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The review, which is part of a multi-centre study on methamphetamine and HIV treatment, also reviews Scottish evidence on methamphetamine use amongst HIV-infected gay men. It also explores the evidence on how methamphetamine impacts on HIV treatment.
Although methamphetamine use is reportedly common amongst MSM in Scotland, its impact on HIV treatment and care has yet to be explored. In the article, Rebecca said that it is important to determine whether methamphetamine use impacts on HIV treatment service delivery, retention in treatment programmes, and the care of people living with HIV.
We know that the current way of treating people with HIV is not working. Treatment as prevention seems to be more accessible and effective in settings where it is not a concern to use the person's name, and it is also more successful at getting people into treatment and keeping them there.
To achieve this, it is important to understand what is happening with those people who are not getting referred to services; a number of recent studies have outlined the lack of referral to specialist services for those people. For example, in a study that looked at HIV-positive people who had died between the ages of 18 to 64, the study leader questioned carers and next of kin whether or not they thought that the deceased was in any way connected to a specialist service. Only half of those people thought they were.
In fact, across the six cities where the research was carried out, very few carers knew about local HIV care centres, were aware of the names of these services, or their exact locations. So, for example, in Edinburgh, the carers were unaware of the specific HIV care centre where their relative was being treated, which meant that there were many people without a carer or family member who was able to provide information.
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