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Access to Antiretroviral Therapy
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To the Editor: Dr Shapiro and colleagues1 analyzed the care received by a cohort of more than 2000 US adults infected with human immunodeficiency virus (HIV). Suboptimal access to care was seen for blacks, Latinos, the uninsured, those insured by Medicaid, women, and persons with a presumed HIV exposure other than men who have had sex with men. For 696 persons included in the last group, the reported HIV exposure was injection drug use. However, no data are presented on the actual injection drug use at the time of the study, and whether these persons received care in opioid maintenance treatment programs (eg, methadone or heroin).
Persons who acquired HIV infection through intravenous drug use but then become abstinent or participate in opioid maintenance programs may have better access to care than other active intravenous drug users. At the end of 1997, the physicians who were caring for the Swiss . . . [Full Text of this Article]
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