Dispensation of antiretroviral therapy and methadone maintenance therapy at the same facility in a low-barrier setting linked to optimal adherence to HIV treatment
HIV Medicine Aug 02, 2019
Salleh NAM, Fairbairn N, Nolan S, et al. - Researchers investigated how dispensation of methadone maintenance therapy (MMT) and antiretroviral therapy (ART) at the same facility, is associated with achieving optimal adherence to ART among people who use illicit drugs (PWUD). From the AIDS Care Cohort to Evaluate Exposure to Survival Services study, a long-running study of a community-recruited cohort of HIV-positive PWUD, data were linked to comprehensive HIV clinical records in Vancouver, Canada, where there is no-cost, universal access to HIV care. Data on 1,690 interviews of 345 ART- and MMT-exposed participants carried out between June 2012 and December 2017 were included in this work. The analysis revealed 56% higher odds of achieving optimal adherence to ART during periods in which MMT and ART medications were dispensed at the same facility, in a low-barrier setting. Findings emphasize the necessity for consideration for a simpler integrated approach with medication dispensation at the same facility in low-threshold settings.
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