Evidence map›Paper›PMID 28881318›Full record

ArticleDrug and alcohol dependence2017

Alcohol and substance use diagnoses among HIV-positive patients receiving care in NYC clinic settings.

Sitaji Gurung, Ana Ventuneac, Demetria Cain, Chloe Mirzayi, Christopher Ferraris, H Jonathon Rendina, Martha A Sparks, Jeffrey T Parsons

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 1 country.

Sitaji GurungThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA; The CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
Ana VentuneacThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA; Icahn School of Medicine at Mount Sinai, Division of Infectious Diseases, New York, NY, USA.
Demetria CainThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA.
Chloe MirzayiThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA; The CUNY Graduate School of Public Health and Health Policy, New York, NY, USA.
Christopher FerrarisInstitute for Advanced Medicine, Mount Sinai St. Luke's and Mount Sinai West Hospitals, New York, NY, USA.
H Jonathon RendinaThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA; Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA; Health Psychology and Clinical Science Doctoral Program, The Graduate Center of the City University of New York (CUNY), New York, NY, USA.
Martha A SparksIcahn School of Medicine at Mount Sinai, Department of Psychiatry, New York, NY, USA.
Jeffrey T ParsonsThe Center for HIV/AIDS Educational Studies and Training (CHEST), New York, NY, USA; Department of Psychology, Hunter College of the City University of New York (CUNY), New York, NY, USA; Health Psychology and Clinical Science Doctoral Program, The Graduate Center of the City University of New York (CUNY), New York, NY, USA. Electronic address: Jeffrey.Parsons@hunter.cuny.edu.
City University of New York · USIcahn School of Medicine at Mount Sinai · USAmerican College of Chest Physicians · USCenter for Children · USLesbian, Gay, Bisexual and Transgender Community Center · USMount Sinai Hospital · US

Funding

A Structural Intervention to Improve Substance Abuse Diagnosis and Treatment Practices in HIV Clinic SettingsR01DA041072 · NIDA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VENTUNEAC, ANA MARIA · 2015 to 2019
$3.8M
Improving HIV and Alcohol-Related Outcomes among HIV+ Persons in Clinic SettingsR01AA022302 · NIAAA · HUNTER COLLEGE · PI STARKS, TYREL J · 2013 to 2017
$3.2M
Developing a mobile emotion regulation intervention for HIV-positive menK01DA039030 · NIDA · HUNTER COLLEGE · PI RENDINA, H. JONATHON · 2015 to 2018
$743k
NIAAA NIH HHS R01 AA022302NIDA NIH HHS K01 DA039030NIDA NIH HHS R01 DA041072
6 · The paper itself

Abstract

backgroundSubstance use among HIV-positive persons exacerbates health problems. This study sought to estimate the prevalence of alcohol and drug-use diagnoses and examined hypothesized predictors associated with alcohol and drug-use diagnoses among HIV-positive patients in New York City (NYC).

methodsThis cohort study reviewed electronic medical records (EMRs) of 4965 HIV-positive patients based on diagnostic codes. These patients attended a comprehensive care clinic in NYC in 2012. Multinomial logistic regression was used to predict the odds of classification into substance use diagnosis grouping.

resultsOf the full sample, only 12.7% of patients had an alcohol use diagnosis documented in their EMR compared with more than one-quarter (26.4%) of patients having a recorded drug use diagnosis (p<0.001). Compared with the No Alcohol or Drugs group, the regression model showed that older age and having a recent inpatient hospital stay independently predicted being in the Alcohol Only group; years living with HIV, having an unsuppressed viral load, and having a recent inpatient hospital stay were associated with higher odds of being in the Drugs Only and Alcohol and Drugs groups; and being women and men who have sex with men (MSM) were associated with decreased odds of being in the Drugs Only and Alcohol and Drugs groups.

conclusionsSubstance use diagnosis was associated with viremia and low CD4 counts and hospital stays. This implies that providers should screen for substance use in HIV-positive patients with poor health. Further examination of the extent of such comorbidity is instrumental for intervention efforts.

Indexed as

Ambulatory Care FacilitiesCohort StudiesComorbidityHIV InfectionsHumansLogistic ModelsNew York CityPrevalenceSubstance-Related DisordersViral LoadAlcohol useDrug useHIV

Identifiers

PMID28881318
PMCPMC5648608
OpenAlexW2745632609

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.