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- Title
Differential medication nonadherence and illness beliefs in co-morbid HIV and type 2 diabetes.
- Authors
Batchelder, Abigail; Gonzalez, Jeffrey; Berg, Karina
- Abstract
Increased antiretroviral availability has decreased mortality and increased rates of comorbid chronic illnesses, including type 2 diabetes, among people living with HIV. Little work has compared within-person adherence rates for HIV and comorbid conditions. Sixty-two adults with HIV and type 2 diabetes reported adherence rates, illness representations, beliefs about medications, symptoms, side-effects, and negative mood states. Adherence to antiretrovirals was better than diabetes medication (95 vs. 90 %, z = −2.05, p = 0.04). Participants reported better control over diabetes compared to HIV (t = 1.98, p = 0.05) while antiretrovirals were considered more necessary than diabetes medication (t = −2.79, p < 0.05). In adjusted analyses, antiretroviral nonadherence was associated with antiretroviral concerns (OR = 0.24, 95 % CI 0.08-0.67) and diabetes medication nonadherence with diabetes-related symptom burden (OR = 0.69, 95 % CI 0.53-0.89). Results indicate that medication nonadherence varies within individuals across comorbid illnesses and suggest this variation may depend on symptom attribution and medication concerns.
- Subjects
HYPOGLYCEMIC agents; ANTIRETROVIRAL agents; CONFIDENCE intervals; DRUGS; EPIDEMIOLOGY; HEALTH attitudes; HIV infections; INTERVIEWING; TYPE 2 diabetes; PATIENT compliance; QUESTIONNAIRES; STATISTICS; COMORBIDITY; DATA analysis; DESCRIPTIVE statistics
- Publication
Journal of Behavioral Medicine, 2014, Vol 37, Issue 2, p266
- ISSN
0160-7715
- Publication type
Journal Article
- DOI
10.1007/s10865-012-9486-1