title: Use of antiretroviral therapies by HIV-infected persons receiving methadone maintenance.
abstract: 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.
authors.affiliation: Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA. Michael_Stein@Brown.edu
authors.forename: M D
authors.initials: MD
authors.lastname: Stein
authors.forename: M E
authors.initials: ME
authors.lastname: Urdaneta
authors.forename: J
authors.initials: J
authors.lastname: Clarke
authors.forename: J
authors.initials: J
authors.lastname: Maksad
authors.forename: M
authors.initials: M
authors.lastname: Sobota
authors.forename: L
authors.initials: L
authors.lastname: Hanna
authors.forename: L E
authors.initials: LE
authors.lastname: Markson
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008691:Methadone / Q000009:adverse effects / Q000627:therapeutic use*; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010348:Patient Care Team; D012944:Social Support; D015819:Substance Abuse, Intravenous / Q000523:psychology / Q000534:rehabilitation*
chemical_list: D019380:Anti-HIV Agents; D008691:Methadone