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Adherence and Antiretroviral Therapy in Injection Drug Users
Renslow Sherer, MD
JAMA. 1998;280:567-568.
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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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