinson JS, et al. An assessment of brief group interventions to increase condom use by heterosexual crack smokers living with HIV infection. AIDS Care. 2012;24:220–31. This intervention had the largest sample of crack cocaine users among all of the interventions reviewed in this article. Both the intervention group and the control group (a standard, informational intervention) saw initial significantly positive changes in condom use outcomes. However, improvement in condom use decayed over time in the intervention group, whereas improvements in the control group were sustained. PubMed
47.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.
48.
Dees SM, Dansereau DF, Simpson DD. Mapping-enhanced drug abuse counseling: urinalysis results in the first year of methadone treatment. J Subst Abuse Treat. 1997;14:45–54.PubMedCrossRef
49.
Lovejoy TI, Heckman TG, Suhr JA, et al. Telephone-administered motivational interviewing reduces risky sexual behavior in HIV-positive late middle-age and older adults: a pilot randomized controlled trial. AIDS Behav. 2011;15:1623–34.PubMedCrossRef
50.
Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. applications to addictive behaviors. Am Psychol. 1992;47:1102–14.PubMedCrossRef
51.
Cosio D, Heckman TG, Anderson T, et al. Telephone-administered motivational interviewing to reduce risky sexual behavior in HIV-infected rural persons: a pilot randomized clinical trial. Sex Transm Dis. 2010;37:140–6.PubMedCrossRef
52.
Chariyeva Z, Golin CE, Earp JA, et al. The role of self-efficacy and motivation to explain the effect of motivational interviewing time on changes in risky sexual behavior among people living with HIV: a mediation analysis. AIDS Behav. 2012.
53.
Milam J, Richardson JL, Espinoza L, Stoyanoff S. Correlates of unprotected sex among adult heterosexual men living with HIV. J Urban Health. 2006;83:669–81.PubMedCrossRef
54.
Kalichman SC, Eaton L, White D, et al. Beliefs about treatments for HIV/AIDS and sexual risk behaviors among men who have sex with men, 1997–2006. J Behav Med. 2007;30:497–503.PubMedCrossRef
55.
Crepaz N, Hart T, Marks G. Highly active antiretroviral therapy and sexual risk behavior: a meta-analytic review. JAMA. 2004;292:224–36.PubMedCrossRef
56.
van Kesteren NM, Hospers HJ, Kok G. Sexual risk behavior among HIV-positive men who have sex with men: a literature review. Patient Educ Couns. 2007;65:5–20.PubMedCrossRef
57.
Stall R, Mills TC, Williamson J, et al. Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men. Am J Public Health. 2003;93:939–42.PubMedCrossRef
58.
Metsch LR, Pereyra M, Messinger S, et al. HIV transmission risk behaviors among HIV infected persons who are successfully linked to care. Clin Infect Dis. 2008;47:577–84.PubMedCrossRef
59.
Kalichman SC. Psychological and social correlates of high-risk sexual behavior among men and women living with HIV/AIDS. AIDS Care. 1999;11:415–27.PubMedCrossRef
60.
Rogers CR. The necessary and sufficient conditions of therapeutic personality change. J Consult Psychol. 1957;21:95–103.PubMedCrossRef
61.
Golin CE, Earp JA, Grodensky CA, et al. Longitudinal effects of SafeTalk, a motivational interviewing-based program to improve safer sex practices among people living with HIV/AIDS. AIDS Behav. 2011;6:1182–91.
Metadaten
Titel
Current Interventions to Reduce Sexual Risk Behaviors and Crack Cocaine Use among HIV-Infected Individuals
verfasst von
Wendee M. Wechsberg
Carol Golin
Nabila El-Bassel
Jessica Hopkins
William Zule
Publikationsdatum
01.12.2012
Verlag
Current Science Inc.
Erschienen in
Current HIV/AIDS Reports / Ausgabe 4/2012
Print ISSN: 1548-3568
Elektronische ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-012-0131-y

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