More Than Drugs: Voices of HIV-Seropositive Individuals with a History of Substance Use Reveal a Range of Adherence Factors
More Than Drugs: Voices of HIV-Seropositive Individuals with a History of Substance Use Reveal a Range of Adherence Factors
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DOI：
10.1300/j187v06n01_10
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发表时间：
2007-01-01
影响因子：
0.7
通讯作者：
Zilberman, Margarita
中科院分区：
文献类型：
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作者：
Gilbert, Dorie J.;Abel, Elizabeth;Zilberman, Margarita
本研究旨在揭示继续使用药物的流行率和日常坚持决策的声明，从一个社区样本的艾滋病毒血清反应阳性的个人使用药物的历史，并参加了抗逆转录病毒治疗（ART）至少六个月。90名参与者参加了三个重点小组之一，并共同产生了100份声明，描述他们的日常动机和艾滋病毒医疗依从性的障碍。此外，参与者自我报告的物质使用情况显示，在过去30天内，不到40%（n = 33）的人在滥用物质和HIV药物治疗方案。这些陈述揭示了各种复杂的依从性因素，其中非药物相关因素相对多于药物相关因素。此外，参与者的非药物相关陈述涵盖了与依从性相关的广泛原因，这些原因往往与其他亚组中发现的原因属于相同的主要类别：系统，疾病管理，患者-提供者关系和个人因素。作者讨论了提供者需要考虑影响该人群开始和坚持ART的准备程度的依从性因素的呼吸和复杂性。(C)出版社：The Haworth Press，Inc. All rights reserved.
This study sought to uncover the prevalence of continued drug use and statements about everyday adherence decision-making from a community sample of HIV-seropositive individuals with a history of substance use and also enrolled in antiretroviral therapy (ART) for at least six months. Ninety participants attended one of three focus groups and, collectively, generated 100 statements describing their day-to-day motivations and barriers to HIV-medical adherence. In addition, participants' self-reported substance use revealed that just under 40% (n = 33) were juggling substance use and their HIV medication regimens within the past 30 days. The statements reveal varied and complex adherence factors, which included relatively more non-drug-related than drug-related factors. Further, participants non-drug-related statements covered a broad range of reasons related to adherence that tended to fall into the same major categories as those found across other subgroups: system, disease management, patient-provider relationship, and individual factors. The authors discuss the need for providers to consider the breath and complexity of adherence factors that impact readiness to initiate and adhere to ART for this population. (C) 2007 by The Haworth Press, Inc. All rights reserved.