Daily Factors Associated with Antiretroviral Therapy Adherence Among Young Latino Sexual Minority Men with HIV: A 28-Day Daily Diary Study.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Diana M Sheehan, Daisy Ramírez-Ortiz, Tendai Gwanzura, Patrice S Lewis, Melissa M Ertl, Dustin T Duncan, Dallas Swendeman, Miguel Muñoz-Laboy, Jessy G Devieux, Mary Jo Trepka
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引用次数: 0

Abstract

We assessed the relationship between same-day and next-day antiretroviral therapy (ART) adherence and adherence self-efficacy, daily routine disruptions, mental health, sleep, social support, substance use, and contextual factors in an ecological momentary assessment (EMA) study. Twenty-eight days of data from a convenience sample of 54 18-34-year-old young Latino sexual minority men (YLSMM) was used in generalized mixed models. Participants adhered to ARTs on 96% of 1,306 person-days. Daily motivation to stay healthy, to prevent HIV transmission, and ART self-efficacy were associated with same-day adherence. Routine disruptions, poor sleep, and drug use were associated with same-day non-adherence. Stress was associated with next-day non-adherence, and increased routine disruptions with non-adherence. Findings suggest an opportunity to design and test innovative interventions for YLSMM to improve ART adherence that increase daily adherence motivation and self-efficacy and provide real-time assistance during changes in routine, poor sleep, drug use, and stress.

与年轻拉丁裔性少数男性艾滋病患者抗逆转录病毒治疗依从性相关的日常因素:一项为期28天的每日日记研究。
在一项生态瞬时评估(EMA)研究中,我们评估了当日和次日抗逆转录病毒治疗(ART)依从性与依从性自我效能、日常生活中断、心理健康、睡眠、社会支持、物质使用和环境因素之间的关系。来自54名18-34岁年轻拉丁裔性少数男性(YLSMM)的便利样本的28天数据用于广义混合模型。在1306个人日中,参与者有96%的人坚持服用抗逆转录病毒疗法。每天保持健康、预防艾滋病毒传播的动机和抗逆转录病毒治疗的自我效能感与当天坚持治疗有关。日常中断、睡眠质量差和药物使用与当日不遵医嘱有关。压力与第二天的不依从性有关,并且增加了日常中断与不依从性有关。研究结果表明,有机会为YLSMM设计和测试创新干预措施,以提高抗逆转录病毒治疗的依从性,增加日常依从性动机和自我效能感,并在日常生活、睡眠不良、吸毒和压力的变化中提供实时帮助。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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