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Psychosocial burdens negatively impact HIV antiretroviral adherence in gay, bisexual, and other men who have sex with men aged 50 and older
| Content Provider | Scilit |
|---|---|
| Author | Halkitis, Perry N. Perez-Figueroa, Rafael Eduardo Carreiro, Timothy Kingdon, Molly J. Kupprat, Sandra A. Eddy, Jessica |
| Copyright Year | 2014 |
| Description | Journal: AIDS Care We sought to characterize HIV antiretroviral therapy (ART) adherence and psychosocial correlates of adherence in a sample of gay, bisexual, and other non-gay or –bisexual identified MSM ages 50 and over. As part of a cross-sectional study we recruited a community-based sample of 199 men and assessed adherence to current ART medications along four domains: 1) missing doses in the past 4 days, 2) taking doses on the specified schedule in the past 4 days, 3) following instructions about how to take the medications (e.g. to take medications with food), and 4) missing doses in the last weekend. A total adherence score was also computed. Bivariable analyses indicated negative associations between depression, sexual compulsivity, and HIV-related stigma with each of the individual adherence variables and the composite adherence score, while an older age was found to be protective. In multivariable analyses, controlling for age and educational attainment, a higher likelihood of missing doses and failing to follow instructions were related to higher levels of HIV-related stigma, while dosing off-schedule was associated with higher levels of sexual compulsivity. These results indicate that psychosocial burdens undermine the adherence behaviors of older HIV-positive sexual minority men. Programming and services to address this compromising health behavior must embrace a holistic approach to health as informed by syndemics theory, while attending to the developmental and age-specific needs of older men. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4127034/pdf |
| Ending Page | 1434 |
| Page Count | 9 |
| Starting Page | 1426 |
| ISSN | 09540121 |
| e-ISSN | 13600451 |
| DOI | 10.1080/09540121.2014.921276 |
| Journal | AIDS Care |
| Issue Number | 11 |
| Volume Number | 26 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2014-11-02 |
| Access Restriction | Open |
| Subject Keyword | Journal: AIDS Care Biomedical Social Sciences Gay and Bisexual Hiv-stigma Sexual Compulsivity |
| Content Type | Text |
| Subject | Public Health, Environmental and Occupational Health Health (social science) Social Psychology |
