The Experience of Active Injection Drug Use on Adherence to Antiretroviral Treatment in Aboriginal People Living in Prince George - A Qualitative Perspective.
Bibliographic record
Abstract
In Canada the incidence rates of HIV in Aboriginal populations continue to grow, despite an overall reduction in HIV prevalence of the Canadian population as a whole. Reasons for the increased Aboriginal HIV incidence are varied including structural components such as socio-economic issues, and limited access to healthcare. In addition, personal coping strategies such as addiction and mental health issues increase incidence rates of HIV. With this context in mind, it is not surprising that the difficulties of managing HIV - a disease which involves complex treatment regimens and wide variations in health status - can create unbearable burdens on people infected (and affected) by HIV/AIDS. The complicated treatment regimens associated with HIV can pose great problems for Aboriginal people, but are exacerbated when active injection drug use is factored in. The purpose of this study is to gain insight into how active injection drug use impacts adherence to antiretroviral treatment in Aboriginal people living in Prince George, British Columbia. The study asked participants what they felt could be done by healthcare providers to better support them in their struggles to maintain the high levels of adherence needed for maximal HIV viral suppression. Eight interviews were conducted and analyzed using a Grounded Theory methodology. Analysis and interpretation revealed that healthcare providers need to me [sic] more caring and consistent in their approach. Adherence is facilitated by the knowledge of the health consequences of non-adherence trust in healthcare providers incorporating HAART into daily routines receiving support from AIDS services organizations, friends, and family and that combining HAART administration with methadone is an effective pathway to increase adherence. On the other hand, the most common barrier to adherence identified by the participants was being high'. Finally the study found that the majority of participants expressed a feeling of disconnection from Aboriginal culture. --P
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | no category Domain: not available · Genre: Other About the Canadian research system: no · About a Canadian topic: yes | Qualitative | low |
| gpt | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: yes | Qualitative | low |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.020 | 0.009 |
| Scholarly communication | 0.004 | 0.001 |
| Open science | 0.002 | 0.005 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".