The impact of the AIDS drug assistance program (ADAP) on use of highly active antiretroviral and antihypertensive therapy among HIV-infected women

Thomas Yi, Jennifer Cocohoba, Mardge Cohen, Kathryn Anastos, Jack A. Dehovitz, Naoko Kono, David B. Hanna, Nancy A. Hessol

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Objectives: To evaluate the association between enrollment into an AIDS Drug Assistance Program (ADAP) and use of highly active antiretroviral therapy (HAART) and antihypertensive therapy. Methods: Cross-sectional analyses of data were performed on HAART-eligible women enrolled in the California (n = 439), Illinois (n = 168), and New York (n = 487) Women's Interagency HIV Study sites. A subset of HIV-infected women with hypertension (n = 395) was also analyzed. Unadjusted and adjusted backward stepwise elimination logistic regression measured the association between demographic, behavioral, and health service factors and nonuse of HAART or antihypertensive medication. Results: In adjusted analysis of HAART nonuse, women without ADAP were significantly more likely not to use HAART (odds ratio [OR], 2.4; 95% confidence interval [CI], 1.5-3.7) than women with ADAP. In adjusted analysis of antihypertensive medication nonuse, women without ADAP had an increased but not significant odds of antihypertensive medication nonuse (OR, 2.4; 95% CI, 0.93-6.0) than women with ADAP. Conclusions: Government-funded programs for prescription drug coverage such as ADAP may play an important role in how HIV-positive women access and use essential medications for chronic diseases.

Original languageEnglish (US)
Pages (from-to)253-262
Number of pages10
JournalJournal of Acquired Immune Deficiency Syndromes
Volume56
Issue number3
DOIs
StatePublished - Mar 1 2011

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Keywords

  • AIDS
  • antiretroviral therapy
  • healthcare disparity
  • hypertension
  • prescription insurance
  • women

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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