| Titre : | Barriers to use of free antiretroviral therapy in injection drug users. (1998) |
| Auteurs : | S.A. STRATHDEE ; P.G.A. CORNELISSE ; R.S. HOGG ; J.S.G. MONTANER ; M.V. O'SHAUGHNESSY ; A. PALEPU ; M.T. SCHECHTER ; B. YIP ; British Columbia Centre for Excellence in Hiv. Aids. St Paul's Hospital. Vancouver British Columbia. CAN ; Department of Health Care and Epidemiology. Faculty of Medicine. University of British Columbia. Vancouver British Columbia. CAN ; Department of Medicine. Faculty of Medicine. University of British Columbia. Vancouver British Columbia. CAN |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (n° 6, 1998) |
| Pagination : | 547-549 |
| Langues: | Anglais |
| Mots-clés : | Toxicomanie ; Sida ; Virose ; Infection ; Rétrovirus ; Virus ; Comportement ; Malade ; Médecin ; Thérapeutique médicamenteuse ; Thérapeutique ; Utilisation ; Toxicomane ; Homme ; Canada ; Amérique du Nord ; Amérique ; Immunopathologie ; Profession santé |
| Résumé : | [BDSP. Notice produite par INIST AF7zR0xn. Diffusion soumise à autorisation]. Context. - In British Columbia, human immunodeficiency virus (HIV) - infected persons eligible for antiretroviral therapy may receive it free but the extent to which HIV-infected injection drug users access it is unknown. Objective. - To identify patient and physician characteristics associated with antiretroviral therapy utilization in HIV-infected injection drug users. Design. - Prospective cohort study with record linkage between survey data and data from a provincial HIV/AIDS (acquired immunodeficiency syndrome) drug treatment program. Setting. - British Columbia, where antiretroviral therapies are offered free to all persons with HIV infection with CD4 cell counts less than 0.50x109/L (500/muL) and/or HIV-1 RNA levels higher than 5000 copies/mL. Subjects. - A total of 177 HIV-infected injection drug users eligible for antiretroviral therapy, recruited through the prospective cohort study since May 1996. Main Outcome Measures. - Patient use of antiretroviral drugs through the provincial drug treatment program and physician experience treating HIV infection. Results. - After a median of 11 months after first eligibility, only 71 (40%) of 177 patients had received any antiretroviral drugs, primarily double combinations (47/71 [66% ]). Both patient and physician characteristics were associated with use of antiretroviral drugs. (...) |
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