The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?

Detalhes bibliográficos
Autor(a) principal: Malta, Monica
Data de Publicação: 2014
Outros Autores: Costa, Michelle Ralil da, Bastos, Francisco Inácio Pinkusfeld Monteiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/8656
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Ciências Sociais. Rio de Janeiro, RJ, Brasil.
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spelling Malta, MonicaCosta, Michelle Ralil daBastos, Francisco Inácio Pinkusfeld Monteiro2014-10-22T12:52:58Z2014-10-22T12:52:58Z2014MALTA, M; COSTA, M. R. da; BASTOS, F. I. P. M. The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs? Current HIV/AIDS Reports, v. 11, n. 1, p. 52-62, 2014.1548-3568https://www.arca.fiocruz.br/handle/icict/865610.1007/s11904-013-0196-21548-3576engCurrent Medicine GroupThe paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Ciências Sociais. Rio de Janeiro, RJ, Brasil.Universidade Federal de Minas Gerais. Observatório de Saúde Urbana. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.HIV-positive people who use drugs (PWUDs) are particularly vulnerable for suboptimal access to highly active antiretroviral therapy (HAART). We conducted a systematic review to identify factors associated with suboptimal HAART access among this population. Studies evaluating HAART access among active PWUDs as a primary outcome, presenting multivariate analysis and conducted after January 1997 were included. Of 122 studies matching the search criteria, only 14 (11.4 %) met the inclusion criteria. All selected studies were prospective cohorts and included young adults, 13 were conducted in North America or western Europe and one in Ukraine. Selected studies measured HAART access using different strategies, however, all identified PWUDs as less likely to receive HAART, when compared to those who never used drugs or former PWUDs. Additional factors associated with suboptimal HAART access include: recent incarceration, lack of health insurance, unstable housing, depression, non-white ethnicity, female PWUDs, and health professionals stigma/prejudice. Factors associated with higher rates of HIV-treatment access included: alcohol and/or drug addiction treatment (especially methadone maintenance therapy), regular source of primary care, treatment and care from the same provider (most of the time) and larger physician experience in HIV-management. PWUDs face a synergy of social and structural factors that influence their suboptimal access to HAART, struggling with poor living conditions, inadequate access to specialized care and stigma/discrimination from health professionals. Renewed strategies and effective interventions should be developed and scaled-up, in order to assure equitable HAART access, decrease morbidity and mortality among PWUDs.Antiretroviral Therapy, Highly ActiveAcquired Immunodeficiency Syndrome/therapyDrug UsersHIVCohort StudiesSíndrome de Imunodeficiência Adquirida /terapiaTerapia Antirretroviral de Alta AtividadeUsuários de DrogasHIVEstudos de Coortesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/8656/1/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD51ORIGINALThe Paradigm of Universal Access to HIV-Treatment and Human Rights Violation.pdfThe Paradigm of Universal Access to HIV-Treatment and Human Rights Violation.pdfapplication/pdf246485https://www.arca.fiocruz.br/bitstream/icict/8656/2/The%20Paradigm%20of%20Universal%20Access%20to%20HIV-Treatment%20and%20Human%20Rights%20Violation.pdfcfaf68245aa284eea277f112b069e330MD52TEXTThe Paradigm of Universal Access to HIV-Treatment and Human Rights Violation.pdf.txtThe Paradigm of Universal Access to HIV-Treatment and Human Rights Violation.pdf.txtExtracted texttext/plain49675https://www.arca.fiocruz.br/bitstream/icict/8656/3/The%20Paradigm%20of%20Universal%20Access%20to%20HIV-Treatment%20and%20Human%20Rights%20Violation.pdf.txt9f7f8bb456b8641fd95b635f687fd47dMD53icict/86562023-08-01 16:55:24.141oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-01T19:55:24Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
title The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
spellingShingle The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
Malta, Monica
Antiretroviral Therapy, Highly Active
Acquired Immunodeficiency Syndrome/therapy
Drug Users
HIV
Cohort Studies
Síndrome de Imunodeficiência Adquirida /terapia
Terapia Antirretroviral de Alta Atividade
Usuários de Drogas
HIV
Estudos de Coortes
title_short The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
title_full The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
title_fullStr The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
title_full_unstemmed The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
title_sort The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs?
author Malta, Monica
author_facet Malta, Monica
Costa, Michelle Ralil da
Bastos, Francisco Inácio Pinkusfeld Monteiro
author_role author
author2 Costa, Michelle Ralil da
Bastos, Francisco Inácio Pinkusfeld Monteiro
author2_role author
author
dc.contributor.author.fl_str_mv Malta, Monica
Costa, Michelle Ralil da
Bastos, Francisco Inácio Pinkusfeld Monteiro
dc.subject.en.none.fl_str_mv Antiretroviral Therapy, Highly Active
Acquired Immunodeficiency Syndrome/therapy
Drug Users
HIV
Cohort Studies
topic Antiretroviral Therapy, Highly Active
Acquired Immunodeficiency Syndrome/therapy
Drug Users
HIV
Cohort Studies
Síndrome de Imunodeficiência Adquirida /terapia
Terapia Antirretroviral de Alta Atividade
Usuários de Drogas
HIV
Estudos de Coortes
dc.subject.decs.none.fl_str_mv Síndrome de Imunodeficiência Adquirida /terapia
Terapia Antirretroviral de Alta Atividade
Usuários de Drogas
HIV
Estudos de Coortes
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Ciências Sociais. Rio de Janeiro, RJ, Brasil.
publishDate 2014
dc.date.accessioned.fl_str_mv 2014-10-22T12:52:58Z
dc.date.available.fl_str_mv 2014-10-22T12:52:58Z
dc.date.issued.fl_str_mv 2014
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv MALTA, M; COSTA, M. R. da; BASTOS, F. I. P. M. The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs? Current HIV/AIDS Reports, v. 11, n. 1, p. 52-62, 2014.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/8656
dc.identifier.issn.none.fl_str_mv 1548-3568
dc.identifier.doi.none.fl_str_mv 10.1007/s11904-013-0196-2
dc.identifier.eissn.none.fl_str_mv 1548-3576
identifier_str_mv MALTA, M; COSTA, M. R. da; BASTOS, F. I. P. M. The paradigm of universal access to HIV-treatment and human rights violation: how do we treat HIV-positive people who use drugs? Current HIV/AIDS Reports, v. 11, n. 1, p. 52-62, 2014.
1548-3568
10.1007/s11904-013-0196-2
1548-3576
url https://www.arca.fiocruz.br/handle/icict/8656
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Current Medicine Group
publisher.none.fl_str_mv Current Medicine Group
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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collection Repositório Institucional da FIOCRUZ (ARCA)
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https://www.arca.fiocruz.br/bitstream/icict/8656/3/The%20Paradigm%20of%20Universal%20Access%20to%20HIV-Treatment%20and%20Human%20Rights%20Violation.pdf.txt
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