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- Title
Antiretroviral Adherence Trajectories Among Black Americans Living with HIV.
- Authors
Storholm, Erik D.; Bogart, Laura M.; Mutchler, Matt G.; Klein, David J.; Ghosh-Dastidar, Bonnie; McDavitt, Bryce; Wagner, Glenn J.
- Abstract
Black people living with HIV (BPLWH) are less likely to adhere to antiretroviral treatment than are members of other racial/ethnic groups. Data were combined from two studies of BPLWH (n = 239) to estimate adherence trajectories using a semiparametric, group-based modeling strategy over three time-points (spanning 6 months). Analyses identified three groups of individuals (high-stable, moderately low-stable, low-decreasing). Multinomial logistic regressions were used to predict trajectory membership with multiple levels of socio-ecological factors (structural, institutional/health system, community, interpersonal/network, individual). Older age was associated with being in the high-stable group, whereas substance use, lower perceived treatment effectiveness, and lower quality healthcare ratings were related to being in the moderately low-stable group. In sum, multiple socio-ecological factors contribute to adherence among BPLWH and thus could be targeted in future intervention efforts.
- Subjects
ANTIRETROVIRAL agents; BLACK people; DRUGS; ETHNIC groups; HIV infections; HIV-positive persons; PATIENT compliance; LOGISTIC regression analysis; SOCIOECONOMIC factors
- Publication
AIDS & Behavior, 2019, Vol 23, Issue 8, p1985
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-018-2303-2