The Moderating Role of Social Support and HIV Stigma on the Association Between Depression and ART Adherence Among Young Thai Men Who Have Sex with Men

被引：6
|
作者：
Mireles, Linda [1 ]
Horvath, Keith J. [1 ]
Guadamuz, Thomas E. [2 ,3 ,4 ]
Waratworawan, Worawalan [2 ,3 ]
Kongjareon, Yamol [2 ]
Meyers-Pantele, Stephanie A. [1 ,5 ]
机构：
[1] San Diego State Univ, Dept Psychol, San Diego, CA USA
[2] Mahidol Univ, Fac Social Sci & Humanities, Ctr Excellence Res Gender Sexual & Hlth, Nakhon Pathom, Thailand
[3] Mahidol Univ, Fac Social Sci & Humanities, Dept Soc & Hlth, Nakhon Pathom, Thailand
[4] Harvard Univ, John F Kennedy Sch Govt, Cambridge, MA 02138 USA
[5] Univ Calif San Diego, Div Infect Dis & Global Publ Hlth, San Diego, CA USA
来源：
AIDS AND BEHAVIOR | 2023年 / 27卷 / 09期
基金：
美国国家卫生研究院;
关键词：
MSM; Thailand; ART Adherence; Depressive Symptoms; HIV Stigma; Social Support; ANTIRETROVIRAL THERAPY; MEDICATION ADHERENCE; BANGKOK; SCALE; INDIVIDUALS; PREVALENCE; DISCLOSURE; BARRIERS; WOMEN; RISK;
D O I：
10.1007/s10461-023-04018-y
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
In Thailand, antiretroviral therapy (ART) programs still have difficulties reaching and promoting adherence among a key population - young men who have sex with men (YMSM) living with HIV. As such, we sought to examine potential psychosocial barriers that may contribute to suboptimal levels of ART adherence for this population. Data were drawn from a study of 214 YMSM living with HIV from Bangkok, Thailand. Linear regression models tested the association between depression and ART adherence, and whether social support and HIV-related stigma moderated that relationship. Multivariable models demonstrated social support was significantly associated with higher levels of ART adherence, and that there was a three-way interaction between depression, social support, and HIV-related stigma on ART adherence. These results further our understanding of the role of depression, stigma, and social support in ART adherence among Thai YMSM living with HIV, and that additional supports for YMSM with depression and HIV-related stigma are needed.
引用
收藏
页码：2959 / 2968
页数：10
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