Antiretroviral Adherence Trajectories Among Black Americans Living with HIV.
Erik D StorholmLaura M BogartMatt G MutchlerDavid J KleinBonnie Ghosh-DastidarBryce McDavittGlenn J WagnerPublished in: AIDS and behavior (2019)
Black people living with HIV (BPLWH) are less likely to adhere to antiretroviral treatment than are members of other racial/ethnic groups. Data were combined from two studies of BPLWH (n = 239) to estimate adherence trajectories using a semiparametric, group-based modeling strategy over three time-points (spanning 6 months). Analyses identified three groups of individuals (high-stable, moderately low-stable, low-decreasing). Multinomial logistic regressions were used to predict trajectory membership with multiple levels of socio-ecological factors (structural, institutional/health system, community, interpersonal/network, individual). Older age was associated with being in the high-stable group, whereas substance use, lower perceived treatment effectiveness, and lower quality healthcare ratings were related to being in the moderately low-stable group. In sum, multiple socio-ecological factors contribute to adherence among BPLWH and thus could be targeted in future intervention efforts.
Keyphrases
- healthcare
- depressive symptoms
- randomized controlled trial
- hiv infected
- human immunodeficiency virus
- physical activity
- hiv aids
- climate change
- hiv positive
- systematic review
- quality improvement
- risk assessment
- human health
- metabolic syndrome
- glycemic control
- social media
- adipose tissue
- drug delivery
- current status
- insulin resistance
- antiretroviral therapy
- replacement therapy
- health information
- smoking cessation