Historique
Périodique
Use of antiretroviral therapies by HIV-infected persons receiving methadone maintenance
(Traitement par antirétroviraux de personnes contaminées par le VIH en traitement de maintenance à la méthadone.)
Auteur(s) :
STEIN, M. D. ;
URDANETA M. E. ;
CLARKE, J. ;
MAKSAD, J. ;
SOBOTA, M. ;
HANNA, L. ;
MARKSON, L. E.
Année :
2000
Page(s) :
85-94
Langue(s) :
Anglais
Refs biblio. :
21
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus mots-clés
TRAITEMENT DE MAINTENANCE
;
ANTIRETROVIRAUX
;
METHADONE
;
VIH
;
ACCES AUX SOINS
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Addictive Diseases, 2000, 19, (1), 85-94
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
Les personnes en traitement de maintenance à la méthadone recoivent souvent leurs soins médicaux (notamment les traitement antirétroviraux - TAR), dans des lieux séparés. 72 personnes de Rhode Island dans ce cas ont été interviewées de septembre 1997 à mars 1998. 83% d'entre-elles qui ont un taux de CD4
ENGLISH :
HIV-infected persons receiving methadone maintenance must often seek their medical care at a separate site. However, little data is available on the receipt of antiretroviral therapy (ART), beliefs about ART, and influences on the decision to initiate ART among those referred off-site. HIV-infected injection drug users (n = 72) were interviewed at three methadone maintenance programs; 83% with CD4 cell counts under 500 reported that they had received ART. Of these persons, 56% had used three drug combination therapy. Beliefs about the benefits of ART included: increased survival, 96%; decreased viral load 87%; decreased HIV-related infections 87%; could cure HIV, 29%. For those receiving ART, physician input, CD4 count, and possible side effects were more important than friends, family or mass media in deciding to start ART. We conclude that the model of referral for HIV care off-site does not appear to impede access to ART for HIV-infected IDUs in methadone maintenance. (Author' s abstract)
Les personnes en traitement de maintenance à la méthadone recoivent souvent leurs soins médicaux (notamment les traitement antirétroviraux - TAR), dans des lieux séparés. 72 personnes de Rhode Island dans ce cas ont été interviewées de septembre 1997 à mars 1998. 83% d'entre-elles qui ont un taux de CD4
ENGLISH :
HIV-infected persons receiving methadone maintenance must often seek their medical care at a separate site. However, little data is available on the receipt of antiretroviral therapy (ART), beliefs about ART, and influences on the decision to initiate ART among those referred off-site. HIV-infected injection drug users (n = 72) were interviewed at three methadone maintenance programs; 83% with CD4 cell counts under 500 reported that they had received ART. Of these persons, 56% had used three drug combination therapy. Beliefs about the benefits of ART included: increased survival, 96%; decreased viral load 87%; decreased HIV-related infections 87%; could cure HIV, 29%. For those receiving ART, physician input, CD4 count, and possible side effects were more important than friends, family or mass media in deciding to start ART. We conclude that the model of referral for HIV care off-site does not appear to impede access to ART for HIV-infected IDUs in methadone maintenance. (Author' s abstract)
Affiliation :
Div. Gen. Intern. Med., Rhode Island Hosp., 593 Eddy St., Providence, RI 02903
Etats-Unis. United States.
Etats-Unis. United States.