期刊
AIDS AND BEHAVIOR
卷 21, 期 7, 页码 1996-2004出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-017-1716-7
关键词
HIV; Cannabis; Drug users; No-show patients; Adherence
资金
- National Institutes of Health [P30-AI110527]
- National Institute on Drug Abuse at the National Institutes of Health [R03-DA039743, R25-DA035692]
- Brown University - National Institutes of Health (National Institute on Drug Abuse) [T32-DA013911]
- Brown University - National Institutes of Health (National Institute for Mental Health) [R25-MH083620]
We assessed the association between marijuana use and retention in HIV care through a retrospective cohort study of patients engaged in care at a large HIV clinic in 2011 and 2012. Two different retention outcomes were assessed: not meeting the Institute of Medicine's (IOM) retention definition (>2 provider visits >90 days apart in a calendar year) and no-show visits. Any marijuana use and frequency of marijuana use were obtained from a substance use screening questionnaire administered at each clinic visit. Modified Poisson regression was used to estimate risk ratios and 95% confidence intervals for the association between marijuana use and retention outcomes. Marijuana use was reported by 17% of 1791 patients and 21% were not retained (IOM definition). Marijuana use was not associated with the IOM retention outcome, but was associated with missing the next scheduled appointment. A non-linear dose-response was observed for frequency of marijuana use and missed visits, with daily users having the highest risk compared to non-users. Daily marijuana use had a negative impact on HIV clinic attendance. Further research is needed to elucidate the mechanisms by which marijuana use affects this outcome to inform targeted interventions.
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