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Up to one third of HIV-positive patients obtain much of their care in acute care hospitals, according to some studies. To learn more about factors associated with high-risk sexual behavior and use of HIV services in urban settings, researchers interviewed 1038 HIV-positive patients who had been hospitalized at academic medical centers in Miami and Atlanta. Interviews were conducted during 2006 and 2007 as part of the screening process for Project HOPE, a randomized controlled trial of a brief intervention for HIV-positive crack cocaine users. Of the cohort, 60% were men, 71% were aged >40, 82% were black, and 56% reported an annual income <US$5000; 34% reported crack cocaine use, and 32% reported heavy alcohol use.
Although 68% of participan…