Social factors related to antiretroviral therapy use in injection drug users

Jennifer R. Schroeder, Carl A. Latkin, Donald R. Hoover, Amy R. Knowlton, Jonathan Zenilman, Steffanie Strathdee, David D. Celentano

Research output: Contribution to journalArticle

Abstract

This study applied a behavioral model of health services use that included health-related attitudes and indicators of social contact and support to use of antiretroviral therapy “ART” in a cross-sectional survey of 241 disadvantaged, inner-city injection drug users “IDUs”. Only 44% of this sample reported taking ART despite relatively high levels of health care utilization; ART nonuse was associated with distrust of physicians “OR = 4.76, 95 % CI 1.75-13.5”. In a logistic regression model that controlled for severity of HIV disease and access to health care, the belief that HIV medications make the respondent feel healthier “OR = 3.24, 95% CI 1.70-6.15” and increased social isolation since becoming HIV-positive “OR = 2.60, 95% CI 1.38-4.89” were correlated with ART use. These findings underscore the importance of including social and behavioral characteristics in models that attempt to explain ART use by marginalized populations.

Original languageEnglish (US)
Pages (from-to)363-369
Number of pages7
JournalAIDS and behavior
Volume5
Issue number4
DOIs
StatePublished - Dec 2001

Keywords

  • Antiretroviral therapy
  • Injection drug use
  • Social isolation
  • Social support

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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