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Directly Observed versus Self-administered Antiretroviral Therapies: Preference of HIV-Positive Jailed Inmates in San Francisco
Authors:Parya Saberi  Nikolai H. Caswell  Ross Jamison  Milton Estes  Jacqueline P. Tulsky
Affiliation:1. University of California, San Francisco, San Francisco, CA, USA
2. San Francisco, CA, USA
3. San Francisco Department of Public Health, San Francisco, CA, USA
Abstract:Directly observed therapy (DOT) of antiretroviral (ARV) medications has beneficial effects on HIV treatment for incarcerated inmates but has been associated with limited continuation after release and inadvertent disclosure of HIV status. Guided self-administered therapy (g-SAT) may be a preferred method of ARV delivery and may encourage medication-taking behavior. We surveyed the preference of 102 HIV-positive jailed inmates at the San Francisco City and County Jails regarding receiving ARVs via DOT versus g-SAT while incarcerated. Participants overwhelmingly preferred g-SAT over DOT.
Keywords:HIV   AIDS   Directly observed therapy   Self-administered therapy   Jail   Correctional facility
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