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Using multiple measurement strategies (self-report, electronic monitoring, calendar-based assessments) we assessed factors related to medication adherence. Our findings indicate that adherence to protease inhibitor regimens are highly variable and are related to contextual, intrapersonal and behavioral factors, including access to health care, the use of specific recreational substances, self-efficacy toward adherence and avoidant coping strategies. These results suggest that a complex interaction between intrapsychic and socio-cultural realities may help to explain adherence to HIV treatment medications.<\/jats:p>","DOI":"10.1177\/1359105305053422","type":"journal-article","created":{"date-parts":[[2005,7,12]],"date-time":"2005-07-12T14:04:44Z","timestamp":1121177084000},"page":"545-558","source":"Crossref","is-referenced-by-count":44,"title":["The Social Realities of Adherence to Protease Inhibitor Regimens: Substance                 Use, Health Care and Psychological States"],"prefix":"10.1177","volume":"10","author":[{"given":"Perry N.","family":"Halkitis","sequence":"first","affiliation":[{"name":"New York University, Center for Health, Identity, Behavior, & Prevention Studies, USA,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra H.","family":"Kutnick","sequence":"additional","affiliation":[{"name":"New York University, Center for Health, Identity, Behavior, & Prevention Studies, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Slater","sequence":"additional","affiliation":[{"name":"New York University, Center for Health, Identity, Behavior, & Prevention Studies, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1080\/0954012031000068407"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.90.5.699"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1521\/jscp.1986.4.3.359"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200309050-00011"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.3109\/09540269609046308"},{"key":"atypb6","first-page":"562","volume":"4","author":"Beck, A. 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