Continuing Links Between Substance Use and HIV Highlight the Importance of Nursing Roles

Research output: Contribution to journalArticle

Abstract

Links between HIV and substance use were identified early in the U.S. HIV epidemic. People who use drugs are at risk of HIV infection through shared injection equipment and risky sexual behaviors. In addition, substance use has negative health consequences for people living with HIV. The prescription opioid misuse epidemic, linked to injection drug use, hepatitis C infection, and HIV, poses a new threat to declining HIV rates. We reviewed evidence-based interventions that decrease HIV risk in people who use drugs (needle/syringe programs, medication-assisted treatment, engagement in HIV care, and preexposure prophylaxis/postexposure prophylaxis). The critical roles of nurses in HIV prevention/care for this population are described, including applying the principles of harm reduction, screening for substance use, and undertaking implementation and research efforts. As the nation's largest health care profession, nurses are positioned to contribute to the quality of HIV-related prevention/care for people who use drugs and to lead practice initiatives.

Original languageEnglish (US)
Pages (from-to)622-632
Number of pages11
JournalJournal of the Association of Nurses in AIDS Care
Volume28
Issue number4
DOIs
StatePublished - Jul 2017

Keywords

  • HIV
  • interventions
  • nursing roles
  • substance use

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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