Prevalence and correlates of HIV risk among adolescents and young adults reporting drug use: Data from an urban Emergency Department in the U.S

Erin E Bonar; Lauren K Whiteside; Maureen A Walton; Marc A Zimmerman; Brenda M Booth; Frederic C Blow; Rebecca Cunningham

Prevalence and correlates of HIV risk among adolescents and young adults reporting drug use: Data from an urban Emergency Department in the U.S

J HIV AIDS Soc Serv. 2014 Jun 1;28(2):625-630.

Authors

Erin E Bonar¹, Lauren K Whiteside², Maureen A Walton³, Marc A Zimmerman⁴, Brenda M Booth⁵, Frederic C Blow⁶, Rebecca Cunningham⁷

Affiliations

¹ University of Michigan, Addiction Research Center, Department of Psychiatry, Ann Arbor, MI.
² University of Washington, Division of Emergency Medicine, Seattle, Washington.
³ University of Michigan, Addiction Research Center, Department of Psychiatry, Ann Arbor, MI ; University of Michigan Injury Center, University of Michigan, Ann Arbor, Michigan.
⁴ University of Michigan Injury Center, University of Michigan, Ann Arbor, Michigan ; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan.
⁵ University of Arkansas for Medical Sciences, Department of Psychiatry, Little Rock, AR, 72205, USA ; Center for Mental Healthcare Outcomes and Research, Central Arkansas Veterans Healthcare System, North Little Rock, AR, 72114, USA.
⁶ University of Michigan, Department of Psychiatry, Ann Arbor, Michigan ; VA Ann Arbor Healthcare System, VA Center for Clinical Management Research, Ann Arbor, Michigan ; VA Ann Arbor Healthcare System, VA Serious Mental Illness Treatment and Evaluation Center (SMITREC), Ann Arbor, Michigan.
⁷ University of Michigan Injury Center, University of Michigan, Ann Arbor, Michigan ; Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan ; Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan.

PMID: 25126024
PMCID: PMC4128093

Abstract

Adolescents and young adults who use substances are at particularly high risk for contracting Human Immunodeficiency Virus (HIV). The Emergency Department (ED) is a critical location for HIV prevention for at-risk youth. To inform future interventions in the ED, this study identifies correlates of HIV risk behaviors among substance using youth seeking ED care. Among 600 14-24-year-olds with past 6-month drug use, bivariate correlates of HIV risk included: older age, female gender, depressive symptoms, alcohol use, marijuana use, other drug use, and dating, peer, and community violence. Regression analyses indicated that older age, marijuana use, and dating violence were positively related to HIV risk. Results suggest HIV prevention efforts for youth in the urban ED should address marijuana use and dating violence as well as sexual risk behaviors.

Abstract

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