| Titre : | Helping the urban poor stay with antiretroviral HIV drug therapy : Action Point services include counseling, medication, cash incentives, and even e-mail reminders. (2000) |
| Auteurs : | J.D. BAMBERGER ; M. CHESNEY ; M. FRASER ; M.H. KATZ ; M.P. Klein ; J. UNICK ; San Francisco Department of Public Health. Calif. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 5, 2000) |
| Pagination : | 699-701 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Homme ; Milieu urbain ; Facteur socioéconomique ; Pauvreté ; Thérapeutique ; Thérapeutique médicamenteuse ; Médicament antiviral ; Observance thérapeutique ; Lutte contre sida ; Programme santé ; Etats Unis ; Amérique ; Epidémiologie ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST aDVS3R0x. Diffusion soumise à autorisation]. Recent studies have documented dramatic decreases in opportunistic infections, hospitalizations, and mortality among HIV-infected persons, owing primarily to the advent of highly active antiretroviral medications. 1,2 Unfortunately, not all segments of the population living with HIV benefit equally from treatment. In San Francisco, only about 30% of the HIV-infected urban poor take combination highly active antiretroviral medications, 3 as compared with 88% of HIV-infected gay men. 4 Practitioners who care for the urban poor are reluctant to prescribe these medications, fearing inadequate or inconsistent adherence to the complicated medical regimen. Persons typically must take 2 to 15 pills at a time, 2 to 3 times a day. Some of the medications require refrigeration, which may not be available to the homeless poor. Most homeless persons do not have food available to them on a consistent schedule. Therefore, they may have difficulty adhering to instructions to take medications only on an empty stomach or with food. Lack of a safe place to store medications may be an issue for some. In addition, many urban poor live with drug, alcohol, or mental health problems, which can interfere with taking medications as prescribed. Inconsistent adherence to medication regimens has serious consequences. Patients do not benefit fully from treatments, and they will become resistant to the medications in their regimen. (...) |
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