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- Title
Social ecological predictors of longitudinal HIV treatment adherence in youth with perinatally acquired HIV.
- Authors
Naar-King, Sylvie; Montepiedra, Grace; Garvie, Patricia; Kammerer, Betsy; Malee, Kathleen; Sirois, Patricia A; Aaron, Lisa; Nichols, Sharon L; PACTG P1042s Team
- Abstract
<bold>Objective: </bold>To apply a social ecological model to explore the psychosocial factors prospectively associated with longitudinal adherence to antiretroviral treatment in youth perinatally infected with HIV.<bold>Methods: </bold>Randomly selected youth, age 8 to <19 years old, completed cognitive testing and psychosocial questionnaires at baseline as part of a multisite protocol (N = 138). A validated caregiver-report measure of adherence was completed at baseline and 24 and 48 weeks after baseline.<bold>Results: </bold>In multivariate analysis, youth awareness of HIV status, caregiver not fully responsible for medications, low caregiver well-being, adolescent perceptions of poor caregiver-youth relations, caregiver perceptions of low social support, and African American ethnicity were associated with nonadherence over 48 weeks.<bold>Conclusions: </bold>Interventions focusing on caregivers and their interactions with the individual youth and extrafamilial system should be prioritized for prevention and treatment efforts to address nonadherence during the transition into adolescents.
- Publication
Journal of Pediatric Psychology, 2013, Vol 38, Issue 6, p664
- ISSN
0146-8693
- Publication type
journal article
- DOI
10.1093/jpepsy/jst017