The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women's Interagency HIV Study.
Aruna ChandranLorie BenningRashelle J MusciTracey E WilsonJoel MilamAdebola AdedimejiCarrigan ParishAdaora A AdimoraJennifer CocohobaMardge H CohenMarcia HolstadSeble KassayeMirjam-Colette KempfElizabeth T GolubPublished in: AIDS and behavior (2019)
Social support is associated with HIV-related health outcomes. However, few studies have explored this longitudinally. We assessed psychometric properties of the Medical Outcomes Study's Social Support Survey among women in the Women's Interagency HIV Study, and explored the longitudinal effects of social support on HIV medication adherence (HIV-positive women) and healthcare utilization (HIV-positive and negative women). The 15 questions loaded into two factors, with Cronbach's Alpha > 0.95. Over 3 years, perceived emotional support was associated with optimal medication adherence (OR 1.19, 95% CI 1.10-1.28) and healthcare utilization (OR 1.16, 95% CI 1.05-1.27), and tangible social support with adherence only (OR 1.18, 95% CI 1.08-1.27) when controlling for covariates, including core sociodemographic characteristics and depressive symptoms. Interventions to further understand the drivers of sub-types of social support as well as enhance sustained social support may assist with optimizing care of women with and at risk for HIV.
Keyphrases
- social support
- hiv positive
- depressive symptoms
- antiretroviral therapy
- men who have sex with men
- healthcare
- south africa
- hiv testing
- hiv infected
- human immunodeficiency virus
- polycystic ovary syndrome
- hiv aids
- pregnancy outcomes
- hepatitis c virus
- cervical cancer screening
- drug delivery
- breast cancer risk
- sleep quality
- physical activity
- psychometric properties
- cancer therapy
- quality improvement
- pregnant women
- mental health
- skeletal muscle
- health information
- glycemic control
- affordable care act