Correlates and Predictors of Medication Adherence in Outpatients Living with HIV/AIDS

IF 0.4 Q4 SOCIAL WORK
S. Dalmida, Katryna McCoy, H. Koenig, A. Miller, M. McDonnell Holstad, T. Thomas, Dora Clayton-Jones, Mary Grant, Terri Fleming, Menka Munira Wirani, C. Mugoya
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引用次数: 2

Abstract

Abstract Antiretroviral therapy (ART) is important in HIV outcomes and HIV prevention. However, ART adherence remains suboptimal in people living with HIV/AIDS (PLWH). This study examined associations among ART adherence and demographic, psychosocial, and religious factors in a sample of 292 PLWH. Average age of participants was 45.1 ± 7.8 years and they had been living with HIV for 10.8 ± 7.0 years, on average. Mean ART adherence scores differed significantly between participants based on age (F = 5.861, p = .016), depressive symptom status (F = 17.61, p < .0001), religious attendance (F = 5.901, p = .016), and prayer (F = 5.791, p = .017). Only age, social support, prayer, and negative religious coping were significant predictors of ART adherence, in a multivariate regression model. Higher ART adherence scores were significantly associated with being older than 50 years (β = .17, p = .014), greater social support satisfaction (β = .15, p = .031), praying daily or more (β = .17, p = .021) and lower negative religious coping scores (β = −.18, p = .014). Clinicians should assess/address these factors during ART treatment counseling.
门诊HIV/AIDS患者药物依从性的相关因素和预测因素
摘要抗逆转录病毒疗法(ART)在HIV治疗和预防中具有重要意义。然而,在艾滋病毒/艾滋病患者中,抗逆转录病毒疗法的依从性仍然不理想。本研究调查了292名PLWH样本中抗逆转录病毒疗法依从性与人口统计学、心理社会和宗教因素之间的关系。参与者的平均年龄为45.1岁 ± 7.8年,他们感染艾滋病毒10.8年 ± 平均7.0年。受试者的平均抗逆转录病毒治疗依从性评分因年龄而有显著差异(F = 5.861,p = .016),抑郁症状状态(F = 17.61,p < .0001),宗教出席(F = 5.901,p = .016)和祈祷(F = 5.791,p = .017)。在多元回归模型中,只有年龄、社会支持、祈祷和消极的宗教应对是ART依从性的重要预测因素。ART依从性评分越高与年龄大于50岁显著相关(β = .17,p = .014),更高的社会支持满意度(β = .15,p = .031),每天或更多地祈祷(β = .17,p = .021)和较低的消极宗教应对得分(β = −.18,p = .014)。临床医生应在ART治疗咨询期间评估/解决这些因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
8
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