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AJPH First Look, published online ahead of print Apr 16, 2009
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June 2009, Vol 99, No. 6 | American Journal of Public Health 1045-1049
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.139931

RESEARCH AND PRACTICE

Hospitalized HIV-Infected Patients in the Era of Highly Active Antiretroviral Therapy

Lisa R. Metsch, PhD, Christine Bell, MPH, Margaret Pereyra, DrPH, Gabriel Cardenas, MPH, Tanisha Sullivan, BA, Allan Rodriguez, MD, Lauren Gooden, MPH, Nayla Khoury, BA, Tamy Kuper, BA, Toye Brewer, MD and Carlos del Rio, MD

Lisa R. Metsch, Margaret Pereyra, Gabriel Cardenas, Lauren Gooden, and Tamy Kuper are with the Department of Epidemiology and Public Health, Miller School of Medicine, University of Miami, Miami, FL. Christine Bell, Tanisha Sullivan, Nayla Khoury, and Carlos del Rio are with Emory University, Atlanta, GA. Allan Rodriguez and Toye Brewer are with the Department of Medicine, Miller School of Medicine, University of Miami, Miami.

Correspondence: Reprint requests should be sent to Lisa R. Metsch, 1120 NW 14th St, Room 917, Miami, Florida 33136 (e-mail: lmetsch{at}med.miami.edu).

We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack cocaine and heavy drinking were associated with never having had an HIV-care provider, high-risk sexual behavior, and not receiving antiretroviral therapy. Inpatient interventions that link and retain HIV-positive persons in primary care services could prevent HIV transmission and unnecessary hospitalizations.




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