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- Title
Drug Use and Medication Adherence among HIV-1 Infected Individuals.
- Authors
Hinkin, Charles H.; Barclay, Terry R.; Castellon, Steven A.; Levine, Andrew J.; Durvasula, Ramani S.; Marion, Sarah D.; Myers, Hector F.; Longshore, Douglas
- Abstract
This longitudinal study examined the impact of drug use and abuse on medication adherence among 150 HIV-infected individuals, 102 who tested urinalysis positive for recent illicit drug use. Medication adherence was tracked over a 6-month period using an electronic monitoring device (MEMS caps). Over the 6-month study drug-positive participants demonstrated significantly worse medication adherence than did drug-negative participants (63 vs. 79%, respectively). Logistic regression revealed that drug use was associated with over a fourfold greater risk of adherence failure. Stimulant users were at greatest risk for poor adherence. Based upon within-participants analyses comparing 3-day adherence rates when actively using versus not using drugs, this appears to be more a function of state rather than trait. These data suggest that it is the acute effects of intoxication, rather than stable features that may be characteristic of the drug-using populace, which leads to difficulties with medication adherence.
- Subjects
DRUG abuse; HIV-positive persons; HIV infections; PATIENT compliance; METHAMPHETAMINE; COCAINE; AIDS
- Publication
AIDS & Behavior, 2007, Vol 11, Issue 2, p185
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-006-9152-0