|Titre :||Methamphetamine abuse as a barrier to HIV medication adherence among gay and bisexual men|
|Titre traduit :||(L'abus de méthamphétamines comme obstacle à l'adhésion au traitement pour le VIH parmi des hommes homosexuels ou bisexuels.)|
|Auteurs :||REBACK C. J. ; LARKINS S. ; S. SHOPTAW|
|Type de document :||Périodique|
|Année de publication :||2003|
|Note générale :||
AIDS Care, 2003, 15, (6), 775-785
|Discipline :||MAL (Maladies infectieuses / Infectious diseases)|
Thésaurus TOXIBASEMETHAMPHETAMINE ; ABUS ; SEXE MASCULIN ; VIH ; OBSERVANCE DU TRAITEMENT ; MOTIVATION
Medication adherence among persons with HIV infection is important not only because of the effect of non-adherence on an individual's health but also because non-adherence can lead to medication-resistant viral strains. However, adherence to HIV medications is difficult due to complex dosing regimens and side effects. This paper is a qualitative analysis of HIV medication adherence among gay and bisexual methamphetamine-abusing men enrolled in an outpatient drug treatment research project. As part of an open-ended, semi-structured interview, 23 HIV infected men discussed the effects of their methamphetamine use on their medication adherence. Substance-use barriers to adherence were coded into two main themes: (1) planned non-adherence and (2) unplanned non-adherence. Planned non-adherence was a strategy for coping with demanding HIV medication schedules, or was linked to sexual behaviours while using methamphetamine or to fears of interaction effects from mixing methamphetamine with HIV medications. Participants did not define their medication regimen adjustments as non-adherence but as a way to achieve a sense of control over their lives. Unplanned non-adherence was linked to methamphetamine-related disruptions in food and sleep schedules. Findings are helpful in designing culturally specific HIV medication adherence interventions for this population. (Author' s abstract)
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||58|
Friends Research Institute, UCLA Integrated Substance Abuse Programs and Van Ness Recovery House/Prevention Division, Los Angeles, CA.
Etats-Unis. United States.
|Numéro Toxibase :||207118|
|Centre Emetteur :||02 Coordonnateur|