A Longitudinal Analysis of Antiretroviral Adherence Among Young Black Men Who Have Sex With Men. J Adolesc Health 2017 Apr;60(4):411-416
Date
01/04/2017Pubmed ID
28043754Pubmed Central ID
PMC5366075DOI
10.1016/j.jadohealth.2016.10.428Scopus ID
2-s2.0-85009517066 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
PURPOSE: Young black men who have sex with men (YBMSM) experience poorer antiretroviral therapy (ART) medication adherence relative to their white counterparts. However, few studies have longitudinally examined factors that may correlate with various classifications of ART adherence among this population, which was the primary aim of this study.
METHODS: Project nGage was a randomized controlled trial conducted across five Chicago clinics from 2012 to 2015. Survey and medical records data were collected at baseline and 3- and 12-month periods to assess whether psychological distress, HIV stigma, substance use, family acceptance, social support, and self-efficacy predicted ART medication adherence among 92 YBMSM ages 16-29 years.
RESULTS: Major results controlling for the potential effects of age, education level, employment, and intervention condition indicated that participants with high versus low medication adherence were less likely to report daily/weekly alcohol or marijuana use, had higher family acceptance, and exhibited greater self-efficacy.
CONCLUSIONS: These findings identity important factors that can be targeted in clinical and program interventions to help improve ART medication adherence for YBMSM.
Author List
Voisin DR, Quinn K, Kim DH, Schneider JAuthor
Katherine Quinn PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Anti-HIV Agents
Bayes Theorem
Chicago
Comorbidity
Family Relations
HIV Infections
Homosexuality, Male
Humans
Likelihood Functions
Longitudinal Studies
Male
Medication Adherence
Self Efficacy
Social Stigma
Social Support
Substance-Related Disorders
Young Adult
