Comorbid substance use among persons with HIV and chronic pain

Lum, Paula J.; Bruce, Robert D.

doi:10.1002/9781118777374.ch9

Cited by 3 publications

(3 citation statements)

References 114 publications

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“…Of all current cases of HIV in the US, over 50% are persons 50 and older. Older adults living with HIV often present with unique complications due to high rates of multi-morbidity (Rodriguez-Penney et al, 2013;Sangarlangkarn & Appelabaum, 2016), including chronic pain and substance use (Edelman, Tetrault, & Fiellin, 2014;Jiao et al, 2016;Lum & Bruce, 2016;Parsons, Starks, Millar, Boonrai, & Marcotte, 2014). Such multi-morbidity results in, at a minimum, poor health outcomes and high health care utilization (DeLorenze, Tsai, Horberg, & Quesenberry, 2014;Jiao et al, 2016;Parsons et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Daily factors driving daily substance use and chronic pain among older adults with HIV: An exploratory study using ecological momentary assessment

Kuerbis

Reid

Lake

et al. 2019

Alcohol

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Background: Adults 50 and older make up approximately 50% of persons living with HIV. Multiple co-morbidities are common among this group, including chronic pain and substance abuse, yet little is known about the daily factors that either enhance or inhibit these experiences or behaviors. This study explored daily drivers of substance use, pain, and relief from pain among older adults living with HIV utilizing ecological momentary assessment (EMA).Method: Participants (N=55), ages 49-71, completed seven consecutive days of daily EMA online surveys prior to treatment initiation within a randomized controlled trial. Multilevel

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Section: Introductionmentioning

confidence: 99%

Daily factors driving daily substance use and chronic pain among older adults with HIV: An exploratory study using ecological momentary assessment

Kuerbis

Reid

Lake

et al. 2019

Alcohol

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“… 1 - 5 Chronic pain is associated with missed healthcare visits, poor adherence to anti-retroviral therapy (ART), lower CD4 + cell counts, and substance use disorders for PWH. 4 , 6 , 7 Another unfortunate consequence of chronic pain is stigmatization. Many chronic pain conditions are “non-specific” in nature, and non-specific chronic pain deviates from the commonly held belief that pain is the direct result of an identifiable injury or pathology.…”

Section: Introductionmentioning

confidence: 99%

Intersectional HIV and Chronic Pain Stigma: Implications for Mood, Sleep, and Pain Severity

Hobson

Gilstrap

Owens

et al. 2022

J Int Assoc Provid AIDS Care

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“…Further, known risk factors for substance use and substance use disorders are common among PLWH. These include poverty, unemployment, unstable housing and homelessness, incarceration, chronic pain, adverse childhood experiences, continuous traumatic stress, substance-use related stigma, and difficulties accessing high-quality substance use and mental health treatment and harm reduction services [ 20 , 24 ]. Although rates of substance use are not higher among AABL PLWH compared to White PLWH [ 20 , 25 ], AABL PLWH do commonly experience greater harms associated with substance use, including complex internalized stigma and challenges to engagement along the HIV care continuum as a result of substance use [ 25 – 27 ].…”

Section: Introductionmentioning

confidence: 99%

African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems: A Latent Class Analysis

et al. 2021

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Substance use problems are highly prevalent among persons living with (PLWH) in the United States and serve as serious barriers to engagement in HIV care. Yet, in contrast to studies of single substances, little is known about patterns of polysubstance use in this population. Moreover, other risk factors (e.g., financial hardship, incarceration, homelessness, and mental health distress) are also prevalent and complicate HIV management. The present study drew on a cross-sectional survey with African American/Black and Latino (AABL) adult PLWH from low socioeconomic status backgrounds in New York City who were insufficiently engaged in HIV care and evidenced detectable HIV viral load ( N = 512). We used latent class analysis (LCA) to explore patterns of polysubstance use and their relationships to financial hardship, incarceration, homelessness, and mental health. LCA yielded three substance use classes: Class 1, a high polysubstance use/high-risk substance use class (9%); Class 2, a polysubstance use/moderate substance use risk class (18%); and Class 3, a moderate polysubstance use/moderate-to-low-risk substance use class (74%). Mental health symptoms were prevalent in all classes, but Class 1 had greater mental health distress than the other two classes. Current homelessness was more prevalent in Classes 1 and 2. We cannot end the HIV epidemic without engaging and treating AABL PLWH who have serious barriers to engagement along the HIV care continuum, and who evidence polysubstance use along with co-occurring risk factors. Clinical settings can develop outreach and engagement approaches to bring this subpopulation of PLWH into care settings, and further, specialized services are needed to successfully screen, treat, and retain them.

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Comorbid substance use among persons with HIV and chronic pain

Cited by 3 publications

References 114 publications

Daily factors driving daily substance use and chronic pain among older adults with HIV: An exploratory study using ecological momentary assessment

Daily factors driving daily substance use and chronic pain among older adults with HIV: An exploratory study using ecological momentary assessment

Intersectional HIV and Chronic Pain Stigma: Implications for Mood, Sleep, and Pain Severity

African American/Black and Latino Adults with Detectable HIV Viral Load Evidence Substantial Risk for Polysubstance Substance Use and Co-occurring Problems: A Latent Class Analysis

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