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Titolo:
Influence of injection drug use behavior on reported antiretroviral therapy use among women in the HIV epidemiology research study: On-site versus referral care
Autore:
Rompalo, AM; Shah, N; Mayer, K; Schuman, T; Klein, RS; Smith, DK; Vlahov, D;
Indirizzi:
Johns Hopkins Univ, Sch Med, Baltimore, MD 21287 USA Johns Hopkins Univ Baltimore MD USA 21287 ch Med, Baltimore, MD 21287 USA Johns Hopkins Univ, Sch Publ Hlth, Baltimore, MD USA Johns Hopkins Univ Baltimore MD USA iv, Sch Publ Hlth, Baltimore, MD USA Brown Univ, Sch Med, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 niv, Sch Med, Providence, RI 02912 USA Wayne State Univ, Sch Med, Detroit, MI USA Wayne State Univ Detroit MI USA yne State Univ, Sch Med, Detroit, MI USA Montefiore Med Ctr, Bronx, NY 10467 USA Montefiore Med Ctr Bronx NY USA 10467 efiore Med Ctr, Bronx, NY 10467 USA Albert Einstein Coll Med, Bronx, NY 10467 USA Albert Einstein Coll Med Bronx NY USA 10467 Coll Med, Bronx, NY 10467 USA Ctr Dis Control & Prevent, Div AIDS Res, Atlanta, GA USA Ctr Dis Control &Prevent Atlanta GA USA , Div AIDS Res, Atlanta, GA USA New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA New York Acad Med New York NY USA an Epidemiol Studies, New York, NY USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 1, volume: 28, anno: 2001,
pagine: 28 - 34
SICI:
1525-4135(20010901)28:1<28:IOIDUB>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL-TRIALS; INFECTION; DISEASE; COHORT; AIDS;
Keywords:
antiretroviral therapy; HIV; injection drug use; HAART;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Rompalo, AM Johns Hopkins Univ, Sch Med, Room 447,1830 E Monument St, Baltimore, MD 21287 USA Johns Hopkins Univ Room 447,1830 E Monument St Baltimore MD USA 21287
Citazione:
A.M. Rompalo et al., "Influence of injection drug use behavior on reported antiretroviral therapy use among women in the HIV epidemiology research study: On-site versus referral care", J ACQ IMM D, 28(1), 2001, pp. 28-34

Abstract

Background: HIV-infected injection drug users consistently report poor antiretroviral therapy use and little contact with health care providers. It has been suggested that the clinical setting where patients are seen affectsthe use of highly active antiretroviral therapy. Objectives: The purpose of this study was to determine whether ease of access to medical care affects self-report of taking antiretroviral therapy, particularly among female injection drug users. Design: The study is a cross-sectional analysis from a prospective cohort study of HIV-infected women. Setting: Women were enrolled at four sites in the United States: Detroit, Michigan, and Providence, Rhode Island, where on-site HIV care and treatment were offered, and Baltimore, Maryland, and the Bronx, New York, where allparticipants were referred elsewhere for HIV care and treatment. Patients: Patients were HIV-infected women with no AIDS diagnosis or womenwho were at risk for HIV infection either through self-reported injection drug use since 1985 or through sexual contact. Measurements: The study measured self-reported use of antiretroviral therapy (ART) alone or combined with Pneumocystis carinii (PCP) prophylaxis in the previous 6 months. Results: In multivariate analysis including type of study site (on-site compared with referral care) and injection drug use, any self-reported ART use associated with low CD4 cell count category, older age, and race. However, at on-site care centers, women were equally likely to report ART use regardless of current, former, or no injection drug use, whereas at referral sites only women identified as sexual contacts were more likely to report anyART use, independent of all other variables. Conclusions: Easy access to medical care has an important impact on HIV-infected women receiving ART, particularly those who are active injection drug users.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 04:17:04