We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Relationship Dynamics are Associated with Self-Reported Adherence but not an Objective Adherence Measure in Malawi.
- Authors
Conroy, Amy A.; McKenna, Stacey; Ruark, Allison; Neilands, Torsten B.; Spinelli, Matthew; Gandhi, Monica
- Abstract
Couple relationships can be leveraged to improve adherence to antiretroviral therapy (ART), but few studies have identified relationship factors to target in interventions in sub-Saharan Africa. We conducted a cross-sectional study with 211 couples in southern Malawi with at least one partner on ART to test for associations between ART adherence and relationship dynamics (intimacy, trust, relationship satisfaction, unity, commitment, and partner support). We measured ART adherence through subjective measures (patient and partner reports) and an objective measure (ART drug levels in hair) and hypothesized that more positive relationship dynamics (e.g., higher intimacy) would be associated with better adherence. Multi-level logistic and linear regression models were used to evaluate study hypotheses, controlling for the clustering of individuals within couples. High levels of adherence were found by all three measures. Unity, satisfaction, and partner support were associated with higher patient and partner reports of adherence, and additional relationship dynamics (intimacy, trust) were associated with higher partner reported adherence. No associations were found between relationship dynamics and drug levels in hair, although drug levels were high overall. Future studies should perform longitudinal assessments of relationship dynamics and objective metrics of adherence, and examine these associations in populations with lower adherence levels such as young women or individuals starting ART.
- Subjects
MALAWI; CLINICAL drug trials; INTIMACY (Psychology); SOCIAL support; CROSS-sectional method; ANTIRETROVIRAL agents; SATISFACTION; REGRESSION analysis; SPOUSES; INTERPERSONAL relations; PATIENT compliance; COMMITMENT (Psychology); LOGISTIC regression analysis; TRUST
- Publication
AIDS & Behavior, 2022, Vol 26, Issue 11, p3551
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-022-03636-2