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首页> 外文期刊>AIDS care. >Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users.
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Provider barriers to prescribing HAART to medically-eligible HIV-infected drug users.

机译：提供方在向符合医学资格的受HIV感染的吸毒者开处方HAART的障碍。

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We aimed to identify factors associated with a medical provider's resistance to prescribing HAART to medically-eligible HIV-infected illicit drug users. In four US cities, a mailed, self-administered survey queried 420 HIV care providers about patients' characteristics and barriers to care. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were estimated using logistic regression. Providers identified as resistant to prescribing HAART to medically-eligible HIV-infected illicit drug users were more likely to be non-physicians (AOR=1.89, 95% CI: 1.04-3.46), to work in populations with a high prevalence of both mental illness (AOR=2.42; 95% CI: 1.11-5.26) and injection drug use (AOR=1.82 95% CI: 1.02-3.25) and were deterred from prescribing HAART by patients' limited ability to keep appointments, (AOR=3.19; 95% CI: 1.39-7.37), alcoholism (AOR=1.92; 95% CI: 1.04-3.55) and homelessness (AOR=1.81; 95% CI: 1.07-3.06). Providers working in populations with a high injection drug use prevalence commonly reported higher prevalence of non-injection drug use, alcohol problems and mental illness, and higher antiretroviral therapy refusal rates within their patient populations. Our findings underscore the challenges to providers who treat HIV-infected drug users and suggest that their care and treatment would benefit from on-site drug treatment, mental health and social services.
机译：我们旨在确定与医疗服务提供者不愿意对符合医学资格的HIV感染非法药物使用者开具HAART处方相关的因素。在美国四个城市中，通过邮寄，自我管理的调查向420名HIV护理人员询问了患者的特征和护理障碍。使用Logistic回归估算调整后的优势比（AOR）和95％置信区间（CI）。被确定对医务合格的HIV感染的非法吸毒者开具HAART耐药性的提供者更有可能是非医师（AOR = 1.89，95％CI：1.04-3.46），在精神病和精神病患病率较高的人群中工作疾病（AOR = 2.42; 95％CI：1.11-5.26）和注射药物使用（AOR = 1.82 95％CI：1.02-3.25），并且由于患者保持约会的能力有限而无法开处方HAART（AOR = 3.19; 95％CI：1.39-7.37），酗酒（AOR = 1.92; 95％CI：1.04-3.55）和无家可归（AOR = 1.81; 95％CI：1.07-3.06）。在注射毒品使用率较高的人群中工作的提供者通常报告其患者人群中非注射毒品使用率，酒精问题和精神疾病的患病率较高，并且抗逆转录病毒疗法的拒绝率较高。我们的发现强调了治疗接受HIV感染的吸毒者的挑战，并建议他们的护理和治疗将从现场药物治疗，心理健康和社会服务中受益。

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