Magazine article Clinical Psychiatry News

Provider Relationship Key in HIV Rx Adherence: Substance Abusers on HAART. (Drug Treatment, Highly Active Antiretroviral Treatment)

Magazine article Clinical Psychiatry News

Provider Relationship Key in HIV Rx Adherence: Substance Abusers on HAART. (Drug Treatment, Highly Active Antiretroviral Treatment)

Article excerpt

MIAMI -- A good patient-provider relationship significantly improves adherence to highly active antiretroviral treatment among substance abusers who are HIV positive, Yves Jeanty reported in a poster presentation at a meeting sponsored by the American Foundation for AIDS Research.

About 25% of AIDS cases in the United States involve injection drug use. HIV-positive substance abusers are less likely to receive health care and adhere to complicated highly active antiretroviral therapy (HAART) regimens, said Mr. Jeanty, project director, department of epidemiology and public health, University of Miami.

Other factors that correlated with 90% or better adherence to HAART included having a higher number of physician appointments and receiving fast follow-up after initial diagnosis, according to results of a study by Mr. Jeanty and coworker Lisa R. Metsch, Ph.D. They enrolled 130 HIV-positive injecting drug users and chronic drug users between 1998 and 2000 using snowball sampling, a technique whereby initial participants refer researchers to additional candidates.

The participants answered a questionnaire about beliefs and behaviors regarding their HIV care in the previous 12 months. …

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