An investigation of why eligible patients do not receive HAART.

Abstract:

:Treatment with highly active antiretroviral therapy (HAART) decreases morbidity and mortality for persons with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and reduces costs of care. Yet many patients for whom HAART is indicated do not receive it. This study investigated the reasons why certain patients of a community health center with HIV/AIDS did not receive HAART between 1997 and 1998. Medical record reviews were performed to determine which patients for whom HAART was indicated (according to United States Public Health Service guidelines) were not prescribed HAART. Chart reviews and patient interviews were conducted to determine why they did not receive HAART. Of the 88 patients eligible for HAART, 60 (69%) had it prescribed in 1997-1998. Of the remaining 28 patients, 3 did not receive HAART because their provider never discussed it with them. For 6 patients (21%), the provider discussed HAART but did not recommend it; 16 patients (57%) declined HAART although their provider recommended it, and 3 (11%) accepted their provider's recommendation but never started HAART. Patients' most common reasons for refusing HAART were not being ready for strict adherence to a complex regimen (7/16) and fear of side effects (6/16). Other reasons included active drug use, religious beliefs, homelessness, confidentiality concerns, depression, and feeling well without HAART. Providers did not recommend HAART because of active drug use (4/6), lack of engagement with care (2/6) as well as homelessness, depression, and the perception that the patient was doing well without HAART. Providers should be trained to offer all patients the opportunity to develop a plan to address barriers to adherence and the support needed to implement it. Resources should also target the treatment of substance abuse and mental illness to improve the usage of HAART.

journal_name

AIDS Patient Care STDS

authors

Maisels L,Steinberg J,Tobias C

doi

10.1089/10872910151133701

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

185-91

issue

4

eissn

1087-2914

issn

1557-7449

journal_volume

15

pub_type

杂志文章
  • Vitamin D and insulin resistance in non-diabetic women's interagency HIV study participants.

    abstract::We explored the relationship between vitamin D levels and insulin resistance (IR) among 1082 nondiabetic (754 HIV-infected) women enrolled in the Women's Interagency HIV study (WIHS), a large and well-established cohort of HIV infected and uninfected women in the US. Vitamin D levels 20-29 ng/mL were considered insuff...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2012.0400

    authors: Adeyemi OM,Livak B,Orsi J,Glesby MJ,Villacres MC,Weber KM,Sharma A,Golub E,Young M,Cohen M,Tien PC

    更新日期:2013-06-01 00:00:00

  • Successful treatment of idiopathic colitis and proctitis using thalidomide in persons infected with human immunodeficiency virus.

    abstract::Gastrointestinal ulcerations in persons infected with HIV have many causes, the most common being opportunistic infections and neoplasms. Recently, idiopathic ulcerative lesions of the colon and rectum have been described. Two cases are reported of idiopathic colonic and anorectal inflammation and ulceration which fai...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.1998.12.903

    authors: Fu CS,Conteas CN,LaRiviere MJ

    更新日期:1998-12-01 00:00:00

  • Barriers and facilitators to testing, treatment entry, and engagement in care by HIV-positive women of color.

    abstract::Women of color (WOC) are at increased risk of dying from HIV/AIDS, a disparity that may be partially explained by the care barriers they face. Based in a health care disparity model and the socio-ecological framework, the objective of this study was to identify the barriers and facilitators to HIV care at three points...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2012.0435

    authors: Messer LC,Quinlivan EB,Parnell H,Roytburd K,Adimora AA,Bowditch N,DeSousa N

    更新日期:2013-07-01 00:00:00

  • Keeping them in "STYLE": finding, linking, and retaining young HIV-positive black and Latino men who have sex with men in care.

    abstract::Young men who have sex with men (YMSM) of color are at particularly increased risk for HIV infection compared to white MSM. National data highlight the need to link YMSM of color to care to improve their overall health and stem further infections, yet, there is limited data on interventions and clinical outcomes focus...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0192

    authors: Hightow-Weidman LB,Smith JC,Valera E,Matthews DD,Lyons P

    更新日期:2011-01-01 00:00:00

  • A pediatric AIDS patient with superior mesenteric artery syndrome.

    abstract::Superior mesenteric artery (SMA) syndrome is a unique type of small bowel obstruction resulting from the compression of the duodenum by the SMA. This is a case of SMA syndrome in a cachectic 6-year-old boy with AIDS who presented after a 2.3-kg weight loss in the preceding month. Unfamiliarity with this condition coup...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729100318073

    authors: Hoffman RJ,Arpadi SM

    更新日期:2000-01-01 00:00:00

  • Cross-resistance patterns among HIV protease inhibitors.

    abstract::Acquired resistance to antiretroviral agents is an established sequela of HIV pharmacotherapy. Viral mutations can confer reduced susceptibility to antiretroviral medications, resulting in virologic and clinical failure in more than half of treated patients. Cross-resistance that can develop within each drug class lea...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,评审

    doi:10.1089/108729104323038874

    authors: Kozal M

    更新日期:2004-04-01 00:00:00

  • Follow-up of vertically HIV-1-infected long-surviving children.

    abstract::This study describes the clinical, immunologic, and virological characteristics of 30 vertically human immunodeficiency virus type 1 (HIV-1)-infected children older than 8 years of age (long-survivors) before the introduction of protease inhibitors therapy. All of them were followed from birth. At the age of 8 years, ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729101300003645

    authors: Salvini F,Scarlatti G,Bossi A,Pinzani R,Zibordi F,Giovanettoni C,Plebani A

    更新日期:2001-02-01 00:00:00

  • Experiences of stigma and discrimination among adults living with HIV in a low HIV-prevalence context: a qualitative analysis.

    abstract::Little is known about how people living with HIV in low prevalence contexts face the challenges of stigma and discrimination. Low prevalence and rural communities are unique environments in which HIV-related stigma and discrimination may be intensified due to lower tolerance of differences among people and greater fea...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2008.0168

    authors: Zukoski AP,Thorburn S

    更新日期:2009-04-01 00:00:00

  • Asymptomatic Adolescent HIV: Identifying a Role for Universal HIV Screening in the Pediatric Emergency Department.

    abstract::Adolescents account for most undiagnosed HIV infections in the United States. Although the Centers for Disease Control and Prevention (CDC) recommends universal HIV screening for all patients ≥13 years, <10% of adolescents have been tested for HIV. To identify earlier opportunities for adolescent HIV prevention and di...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2020.0033

    authors: Gutman CK,Middlebrooks L,Camacho-Gonzalez A,Shah B,Belay Z,Morris CR

    更新日期:2020-09-01 00:00:00

  • Preintervention Profiles of Information, Motivational, and Behavioral Self-Efficacy for Methamphetamine Use and HIV Medication Adherence Among Gay and Bisexual Men.

    abstract::Although rates of crystal methamphetamine use in the United States have fallen from their peak in the mid-2000s, use remains a major public health concern, which disproportionately affects gay and bisexual men (GBM). It poses a particular challenge for HIV-positive men, for whom it has been linked to medication adhere...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0196

    authors: Starks TJ,Millar BM,Lassiter JM,Parsons JT

    更新日期:2017-02-01 00:00:00

  • Management of chronic hepatitis B in an HIV-positive patient with 3TC-resistant hepatitis B virus.

    abstract::Chronic viral hepatitis has emerged as one of the leading causes of morbidity and mortality among HIV-positive patients. These individuals are at risk for aggressive chronic active hepatitis, cirrhosis, and hepatocellular carcinoma, and eventually, death. Currently available therapies for hepatitis B are limited and i...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103322395456

    authors: Ristig M,Drechsler H,Crippin J,Lisker-Melman M,Tebas P

    更新日期:2003-09-01 00:00:00

  • Providers' attitudes towards treating depression and self-reported depression treatment practices in HIV outpatient care.

    abstract::Depression is highly prevalent among HIV-infected patients, yet little is known about the quality of HIV providers' depression treatment practices. We assessed depression treatment practices of 72 HIV providers at three academic medical centers in 2010-2011 with semi-structured interviews. Responses were compared to n...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2012.0406

    authors: Bess KD,Adams J,Watt MH,O'Donnell JK,Gaynes BN,Thielman NM,Heine A,Zinski A,Raper JL,Pence BW

    更新日期:2013-03-01 00:00:00

  • Combining Cell and Gene Therapy in an Effort to Eradicate HIV.

    abstract::More than 30 million people are infected with HIV, and HIV remains the fifth leading cause of disability-adjusted life years worldwide. Antiretroviral therapy (ART) dramatically decreases mortality rate, but there are side effects, long-term toxicities, expenses, stigmas, and inconveniences associated with chronic tre...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0226

    authors: Wagner TA

    更新日期:2016-12-01 00:00:00

  • Buffering effects of general and medication-specific social support on the association between substance use and HIV medication adherence.

    abstract::The success of highly active antiretroviral therapy (HAART) among persons living with HIV is largely dependent on strict medication adherence. Recent research suggests that alcohol and other drug use (AOD) may be an important barrier to HAART adherence. In this study, we examined the impact of AOD on HAART adherence a...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0314

    authors: Lehavot K,Huh D,Walters KL,King KM,Andrasik MP,Simoni JM

    更新日期:2011-03-01 00:00:00

  • Using laboratory surveillance data to estimate engagement in care among persons living with HIV in Los Angeles County, 2009.

    abstract::Poor engagement in HIV care has been associated with delayed access to antiretroviral treatment and increased HIV transmission. Using viral load (VL) results from HIV laboratory surveillance data to conduct longitudinal and cross-sectional analyses, we examined linkage to care, retention in care, and their associated ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2011.0371

    authors: Hu YW,Kinsler JJ,Sheng Z,Kang T,Bingham T,Frye DM

    更新日期:2012-08-01 00:00:00

  • AIDS-defining cancers in Western Europe, 1994-2001.

    abstract::To determine the recent trends in AIDS-defining cancers in Western Europe, we analyzed the June 2002 European Non-Aggregate AIDS Data Set. We obtained the percentage of people with AIDS aged 15 years or older (n = 125,691; males, 99,560, females, 26,131) who had cancers as the initial AIDS-defining illness in 17 Europ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2004.18.501

    authors: Ebrahim SH,Abdullah AS,McKenna M,Hamers FF

    更新日期:2004-09-01 00:00:00

  • Sexual functioning among HIV-infected women.

    abstract::The influence of HIV on sexual activity and functioning presents a unique set of issues. HIV transmissibility, partner disclosure, potential vertical transmission and, for some HIV-infected women, problems associated with illicit drug use, may affect sexuality. Few studies have examined HIV-infected women's sexuality ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729103321150809

    authors: Bova C,Durante A

    更新日期:2003-02-01 00:00:00

  • Acute Kidney Injury in Chinese HIV-Infected Patients: A Retrospective Analysis from the Intensive Care Unit.

    abstract::To describe the epidemiology, outcomes, and risk factors of acute kidney injury (AKI) among human immunodeficiency virus (HIV)-infected patients admitted to the intensive care unit (ICU).We reviewed all the HIV-infected admissions to the ICU at Beijing Ditan hospital in the time span from June 2005 to May 2017 and col...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0040

    authors: Pu L,Liu J,Luo Y,Zeng H,Guo H,Hao J,Yin N,Liu Y,Xiong H,Xiong J,Li A

    更新日期:2018-10-01 00:00:00

  • The relationship of post-traumatic stress disorder and depression to antiretroviral medication adherence in persons with HIV.

    abstract::In HIV/AIDS, symptoms of depression or post-traumatic stress may interfere with important self-care behaviors such as the ability to adhere to one's medical treatment regimen. However, these problems may frequently go undetected in HIV care settings. The present study used brief self-report screening measures of depre...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/apc.2007.0069

    authors: Vranceanu AM,Safren SA,Lu M,Coady WM,Skolnik PR,Rogers WH,Wilson IB

    更新日期:2008-04-01 00:00:00

  • Legislated human immunodeficiency virus testing in New York State Emergency Departments: reported experience from Emergency Department providers.

    abstract::In 2010, New York (NY) passed new legislation mandating Emergency Departments (EDs) to offer HIV tests to patients 13-64 presenting for care. We evaluated the requirement's implementation and determined differences based on HIV prevalence or site-specific designated AIDS centers (DACs). We also evaluated policies for ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2013.0124

    authors: Egan DJ,Cowan E,Fitzpatrick L,Savitsky L,Kushner J,Calderon Y,Agins BD

    更新日期:2014-02-01 00:00:00

  • HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men.

    abstract::Disclosure of HIV-positive status to sex partners is critical to protecting uninfected partners. In addition, people living with HIV often risk criminal prosecution when they do not inform sex partners of their HIV status. The current study examined factors associated with nondisclosure of HIV status by men living wit...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2015.0333

    authors: Kalichman SC,Kalichman MO,Cherry C,Grebler T

    更新日期:2016-05-01 00:00:00

  • Age of menopause and menopausal symptoms in HIV-infected women.

    abstract::The objective of this study was to examine the median age of menopause, factors associated with postmenopausal status, and the prevalence of menopausal symptoms in HIV-infected women. We surveyed 120 HIV-infected women between 40 and 57 years old who attended an inner city infectious diseases clinic. Ninety-five perce...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2005.19.703

    authors: Fantry LE,Zhan M,Taylor GH,Sill AM,Flaws JA

    更新日期:2005-11-01 00:00:00

  • Factors Associated with Postpartum Loss to Follow-Up and Detectable Viremia After Delivery Among Pregnant Women Living with HIV.

    abstract::Pregnant women living with HIV are at risk for loss to follow-up and viral rebound after delivery. We conducted a retrospective cohort study of women with HIV who delivered at Parkland Hospital, Dallas, to identify factors associated with postpartum loss to HIV care 1 year after delivery. Logistic regression was used ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2018.0117

    authors: Adhikari EH,Yule CS,Roberts SW,Rogers VL,Sheffield JS,Kelly MA,McIntire DD,Barnes A

    更新日期:2019-01-01 00:00:00

  • "You must take the medications for you and for me": family caregivers promoting HIV medication adherence in China.

    abstract::China is experiencing a rapid increase in the incidence of HIV infections, which it is addressing proactively with broad implementation of antiretroviral therapy (ART). Within a cultural context extolling familial responsibility, family caregiving may be an important component to promote medication adherence for perso...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2010.0261

    authors: Fredriksen-Goldsen KI,Shiu CS,Starks H,Chen WT,Simoni J,Kim HJ,Pearson C,Zhao H,Zhang F

    更新日期:2011-12-01 00:00:00

  • Health-related beliefs and decisions about accessing HIV medical care among HIV-infected persons who are not receiving care.

    abstract::In the United States, the publically supported national HIV medical care system is designed to provide HIV medical care to those who would otherwise not receive such care. Nevertheless, many HIV-infected persons are not receiving medical care. Limited information is available from HIV-infected persons not currently in...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0032

    authors: Beer L,Fagan JL,Valverde E,Bertolli J,Never in Care Project.

    更新日期:2009-09-01 00:00:00

  • Stridor and difficult airway in an AIDS patient.

    abstract::Kaposi's sarcoma (KS) is the most common malignancy observed in patients with acquired immune deficiency syndrome (AIDS). Although KS involves the head and neck in AIDS patients, difficult airway due to KS in an AIDS patient has rarely been reported in the literature. We report a patient with AIDS and cutaneous KS who...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/108729101750279650

    authors: Alkhuja S,Menkel R,Patel B,Ibrahimbacha A

    更新日期:2001-06-01 00:00:00

  • Retention in HIV Care and Viral Suppression: Individual- and Neighborhood-Level Predictors of Racial/Ethnic Differences, Florida, 2015.

    abstract::The objective of this study was to estimate racial/ethnic differences in retention in HIV care and viral suppression and to identify related individual and neighborhood determinants. Florida HIV surveillance records of cases aged ≥13 years diagnosed during the years 2000-2014 were analyzed. Retention in care was defin...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2016.0197

    authors: Sheehan DM,Fennie KP,Mauck DE,Maddox LM,Lieb S,Trepka MJ

    更新日期:2017-04-01 00:00:00

  • Acceptability of HIV Pre-Exposure Prophylaxis Among Transgender Women in India: A Qualitative Investigation.

    abstract::Despite high HIV prevalence among transgender women (TGW) in India, there is limited exploration of pre-exposure prophylaxis (PrEP) acceptability. With PrEP licensure pending, we conducted six focus group discussions (FGDs) with diverse TGW (n = 36), and eight key informant interviews with community leaders and physic...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2019.0237

    authors: Chakrapani V,Shunmugam M,Rawat S,Baruah D,Nelson R,Newman PA

    更新日期:2020-02-01 00:00:00

  • Correlates of antiretroviral and antidepressant adherence among depressed HIV-infected patients.

    abstract::Although crucial for efficacy of pharmacotherapy, adherence to prescribed medication regimens for both antiretrovirals and antidepressants is often suboptimal. As many depressed HIV-infected individuals are prescribed both antiretrovirals and antidepressants, it is important to know whether correlates of nonadherence ...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1089/apc.2011.0218

    authors: Bottonari KA,Tripathi SP,Fortney JC,Curran G,Rimland D,Rodriguez-Barradas M,Gifford AL,Pyne JM

    更新日期:2012-05-01 00:00:00

  • Antiretroviral use among active injection-drug users: the role of patient-provider engagement and structural factors.

    abstract::HIV-seropositive, active injection-drug users (IDUs), compared with other HIV populations, continue to have low rates of highly active antiretroviral therapy (HAART) use, contributing to disparities in their HIV health outcomes. We sought to identify individual-level, interpersonal, and structural factors associated w...

    journal_title:AIDS patient care and STDs

    pub_type: 杂志文章

    doi:10.1089/apc.2009.0240

    authors: Knowlton AR,Arnsten JH,Eldred LJ,Wilkinson JD,Shade SB,Bohnert AS,Yang C,Wissow LS,Purcell DW

    更新日期:2010-07-01 00:00:00