Web of Science: 24 cites, Scopus: 23 cites, Google Scholar: cites,
Recreational drug use among individuals living with HIV in Europe : review of the prevalence, comparison with the general population and HIV guidelines recommendations
Garin, Noe (Institut d'Investigació Biomèdica Sant Pau)
Velasco, Cesar (ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic - Universitat de Barcelona)
De Pourcq, Jan T. (Institut d'Investigació Biomèdica Sant Pau)
Lopez, Belen (Pharmacy Department, Hospital del Mar - Parc de Salut Mar)
Gutierrez, Maria del Mar (Institut d'Investigació Biomèdica Sant Pau)
Haro Abad, Josep Maria. (Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III)
Feliu, Anna (Institut d'Investigació Biomèdica Sant Pau)
Mangues, Maria A. (Institut d'Investigació Biomèdica Sant Pau)
Trilla, Antoni (ISGlobal, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic - Universitat de Barcelona)
Universitat Autònoma de Barcelona

Data: 2015
Resum: Background: Adherence problems, interactions and higher rate of risk activities have been observed in HIV individuals using recreational drugs. Our aim was to describe recreational drug use in both HIV individuals and general population in Europe, and to assess at what extent HIV guidelines address this issue. Methods: Data on recreational drug use across Europe were obtained from the European Monitoring Centre for Drugs and Drug Addiction for the general population, and through Pubmed search. for HIV patients. We assessed the incorporation of recreational drug issues in HIV treatment guidelines for the following topics: (a) recreational drugs; (b) adherence to antiretrovirals; (c) interactions; (d) transmission risk. Guidelines included: World Health Organization; European Aids Clinical Society; U. S. Department of Health and Human Services; International Antiviral Society-USA; and seven European national guidelines. Results: 29 countries reported recreational drug use in general population. The highest prevalences were observed for Cannabis (i. e. , 8-10% in Spain, France, and Czech Republic) followed by cocaine, amphetamines and ecstasy. The 13 studies selected in the systematic review showed a great variability in recreational drug use on the HIV population. Apart from classical recreational drugs, we found a relevant use of new drugs including sexual experience enhancers. Polydrug consumption was about 50% in some studies. Most guidelines included general information about recreational drugs, showing great variability on the inclusion of the evaluated topics. We found more specific, evidence-based recommendations on interactions, followed by medication adherence and transmission risk. Conclusions: Available data on the people living with HIV suggest a higher use of recreational drugs than in the general population, which is already relevant. However, recreational drug issues should be included or addressed more thoroughly in most guidelines.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: article ; recerca ; publishedVersion
Matèria: Recreational drugs ; HIV ; Prevalence ; Guidelines ; Recommendations ; Interactions ; Medication adherence ; Transmission risk
Publicat a: Frontiers in microbiology, Vol. 6 (july 2015) , ISSN 1664-302X

DOI: 10.3389/fmicb.2015.00690
PMID: 26236288

10 p, 1.8 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació Biomèdica Sant Pau
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 Registre creat el 2018-01-31, darrera modificació el 2020-10-08

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