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  Vol. 280 No. 6, August 12, 1998 TABLE OF CONTENTS
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Adherence and Antiretroviral Therapy in Injection Drug Users

Renslow Sherer, MD

JAMA. 1998;280:567-568.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The intertwined epidemics of human immunodeficiency virus (HIV) infection and chemical dependency continue to be a challenge for optimal medical care delivery in the era of potent antiretroviral therapy. In this issue of JAMA, Celentano et al1 report a cross-sectional survey in 404 injecting drug users (IDUs) with HIV infection in Baltimore, Md, from mid-1996 to mid-1997 in which only 57 (14%) of 404 patients reported receiving potent antiretroviral therapy. Sixty-three percent of patients reported receiving no (49%) or inadequate (14%) therapy. Active injecting drug use, lack of advanced disease (acquired immunodeficiency syndrome [AIDS]), not being in a substance abuse treatment program, and not having a usual source of primary care or health insurance were associated with not receiving therapy.

In a second study in this issue, Strathdee et al2 report similar findings among 177 IDUs in Vancouver, British Columbia, during a similar period but in . . . [Full Text of this Article]

From the Cook County HIV Center, Division of Infectious Disease, Department of Medicine, Cook County Hospital and Rush Medical College, Chicago, Ill.



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