Factors Related To Medication Adherence And Viral Variability In Hiv Individuals

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Factors Related to Medication Adherence and Viral Variability in HIV+ Individuals

Author : Shannon R. Bierma
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Factors Related to Medication Adherence and Viral Variability in HIV+ Individuals by : Shannon R. Bierma

Download or read book Factors Related to Medication Adherence and Viral Variability in HIV+ Individuals written by Shannon R. Bierma and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research on HIV treatment has indicated there are numerous factors that contribute to medication nonadherence, and therefore, risk of transmission. Mental health issues, substance abuse, and co-occurring physical health issues have shown to have negative impacts on HIV medication adherence. Additionally, living in a rural area compared to an urban region negatively impacts adherence. African American males fare the worst in HIV treatment, having the least engagement with HIV care resulting in late stage HIV upon diagnosis, and are within a group that are at the highest risk of infection. Gender role socialization theory and research on male help-seeking behavior guides the current study that aims to investigate predictive factors and the intersection of these factors on HIV medication adherence. This theory states that males are less likely to seek medical and mental health care, or underreport symptoms. Participants were 133 Ryan White Part B clients who have received support and treatment for HIV for at least two years. A retrospective longitudinal design examined how intersecting factors predicted viral variability and CD4 counts in HIV-positive (HIV+) individuals. It was hypothesized that mental health issues, substance abuse, physical health comorbidities, region (e.g., South versus North), and race (e.g., African American/Black versus White counterparts) would impact viral variability and CD4 counts. Results showed that substance abuse, changes in urban/rural residence, and physical health comorbidities impacted viral variability or CD4 counts, and ultimately, substance abuse had the greatest negative impact. Implications of these findings can guide future research and clinical interventions for co-treating substance abuse and HIV.

The Physicians' Guide to Helping Patients with Alcohol Problems

Author :
Publisher :
ISBN 13 :
Total Pages : 22 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis The Physicians' Guide to Helping Patients with Alcohol Problems by :

Download or read book The Physicians' Guide to Helping Patients with Alcohol Problems written by and published by . This book was released on 1995 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Factors Associated with Appointment and Medication Adherence in Low Income Latinas Living with the Human Immunodeficiency Virus

Author : Lorraine Ann Garcia-Teague
Publisher :
ISBN 13 :
Total Pages : 320 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Factors Associated with Appointment and Medication Adherence in Low Income Latinas Living with the Human Immunodeficiency Virus by : Lorraine Ann Garcia-Teague

Download or read book Factors Associated with Appointment and Medication Adherence in Low Income Latinas Living with the Human Immunodeficiency Virus written by Lorraine Ann Garcia-Teague and published by . This book was released on 2002 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Impact of Partnership Factors on Adherence to HIV Pre-Exposure Prophylaxis and Antiretroviral Therapy

Author : Zoe Gabriele Baker
Publisher :
ISBN 13 :
Total Pages : 122 pages
Book Rating : 4.:/5 (17 download)

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Book Synopsis The Impact of Partnership Factors on Adherence to HIV Pre-Exposure Prophylaxis and Antiretroviral Therapy by : Zoe Gabriele Baker

Download or read book The Impact of Partnership Factors on Adherence to HIV Pre-Exposure Prophylaxis and Antiretroviral Therapy written by Zoe Gabriele Baker and published by . This book was released on 2018 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Adherence to medications for HIV prevention and treatment is essential to reducing HIV transmission risk and improving health outcomes. Adherence to these medications remain insufficient in several key populations, however. Understanding how partnership types and dynamics may encourage or hinder HIV medication adherence is necessary to improving adherence rates among important sub-groups, including young men who have sex with men (YMSM), serodiscordant couples, and adolescent girls. My first paper identified the partnership and housing factors associated with adherence to oral PrEP among YMSM. PrEP adherence was relatively low in the study, declining from 46% at baseline to 39% at study conclusion. PrEP adherence was significantly associated with increasing age (OR=1.35; 95% CI: 1.14, 1.60), and race (African-Americans vs. other OR=0.37, 95% CI: 0.21, 0.66). Relationship type, length, and depth, number of partners, and partner's HIV status were not significantly associated with adherence. PrEP adherence was associated with housing insecurity, including ever being kicked out of the home (AOR=0.43; 95% CI: 0.18, 1.04), and the Housing Insecurity Index (AOR=0.64; 95% CI: 0.44, 0.93). PrEP adherence was also associated with privacy, including number of people living in the residence (AOR=0.82; 95% CI: 0.71, 0.95), sleeping in a private bedroom (AOR=2.10, 95% CI: 1.01, 4.40), and the Lack of Privacy Index (AOR=0.82; 95% CI: 0.71, 0.95). YMSM did not modify their PrEP-taking depending on relationship risk. Housing insecurity and lack of privacy may hinder PrEP adherence among YMSM. My second paper determined whether HIV viral suppression was associated with partnership status and partnership support among HIV-positive individuals and serodiscordant couples in Brazil. Viral suppression did not significantly differ between HIV-positive partnered (79% virally suppressed) and unpartnered (76% virally suppressed) individuals. Among individuals in partnerships, viral load suppression was significantly associated with having partners who attended monthly visits (AOR=2.99; 95% CI: 1.00, 8.93); among women in partnerships, viral load suppression was significantly associated with having a partner who actively reminded them to take ART (AOR=2.67; 95% CI: 1.04, 6.88). Practical measures of social support, including attending monthly visits and reminding a partner to take ART, may improve viral suppression among HIV-positive individuals in serodiscordant partnerships. My third paper assessed the product, relationship, and sex factors that affect acceptability of a vaginal ring (VR) for HIV prevention among adolescent girls aged 15 to 17 years. Product factors were most frequently mentioned as barriers to VR acceptability. Many participants reported concerns about the large size of the VR upon first impression, and some reported pain with VR insertion. Several participants reported concerns regarding cleanliness of the VR, particularly during menstruation. Relationship factors rarely appeared to act as barriers to VR acceptability; the majority of participants disclosed VR use to their sexual partners, and positive reactions from sexual partners regarding the VR were common. Emotional and/or physical discomfort surrounding VR use during sex was mentioned occasionally as a potentially barrier to VR acceptability. Relationship factors appear to be important in several populations for adherence to HIV-related medications. YMSM in high-risk sexual relationships may not modify PrEP-taking, leaving them at risk for HIV acquisition. Among serodiscordant couples, practical measures of partnership support may improve ART adherence and promote viral suppression. While adolescent girls most often reported that product-related factors inhibited VR acceptability, lack of partnership disclosure, negative partner reactions, and discomfort during sex may hinder VR acceptability among some girls.

Encyclopedia of AIDS

Author : Thomas J. Hope
Publisher :
ISBN 13 : 9781461496106
Total Pages : pages
Book Rating : 4.4/5 (961 download)

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Book Synopsis Encyclopedia of AIDS by : Thomas J. Hope

Download or read book Encyclopedia of AIDS written by Thomas J. Hope and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

HIV/AIDS in Latin America and the Caribbean

Author :
Publisher :
ISBN 13 :
Total Pages : 120 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis HIV/AIDS in Latin America and the Caribbean by :

Download or read book HIV/AIDS in Latin America and the Caribbean written by and published by . This book was released on 1995 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Biopsychosocial Barriers, Motivational Interviewing, and Antiretroviral Medication Adherence in Persons Living with HIV and AIDS.

Author : Qunesha S. Hinton
Publisher :
ISBN 13 :
Total Pages : 186 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Biopsychosocial Barriers, Motivational Interviewing, and Antiretroviral Medication Adherence in Persons Living with HIV and AIDS. by : Qunesha S. Hinton

Download or read book Biopsychosocial Barriers, Motivational Interviewing, and Antiretroviral Medication Adherence in Persons Living with HIV and AIDS. written by Qunesha S. Hinton and published by . This book was released on 2018 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the development of antiretroviral medications in the mid-1990s, treatment of human immunodeficiency virus (HIV) infection has improved steadily and HIV is now considered a manageable chronic condition with improved quality of life for those who are medically adherent. However, medication regimens typically require near perfect adherence to be effective and people living with HIV/AIDS (PLWHA) may experience a unique set of biopsychosocial barriers that limit or inhibit their ability to be medically adherent. The purpose of this study was to examine the influence of biopsychosocial factors and motivational interviewing on antiretroviral medication adherence in people living with HIV/AIDS (PLWHA). Specifically, this study explored how biopsychosocial barriers (i.e., physical health, mental health, substance use, housing, transportation, and employment concerns) and motivational interviewing predict antiretroviral medication adherence in PLWHA as measured by patients' CD4 count and HIV viral load. This study utilized archival data that was collected between July 2013 and July 2016 at the Brody School of Medicine HIV Clinic and captured patients' biopsychosocial barriers, CD4 count and HIV viral load. A stratified sample of 210 patients was drawn from the archival data for this study. Multiple logistic regression analysis showed that patients' CD4 count cut scores at intake made a significant contribution to the prediction of medication adherence as measured by PLWHA CD4 count cut scores at week 21, when controlling for patients' CD4 count cut scores at intake. Comparatively, results showed a statistical significance for the barrier substance use when examining antiretroviral medication adherence in PLWHA as measured by patients' HIV viral load cut scores at week 21. Further, a non-significant association between patients' CD4 cut scores at week 21 and patients' HIV viral load cut scores at week 21 in predicting antiretroviral medication adherence was found. The results of this study suggest that patients' starting CD4 count and substance use are important components that warrant further research for PLWHA. Further, this study has implications for healthcare professionals, counselors, and counselor educators related to substance use concerns for this specific population. Future research exploring substance use treatment and ARV medication adherence in PLWHA is suggested.

Cognitive-Behavioral Stress Management

Author : Michael H. Antoni
Publisher : Oxford University Press
ISBN 13 : 0190450029
Total Pages : 144 pages
Book Rating : 4.1/5 (94 download)

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Book Synopsis Cognitive-Behavioral Stress Management by : Michael H. Antoni

Download or read book Cognitive-Behavioral Stress Management written by Michael H. Antoni and published by Oxford University Press. This book was released on 2007-09-10 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Living with HIV can be stressful, which can affect both your emotional and physical well-being. You may feel a loss of control over your life, socially isolated, or anxious and depressed. Studies have shown that prolonged stress can negatively impact the immune system, making it less effective in fighting illness. If you are concerned about the impact stress has on your life and on your health, this book can help you learn to relax and manage stress more effectively. This book presents a group treatment program that has been scientifically proven to reduce stress in individuals living with HIV. Written by the developers of this groundbreaking program, this workbook is based on the principles of Cognitive-Behavioral Stress Management (CBSM). You will learn a variety of relaxation techniques, all designed to help you reduce tension and stress. As you become more aware of stress and its effects, stress management skills will increase your ability to cope. This workbook comes complete with user-friendly monitoring forms and homework exercises designed to help reinforce the skills learned in group. It also includes instructions for relaxation practice that will remain useful long after you've completed the program. Used in conjunction with the group program described in the corresponding facilitator guide, this workbook will help you successfully manage stress and lead a more healthy life. TreatmentsThatWorkTM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)

Patient Treatment Adherence

Author : Hayden B. Bosworth
Publisher : Psychology Press
ISBN 13 : 1135616434
Total Pages : 697 pages
Book Rating : 4.1/5 (356 download)

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Book Synopsis Patient Treatment Adherence by : Hayden B. Bosworth

Download or read book Patient Treatment Adherence written by Hayden B. Bosworth and published by Psychology Press. This book was released on 2006-04-21 with total page 697 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new book summarizes the adherence literature for a number of specific health behaviors and populations. It provides a comprehensive source on the conceptualization, interventions, and measurement of treatment adherence and a synthesis of the research across demographic and chronic diseases. The text presents problems associated with treatment adherence; theoretical models that have commonly been used to understand, predict, and/or improve adherence; adherence with specific behaviors including exercise, diet, rehabilitation, medication, and psychological therapies; and strategies in enhancing adherence. Because chronic diseases involve similar behaviors, the handbook is organized by specific behaviors and special populations, and not by disease. Every chapter is sub-organized by specific diseases to ensure easy access for the readers and features a discussion of adherence across demographic and chronic conditions, a review of previous interventions directed at the particular behavior or population, questions and scoring algorithms for widely used measures of treatment adherence, a discussion of the clinical research, and where appropriate, policy implications. Patient Treatment Adherence addresses: practical recommendations to improve adherence; the impact of non-adherence including costs and health-related quality of life; methodological issues such as assessing cost-effectiveness; and the use of technological advances to improve adherence. Intended for health service professionals, health, clinical, social, and cognitive psychologists, primary care physicians, pharmacists, and policy-makers, this text is also an excellent resource for graduate courses on health psychology and public health.

Factors Affecting HIV Medication Adherence Among Individuals Living with HIV/AIDS

Author : Bipasha Biswas
Publisher :
ISBN 13 :
Total Pages : 228 pages
Book Rating : 4.:/5 (259 download)

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Book Synopsis Factors Affecting HIV Medication Adherence Among Individuals Living with HIV/AIDS by : Bipasha Biswas

Download or read book Factors Affecting HIV Medication Adherence Among Individuals Living with HIV/AIDS written by Bipasha Biswas and published by . This book was released on 2008 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Gender Related Factors Influencing Medication Adherence in HIV/AIDS Patients in a University Based Clinic and the Impact of Target Interventions to Improve Female Medication Adherence

Download Gender Related Factors Influencing Medication Adherence in HIV/AIDS Patients in a University Based Clinic and the Impact of Target Interventions to Improve Female Medication Adherence PDF Online Free

Author : Heather Ann Klinge
Publisher :
ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.:/5 (71 download)

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Book Synopsis Gender Related Factors Influencing Medication Adherence in HIV/AIDS Patients in a University Based Clinic and the Impact of Target Interventions to Improve Female Medication Adherence by : Heather Ann Klinge

Download or read book Gender Related Factors Influencing Medication Adherence in HIV/AIDS Patients in a University Based Clinic and the Impact of Target Interventions to Improve Female Medication Adherence written by Heather Ann Klinge and published by . This book was released on 2001 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Impact of Comorbidities on Medication Adherence Among People Living with HIV

Author : Tashonna R. Webster
Publisher :
ISBN 13 :
Total Pages : 276 pages
Book Rating : 4.:/5 (729 download)

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Book Synopsis The Impact of Comorbidities on Medication Adherence Among People Living with HIV by : Tashonna R. Webster

Download or read book The Impact of Comorbidities on Medication Adherence Among People Living with HIV written by Tashonna R. Webster and published by . This book was released on 2011 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Antiretroviral Therapy Adherence in Youth Living with HIV: Exploring the Role of Risk Behaviors, Health Promotion Behaviors and Depressive Symptoms

Download Antiretroviral Therapy Adherence in Youth Living with HIV: Exploring the Role of Risk Behaviors, Health Promotion Behaviors and Depressive Symptoms PDF Online Free

Author : Megan Loew
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (111 download)

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Book Synopsis Antiretroviral Therapy Adherence in Youth Living with HIV: Exploring the Role of Risk Behaviors, Health Promotion Behaviors and Depressive Symptoms by : Megan Loew

Download or read book Antiretroviral Therapy Adherence in Youth Living with HIV: Exploring the Role of Risk Behaviors, Health Promotion Behaviors and Depressive Symptoms written by Megan Loew and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Youth living with HIV are often inconsistent with their HIV medication adherence. HIV medication adherence is critical for the treatment of HIV and prevention for future transmission. Understanding associated behaviors that may impact adherence for individuals living with HIV is necessary for their continued care. The current study aimed to more fully identify the influences engaging in risk behaviors, health promoting behaviors and experiencing depressive symptoms have on HIV medication adherence in adolescents and young adults with HIV. Participants were 92 adolescents and young adults with HIV living in the mid-south region of the United States. Individuals completed surveys about demographics, psychosocial behaviors, depressive symptoms and antiretroviral therapy (ART) medication adherence during a clinic visit. Path analyses were conducted to measure the model fit of the Reflective-Impulsive theory on ART adherence. Results did not support any significant path coefficients, variance explained, or mediation effects. These findings suggest limited insight into health and risk factors related to ART adherence in youth living with HIV, but may offer some suggestions for future research. Further study is warranted to understand the relationship among these factors in order to improve ART adherence and health outcomes.

Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection

Author : World Health Organization
Publisher :
ISBN 13 : 9789241549684
Total Pages : 429 pages
Book Rating : 4.5/5 (496 download)

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Book Synopsis Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection by : World Health Organization

Download or read book Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection written by World Health Organization and published by . This book was released on 2016 with total page 429 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines provide guidance on the diagnosis of human immunodeficiency virus (HIV) infection, the use of antiretroviral (ARV) drugs for treating and preventing HIV infection and the care of people living with HIV. They are structured along the continuum of HIV testing, prevention, treatment and care. This edition updates the 2013 consolidated guidelines on the use of antiretroviral drugs following an extensive review of evidence and consultations in mid-2015, shared at the end of 2015, and now published in full in 2016. It is being published in a changing global context for HIV and for health more broadly.

Factors Associated with Medication Adherence to Antiretroviral Treatment Among People Living with HIV/AIDS in Bago, Myanmar

Author :
Publisher :
ISBN 13 :
Total Pages : 202 pages
Book Rating : 4.:/5 (944 download)

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Book Synopsis Factors Associated with Medication Adherence to Antiretroviral Treatment Among People Living with HIV/AIDS in Bago, Myanmar by :

Download or read book Factors Associated with Medication Adherence to Antiretroviral Treatment Among People Living with HIV/AIDS in Bago, Myanmar written by and published by . This book was released on 2014 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Factors Associated with Different Responses to Combination Antiretroviral Therapy in an Observational Cohort Study of HIV-1 Infected Patients

Download Factors Associated with Different Responses to Combination Antiretroviral Therapy in an Observational Cohort Study of HIV-1 Infected Patients PDF Online Free

Author : W. P. Bannister
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (829 download)

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Book Synopsis Factors Associated with Different Responses to Combination Antiretroviral Therapy in an Observational Cohort Study of HIV-1 Infected Patients by : W. P. Bannister

Download or read book Factors Associated with Different Responses to Combination Antiretroviral Therapy in an Observational Cohort Study of HIV-1 Infected Patients written by W. P. Bannister and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of combination antiretroviral therapy (cART) into clinical practice for the treatment of HIV in 1995-1996 has led to dramatic reductions in mortality and morbidity. Factors linked to a positive response to therapy include a potent and tolerable regimen, good adherence and low levels of HIV drug resistance. The aims of this thesis were to investigate factors potentially associated with different responses to cART measured using virological and immunological predictive markers, and also to look at the development of toxicities to a specific regimen. The analyses were based on data from the EuroSIDA study, which is an observational cohort of 14,310 HIV-1 infected patients from Europe, Israel and Argentina. Data collected includes demographic history, CD4 cell counts, viral loads and details of all drugs taken. EuroSIDA also collects viral sequence data for its resistance database. Investigation into virological response to first-line cART across geographical regions found evidence of variation, which was most apparent in early-cART years. Virological response improved over calendar time in all regions, especially in East Europe. Neither HIV-1 subtype nor transmitted drug resistance (TDR) were found to be associated with virological response to cART, however statistical power was limited. A significantly decreased risk of virological failure was found in patients starting efavirenz compared with nevirapine, which did not appear to be explained by baseline drug resistance. Finally, incidence of abacavir discontinuation due to a hypersensitivity reaction side effect of the drug appeared to be higher in patients starting abacavir as part of first-line therapy but decreased in recent years. In conclusion, this thesis has compared a variety of different responses to antiretroviral therapy across subsets of a large heterogeneous population. It is hoped that these findings will contribute to research in monitoring trends in response to therapy and provide insight into association with the genetic variability of the virus.

HIV/AIDS in Europe

Author : World Health Organization. Regional Office for Europe
Publisher : WHO Regional Office Europe
ISBN 13 : 9289022841
Total Pages : 290 pages
Book Rating : 4.2/5 (89 download)

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Book Synopsis HIV/AIDS in Europe by : World Health Organization. Regional Office for Europe

Download or read book HIV/AIDS in Europe written by World Health Organization. Regional Office for Europe and published by WHO Regional Office Europe. This book was released on 2006 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tells the story of HIV/AIDS in Europe from a broad variety of perspectives: bio-medical, social, cultural, economic and political. The authors are leading experts from across the region and include both the infected and the affected, be they doctors or former drug users, United Nations employees or gay men, public health researchers or community activits. They describe how, from the first documented cases in 1981 to the present era of antiretroviral management, controlling the human inmmunodeficiency virus in Europe has provided elusive.