1. Substance Use Disorders in People Living with HIV
Nicole Ennis, PhD
Director, intervention Research Advancing Care Equity Lab (iRACE)
Assistant Professor, Clinical and Health Psychology
University of Florida
May 11, 2017

2. Objectives
Estimate the prevalence of alcohol and drug use among persons with HIV in the U.S.
Estimate the prevalence of alcohol and drug use among persons with HIV in Florida
Identify the relationship of alcohol and drug use with HIV treatment outcomes
Discuss intervention techniques for substance use disorder in people living with HIV

4. Hartzler, et al 2017

5. How Does Alcohol and Other Substance Use Relate to HIV?
Poor Medication Adherence
Sexual Risk Behaviors
Declining Health
Liver damage now a leading cause of mortality in PLWH
Impaired Cognitive Functioning
Associated with increased mortality in PLWH

6. Role of Behavioral Medicine
Adherence to cART & Healthy Lifestyle
Managing Mental Health Disorder
Managing Behavioral Health Disorders
Social Network Insufficiency

7. Brief Intervention as a First Step?
15-20 minutes
Empathic, culturally-sensitive
Feedback
Goal Setting
Follow-Up

8. Summary
Estimate the prevalence of alcohol and drug use among persons with HIV in the U.S.
Based on data published in 2017 we know the prevalence of any substance use is 48%
Estimate the prevalence of alcohol and drug use among persons with HIV in Florida
Prevalence in Florida is similar on many substance but higher for cocaine/crack
Identify the relationship of alcohol and drug use with HIV treatment outcomes
Durable viral suppression appears to be negatively impacted by substance use
Discuss intervention techniques for substance use disorder in people living with HIV
MFR-DPF

9. For more information contact: Dr. Nicole Ennis, Ph. D
For more information contact: Dr. Nicole Ennis, Ph.D. Assistant Professor Department of Clinical and Health Psychology College of Public Health and Health Professions