Increasing drug users’ adherence to HIV treatment: results of a peer-driven intervention feasibility study

Broadhead, Robert S.; Heckathorn, Douglas D.; Altice, Frederick L.; Hulst, Yael van; Carbone, Michael; Friedland, Gerald; O’Connor, Patrick G.; Selwyn, Peter A.

doi:10.1016/s0277-9536(01)00167-8

Cited by 168 publications

(136 citation statements)

References 34 publications

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“…10. 11 As a result of barriers to accessing care, IOU often delay seeking medical treatment until conditions have reached advanced stages requiring emergency or acute care,12 which in turn increases the severity of health problems among IOU. 13 Relationships between IOU and healthcare providers are often marked by a degree of mutual suspicion. 14 Evidence suggests that healthcare providers may harbour stereotyped views of IOU as manipulative and unmotivated clients, seeking pain medication,15 while IOU on the basis of previous negative experiences with the healthcare system often expect punitive treatment and The care model at the OPC embraces harm reduction practices across the full spectrum of care with the aim of accepting participants where they are at and by promoting the autonomy and self-care of participants.…”

Section: Statement Of Ethics Approvalmentioning

confidence: 99%

An integrated supervised injecting program within a care facility for HIV-positive individuals: a qualitative evaluation

2009

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Section: Statement Of Ethics Approvalmentioning

confidence: 99%

An integrated supervised injecting program within a care facility for HIV-positive individuals: a qualitative evaluation

2009

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“…Nemes ** (2000) and other authors 1,2 showed that conditions such as: unemployment, prison, lack of permanent address, little experience of physicians regarding care of these cases, and the age of IDU interfered in their treatment, more than the use of drugs in itself.…”

Section: Final Considerationsmentioning

confidence: 99%

Invisibilidade do uso de drogas e a assistência de profissionais dos serviços de Aids

et al. 2007

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OBJETIVO: Descrever a influência das concepções dos profissionais de saúde sobre o cuidado prestado a pacientes usuários de drogas vivendo com HIV/Aids. MÉTODOS: Estudo qualitativo baseado em entrevistas semi-estruturadas com 22 profissionais de diferentes categorias, pertencentes a dois serviços especializados em DST/Aids da rede municipal de São Paulo, em 2002. As entrevistas foram gravadas e submetidas à análise temática. RESULTADOS: Os profissionais relataram dificuldades em identificar usuários de drogas entre seus pacientes, indicando a invisibilidade da questão. Acham os usuários de drogas pacientes mais difíceis de tratar, por tumultuarem o serviço e/ou não aderirem ao tratamento. Embora reconheçam necessidades especiais dos pacientes usuários e que lidar com o uso de drogas seja importante, os profissionais de saúde acreditam que essas questões fogem de suas atribuições. Os profissionais mostraram limites pessoais e técnicos para o manejo desses casos, indicando sua falta de capacitação específica como importante. Assim, recomendam a criação de serviços especializados para esse atendimento, reconhecendo os serviços em que atuam como inadequados e, embora conhecessem o projeto de redução de danos, pouco participavam dele. CONCLUSÕES: Elementos técnicos, ideológicos e pessoais, tais como crenças, valores e dimensões afetivo-emocionais, mostraram-se relevantes para ampliar ou recusar vínculos mais específicos com o paciente usuário de drogas. As concepções sobre o uso de drogas podem interferir no desenvolvimento de uma assistência melhor e da eqüidade no cuidado em saúde.

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“…Recent interventions, including the use of peers as health advocates for providing peer support and counseling, have been developed in the United States to increase adherence of drug users to HARRT (Broadhead et al, 2002). Negative attitudes of health care providers may also influence IDUs' receipt of HAART (Bogart et al, 2000).…”

Section: Haart and Sexual Transmission Of Hiv Among Idusmentioning

confidence: 99%

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

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Prevention of heterosexual transmission of HIV between and from drug users is important for controlling the local and global HIV heterosexual epidemic. Sex risk reduction interventions and health-related interventions are important for reducing the sex risk behaviors of drug users. Sex risk reduction interventions address individual-level, peer-level, and structural-level determinants of risk reduction. Health-related interventions include HIV counseling and testing, prevention and treatment of sexually transmitted diseases, and delivery of highly active antiretroviral therapy. It is important to adapt effective interventions implemented in resource-rich countries to the realities of the resourceconstrained settings and to address relevant contextual factors.RESUMEN-Il est important de prévenir la transmission hétérosexuelle du VIH à partir des usagers de drogue pour contrôler l'épidémie hétérosexuelle locale et mondiale de VIH. Des interventions ciblant à la fois la réduction de risque sexuel et la santé des usagers de drogue sont nécessaires. Les interventions de réduction de risque sexuel prennent en compte le niveau individuel, le niveau des pairs et celui des déterminants structurels de la réduction des risques. Les interventions visant l'amélioration de la santé comprennent le conseil et le dépistage du VIH, la prévention et le traitement des infections sexuellement transmissibles et la prescription d'antirétroviraux. Il est important d'adapter les interventions efficaces mises en place dans les pays riches aux réalités des contextes de pays à ressources limitées et de tenir compte des facteurs contextuels pertinents. Keywords global research; HIV; injection drug use; research interventions; sexual risk HIV Infection and Injection Drug UsersInjection drug use continues to complicate the control of the global HIV epidemic (UNAIDS, 2004). In 2003, 136 countries reported injecting drug use and 93 countries reported HIV infection among injection drug users (IDUs) (World Health Organization, 2003). IDUs are at risk for infection with HIV through both multiperson use ("sharing") of drug injection equipment and through unsafe sex behaviors (Aceijas et al., 2004). Although the scope and effectiveness of interventions aimed at reducing HIV infection through drug injection equipment has been well documented in the literature (Des Jarlais et al., 2005;Quan et This review describes sex risk reduction interventions with drug users and their effectiveness in reducing sexual risk behaviors of IDUs and other drug users. We highlight the needs and opportunities for these interventions, discuss the generalizability of the results to resourceconstrained settings, and outline the implications for global research efforts and public health practice. Although our literature review is not comprehensive, it highlights many areas that affect sexual transmission of HIV to and from drug users in both resource-rich and resourceconstrained settings. Efforts to reduce substance abuse and HIV risk associated with injection behav...

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Increasing drug users’ adherence to HIV treatment: results of a peer-driven intervention feasibility study

Cited by 168 publications

References 34 publications

An integrated supervised injecting program within a care facility for HIV-positive individuals: a qualitative evaluation

An integrated supervised injecting program within a care facility for HIV-positive individuals: a qualitative evaluation

Invisibilidade do uso de drogas e a assistência de profissionais dos serviços de Aids

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

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