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Case 5: Homelessness and HIV

You answered:

A Homelessness should be considered a clear-cut contraindication for initiating antiretroviral therapy.

This answer is incorrect. Several studies have shown that homeless individuals can successfully adhere to antiretroviral therapy. Also, community outreach programs can improve adherence in homeless persons. Weekly dispensation of medications, weekly medication organizers, and frequent contact with medical personnel may improve adherence among homeless individuals. Mental illness, however, should be addressed prior to initiating antiretroviral therapy.

Choose another answer:

B Homeless (or marginally-housed individuals) uniformly have low rates of adherence to antiretroviral medications.
C In the United States, HIV infection is more prevalent among the homeless population than it is in the overall population.
D Incentive programs for cash and food have not been successful in improving adherence in HIV-infected homeless individuals.

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