Therapy naivete in the era of potent antiretroviral therapy.

Abstract:

:Antiretroviral therapy (ART) use was examined in a cohort of homosexual men infected with HIV-1 for long periods. Multivariate logistic regression models, stratified by clinical indication (below and above 500 CD4 cells/microl or prior AIDS), were used to determine predictors of ART naivete. Of the 673 men seen at visit 28 (10/97-4/98), 89 (13.2%) never used ART and 548 (81.4%) were current users; 55% of the therapy-naive were ART eligible. Lower CD4 cell counts predicted (P <.001) ART use. Determinants of therapy naivete differed by clinical indication. African-American race and no prior ambulatory visit predicted (P <.05) ART naivete in men with > or =500 CD4 cells/microl. Among those with clinical indications, less education, younger age, multiple sexual partners, and no prior ambulatory visit significantly predicted ART naivete. In this era of effective ART, use was not universal. Besides disease markers, these nonclinical determinants need to be considered for promoting population therapy effectiveness.

journal_name

J Clin Epidemiol

authors

Jacobson LP,Gore ME,Strathdee SA,Phair JP,Riddler S,Detels R,Multicenter AIDS Cohort Study.

doi

10.1016/s0895-4356(00)00274-2

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

149-56

issue

2

eissn

0895-4356

issn

1878-5921

pii

S0895435600002742

journal_volume

54

pub_type

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