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February 24, 1999

Use of Antiretroviral Therapy by Intravenous Drug Users With HIV

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(8):699-701. doi:10.1001/jama.281.8.699

To the Editor: Dr Strathdee and colleagues1 identified patient and physician characteristics associated with antiretroviral therapy (ART) use in injection drug users (IDUs) infected with human immunodeficiency virus (HIV) and found that the odds of not receiving therapy were increased more than 3-fold for those not currently enrolled in drug or alcohol treatment programs. Unfortunately, they did not provide odds ratios (ORs) for enrollment in specific types of addiction treatment and in particular methadone maintenance programs. It would also be useful to know how physician experience in treating HIV illness correlates with physician authorization to prescribe methadone status.

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