Impact of drug abuse treatment modalities on adherence to ART/HAART among a cohort of HIV seropositive women

被引：30

作者：

Kapadia, Farzana ^{[1
]}

Vlahov, David ^{[1
]}

Wu, Yingfeng ^{[1
]}

Cohen, Mardge H. ^{[2
,3
]}

Greenblatt, Ruth M. ^{[4
,5
]}

Howard, Andrea A. ^{[6
,7
]}

Cook, Judith A. ^{[8
]}

Goparaju, Lakshmi ^{[9
]}

Golub, Elizabeth ^{[10
]}

Richardson, Jean ^{[11
]}

Wilson, Tracey E. ^{[12
]}

机构：

[1] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY USA

[2] CORE Ctr, Cook Cty Bureau Hlth Serv, Chicago, IL USA

[3] Rush Med Coll, Dept Med, Chicago, IL 60612 USA

[4] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

[5] Univ Calif San Francisco, Dept Epidemiol, San Francisco, CA 94143 USA

[6] Montefiore Med Coll, Dept Epidemiol & Populat Hlth, New York, NY USA

[7] Albert Einstein Coll Med, New York, NY USA

[8] Mental Hlth Serv Res NRTC, Chicago, IL USA

[9] Georgetown Univ Med Ctr, Washington, DC USA

[10] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[11] Univ So Calif & Los Angeles Cty, Keck Sch Med, Los Angeles, CA USA

[12] Suny Downstate Med Ctr, Dept Prevent Med & Community Hlth, Brooklyn, NY 11203 USA

来源：

AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE | 2008年 / 34卷 / 02期

关键词：

adherence; antiretroviral therapy; drug abuse treatment modality; human immunodeficiency virus;

D O I：

10.1080/00952990701877052

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Methadone maintenance is associated with improved adherence to antiretroviral therapies among HIV-positive illicit drug users; however, little information exists on whether adherence is associated with different drug abuse treatment modalities. Using longitudinal data from the Women's Interagency HIV Study, we evaluated the relationship between drug abuse treatment modality and adherence to antiretroviral therapies. In prospective analyses, individuals who reported accessing any drug abuse treatment program were more likely to report adherence to antiretroviral regimens >= 95% of the time (AOR = 1.39, 95% CI = 1.01-1.92). Involvement in either a medication-based or medication-free program was similarly associated with improved adherence. Drug abuse treatment programs, irrespective of modality, are associated with improved adherence to antiretroviral therapies among drug users. Concerted efforts to enroll individuals with drug use histories in treatment programs are warranted to improve HIV disease outcomes.

引用

页码：161 / 170

页数：10

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