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Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users.

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Title: Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users.
Authors: Loughlin, A. (AUTHOR), Metsch, L. (AUTHOR), Gardner, L. (AUTHOR), Anderson-mahoney, P. (AUTHOR), Barrigan, M. (AUTHOR), Strathdee, S. (AUTHOR)
Source: AIDS Care. May2004, Vol. 16 Issue 4, p485-500. 16p.
Subjects: HIV infections, Drug abuse, Population, Social services, Mental health, Antiviral agents
Abstract: We aimed to identify factors associated with a medical provider's resistance to prescribing HAART to medically-eligible HIV-infected illicit drug users. In four US cities, a mailed, self- administered survey queried 420 HIV care providers about patients' characteristics and barriers to care. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were estimated using logistic regression. Providers identified as resistant to prescribing HAART to medically-eligible HIV-infected illicit drug users were more likely to be non-physicians (AOR = 1.89, 95% CI: 1.04-3.46), to work in populations with a high prevalence of both mental illness (AOR =2.42; 95% CI: 1.11-5.26) and injection drug use (AOR = 1.82 95% CI: 1.02-3.25) and were deterred from prescribing HAART by patients' limited ability to keep appointments, (AOR =3.19; 95% CI: 1.39-7.37), alcoholism (AOR = 1.92; 95% CI: 1. 04-3. 55) and homelessness (AOR = 1.81; 95% CI: 1.07-3.06). Providers working in populations with a high injection drug use prevalence commonly reported higher prevalence of non-injection drug use, alcohol problems and mental illness, and higher antiretroviral therapy refusal rates within their patient populations. Our findings underscore the challenges to providers who treat HIV-infected drug users and suggest that their care and treatment would benefit from on-site drug treatment, mental health and social services. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users.
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  Data: <searchLink fieldCode="AR" term="%22Loughlin%2C+A%2E%22">Loughlin, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Metsch%2C+L%2E%22">Metsch, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gardner%2C+L%2E%22">Gardner, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson-mahoney%2C+P%2E%22">Anderson-mahoney, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barrigan%2C+M%2E%22">Barrigan, M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee%2C+S%2E%22">Strathdee, S.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2004, Vol. 16 Issue 4, p485-500. 16p.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abuse%22">Drug abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Population%22">Population</searchLink><br /><searchLink fieldCode="DE" term="%22Social+services%22">Social services</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Antiviral+agents%22">Antiviral agents</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: We aimed to identify factors associated with a medical provider's resistance to prescribing HAART to medically-eligible HIV-infected illicit drug users. In four US cities, a mailed, self- administered survey queried 420 HIV care providers about patients' characteristics and barriers to care. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were estimated using logistic regression. Providers identified as resistant to prescribing HAART to medically-eligible HIV-infected illicit drug users were more likely to be non-physicians (AOR = 1.89, 95% CI: 1.04-3.46), to work in populations with a high prevalence of both mental illness (AOR =2.42; 95% CI: 1.11-5.26) and injection drug use (AOR = 1.82 95% CI: 1.02-3.25) and were deterred from prescribing HAART by patients' limited ability to keep appointments, (AOR =3.19; 95% CI: 1.39-7.37), alcoholism (AOR = 1.92; 95% CI: 1. 04-3. 55) and homelessness (AOR = 1.81; 95% CI: 1.07-3.06). Providers working in populations with a high injection drug use prevalence commonly reported higher prevalence of non-injection drug use, alcohol problems and mental illness, and higher antiretroviral therapy refusal rates within their patient populations. Our findings underscore the challenges to providers who treat HIV-infected drug users and suggest that their care and treatment would benefit from on-site drug treatment, mental health and social services. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: May2004
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