Neighborhood-level and individual-level correlates of cannabis use among young persons living with HIV/AIDS.

TitleNeighborhood-level and individual-level correlates of cannabis use among young persons living with HIV/AIDS.
Publication TypePublication
Year of Publication2015
AuthorsBruce D, Kahana SY, Bauermeister JA, Nichols SL, Hightow-Weidman LB, Heinze JE, Shea J, M Fern√°ndez I
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalDrug Alcohol Depend
Volume151
Pagination173-80
Date Published2015 Jun 01
ISSN1879-0046
KeywordsAdolescent, Adult, Age Factors, Bisexuality, Cross-Sectional Studies, Female, Health Status, HIV Infections, Homicide, Homosexuality, Humans, Linear Models, Male, Marijuana Smoking, Mental Health, Neuropsychological Tests, Residence Characteristics, Socioeconomic Factors, Young Adult
Abstract

<p><b>INTRODUCTION: </b>In addition to individual characteristics, there may be a wide range of environmental or neighborhood stressors that contribute to elevated cannabis use in groups of youth living with HIV/AIDS (YLHIV); however, the effects of social disorganization on cannabis use in YLHIV to date have not been studied.</p><p><b>METHODS: </b>We examined the effects of individual-level and neighborhood-level factors by developing hierarchical generalized linear models estimating odds of current cannabis use (any use during the past 3 months) and daily cannabis use among a sample of YLHIV (N = 1921) currently receiving medical care.</p><p><b>RESULTS: </b>The final model for daily cannabis use in the past 3 months included significant positive effects associated with hostility (O.R. = 1.08, 95% C.I.: 1.05, 1.11), being older (O.R. = 1.12, 95% C.I.: 1.05, 1.20), being a bisexual male (O.R. = 1.72, 95% C.I.: 1.10, 2.70), and residing in a community with a murder rate in the highest quartile (O.R. = 1.91, 95% C.I.: 1.27, 2.87), second highest quartile (O.R. = 1.62, 95% C.I.: 1.06, 2.46), or third highest quartile (O.R. = 1.52, 95% C.I.: 1.01, 2.30).</p><p><b>DISCUSSION: </b>This paper advances our knowledge of the multilevel factors associated with elevated cannabis use among groups of YLHIV and furthers our understanding of social and structural determinants of health in this population. Future research into cannabis use among YLHIV should consider, not only cannabis use within the context of the adjustment of living with HIV/AIDS, but also the stressors that characterize the environments in which groups of YLHIV live.</p>

DOI10.1016/j.drugalcdep.2015.03.017
Alternate JournalDrug Alcohol Depend
PubMed ID25858786
PubMed Central IDPMC4447557
Grant ListU01 HD 040533 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
U01 HD 040474 / HD / NICHD NIH HHS / United States
K01 MH089838 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
UL1 TR001082 / TR / NCATS NIH HHS / United States
K01MH089838 / MH / NIMH NIH HHS / United States