Incidence and Consistency of Antiretroviral Use Among HIV-Infected Medicaid Beneficiaries With Schizophrenia
J Clin Psychiatry 2001;62(3):174-178
© Copyright 2015 Physicians Postgraduate Press, Inc.
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Objective: To investigate the incidence and
consistency of antiretroviral (ARV) treatment in the period
before the introduction of protease inhibitors among Medicaid
beneficiaries in New Jersey who had both the human
immunodeficiency virus (HIV) and schizophrenia.
Method: HIV-infected Medicaid beneficiaries were
identified using the HIV and acquired immunodeficiency syndrome
(AIDS) registries for New Jersey; claims histories were used to
identify patients diagnosed with ICD-9-CM schizophrenia and
affective psychoses and to examine use of ARV drugs.
Results: Bivariate and multivariate analysis
found no difference in the likelihood of receiving ARV drugs
between patients with HIV and schizophrenia and HIV-infected
patients without schizophrenia. However, once the therapy was
initiated, patients with schizophrenia were more consistent users
of ARV drugs.
Conclusion: Results do not indicate that
HIV-seropositive (HIV+) patients with schizophrenia are less
adherent to HIV therapies than HIV+ patients without
schizophrenia. In our study population, consistency of use was
actually higher among HIV+ patients with schizophrenia, perhaps
because their multiple diagnoses place them under closer medical