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Background:

Expanded access to antiretroviral therapy (ART) has produced dramatic reductions in HIV-associated morbidity and mortality. Disparities in access to and benefit from ART have been observed by race, gender, and mental health status, however.

Methods:

From 2001 to 2002, 611 HIV-positive patients were consecutively recruited from 5 southeastern US states and followed for 3 years. We evaluated demographic and psychosocial predictors of probability of receiving ART among all those eligible for ART (on ART, CD4< 350 cells/mm 3 or viral load [VL]> 55,000 copies/mL in the year preceding enrollment), time to first ART discontinuation among those on ART, and time to VL> 400 copies/mL among those on ART with VL< 400 copies/mL at enrollment.

Results:

Of 611 participants, 474 consented to medical record abstraction and had known ART status at enrollment; 81%(385 of 474) of all participants and …