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- W2073602571 abstract "Objectives There is growing concern about access to HIV/AIDS care among injection drug users (IDUs). We examined rates of CD4 cell count monitoring and correlates among HIV‐infected IDUs. Methods This prospective observational cohort study of 460 community‐recruited HIV‐infected IDUs was situated in a Canadian city where all medical care is provided free of charge. Over a median follow‐up period of 76 months, we evaluated factors associated with CD4 cell count monitoring through a linkage with a centralized CD4 registry. Results Overall, <5% of IDUs had CD4 monitoring consistent with local therapeutic guidelines. In multivariate analyses, after adjustment for being on antiretroviral therapy [odds ratio (OR) 2.21, 95% confidence interval (CI) 1.84–2.70, P <0.001] female gender (OR 0.71, 95% CI 0.57–0.89, P =0.003), non‐White ethnicity (OR 0.75, 95% CI 0.60–0.94, P =0.014), use of methadone maintenance therapy (OR 1.66, 95% CI 1.42–1.94, P <0.001) and daily heroin use (OR 0.72, 95% CI 0.61–0.85, P <0.001) were independently associated with CD4 monitoring. Conclusions Strategies to improve CD4 surveillance among IDUs are critically important, particularly for female and non‐White IDUs. Expanded treatment for heroin dependence appears to have the greatest potential for improved care." @default.
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- W2073602571 date "2008-08-01" @default.
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- W2073602571 title "Poor adherence to HIV monitoring and treatment guidelines for HIV-infected injection drug users" @default.
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- W2073602571 doi "https://doi.org/10.1111/j.1468-1293.2008.00582.x" @default.
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