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Medication compliance and satisfaction with treatment for HIV disease in a sample of African-American crack cocaine smokers
journal contribution
posted on 2004-06-01, 00:00 authored by Beth CrispBeth Crisp, M Williams, S Timpson, M RossThe development of treatment regimes for African-American HIV-infected crack cocaine users has often been based on assumptions about compliance with medication regimes rather than evidence. This study sought to obtain baseline information on the adherence to antiretroviral medications by members of this important risk population in Houston, Texas. It was found that for only 5 of a range of 16 antiviral medications was there a significant correlation between levels of compliance reported by respondents and their beliefs as to how effective these medications are. Medication compliance was also found not to be associated with frequency of crack cocaine use in the month prior to interview. Furthermore, irrespective of both gender and their reported extent of medication compliance, the respondents tended to report positive relationships with their treating physician, with higher levels of satisfaction reported by women. These results suggest that the majority of African-American crack cocaine users are able to comply with HIV treatment regimes, with more than half (53%) claiming full compliance for one or more medications, and a further one third (31%) claiming compliance more than half the time. Moreover, these findings suggest that they will continue to take antiretroviral medications even if they have doubts about the effectiveness of these medications.
History
Journal
AIDS and behaviorVolume
8Issue
2Pagination
199 - 206Publisher
Springer NetherlandsLocation
Amsterdam, The NetherlandsPublisher DOI
ISSN
1090-7165eISSN
1573-3254Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2004, Plenum Publishing CorporationUsage metrics
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No categories selectedKeywords
African Americanscrack cocainemedication complianceHIV treatmentsScience & TechnologySocial SciencesLife Sciences & BiomedicinePublic, Environmental & Occupational HealthSocial Sciences, BiomedicalBiomedical Social SciencesINJECTION-DRUG USERSHUMAN-IMMUNODEFICIENCY-VIRUSACTIVE ANTIRETROVIRAL THERAPYPRIMARY-CAREINFECTED PATIENTSPOSITIVE PATIENTSHEALTH-SERVICESAIDSADHERENCEZIDOVUDINE
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