Behavioral Modeling and its Association with PrEP and ART Use in Ugandan HIV-Serodifferent Couples

被引：0

作者：

Wang, Liying ^{[1
]}

Muwonge, Timothy R. ^{[2
]}

Simoni, Jane M. ^{[1
,3
,4
,5
,6
,7
]}

Nambi, Florence ^{[2
]}

Nakabugo, Lylianne ^{[2
]}

Kibuuka, Joseph ^{[2
]}

Thomas, Dorothy ^{[3
]}

Katz, Ingrid T. ^{[8
,9
]}

Feutz, Erika ^{[3
]}

Thomas, Katherine K. ^{[3
]}

Ware, Norma C. ^{[8
,9
]}

Wyatt, Monique A. ^{[8
,10
]}

Kadama, Herbert ^{[11
]}

Mujugira, Andrew ^{[2
,3
]}

Heffron, Renee ^{[3
,12
]}

机构：

[1] Univ Washington, Dept Psychol, Seattle, WA USA

[2] Makerere Univ, Infect Dis Inst, Kampala, Uganda

[3] Univ Washington, Dept Global Hlth, Seattle, WA 98105 USA

[4] NIH, Behav & Social Sci Res, Bethesda, MD USA

[5] NIH, Off Behav & Social Sci Res OBSSR, Bethesda, MD USA

[6] NIH, Div Program Coordinat Planning & Strateg Initiat D, Bethesda, MD USA

[7] NIH, Bethesda, MD USA

[8] Harvard Med Sch, Dept Global Hlth & Social Med, 25 Shattuck St, Boston, MA USA

[9] Brigham & Womens Hosp, Dept Med, 75 Francis St, Boston, MA USA

[10] Harvard Global, Cambridge, MA USA

[11] Minist Hlth, Box 7272, Kampala, Uganda

[12] Univ Alabama Birmingham, Dept Med, 845 19th St South Bevill Biomed Res Bldg,Room 256D, Birmingham, AL 35294 USA

来源：

AIDS AND BEHAVIOR | 2024年 / 28卷 / 05期

关键词：

Observational learning; Behavioral modeling measure; HIV; Sero-different couple; Medication adherence; ANTIRETROVIRAL THERAPY; DISCORDANT COUPLES; PREVENTION; PROPHYLAXIS; ADHERENCE;

D O I：

10.1007/s10461-024-04286-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Integrating Pre-Exposure Prophylaxis (PrEP) delivery into Antiretroviral Therapy (ART) programs bridges the Human Immunodeficiency Virus (HIV) prevention gap for HIV-serodifferent couples prior to the partner living with HIV achieving viral suppression. Behavioral modeling is one mechanism that could explain health-related behavior among couples, including those using antiretroviral medications, but few tools exist to measure the extent to which behavior is modeled. Using a longitudinal observational design nested within a cluster randomized trial, this study examined the factor structure and assessed the internal consistency of a novel 24-item, four-point Likert-type scale to measure behavioral modeling and the association of behavioral modeling with medication-taking behaviors among heterosexual, cis-gender HIV-serodifferent couples. In 149 couples enrolled for research, a five-factor model provided the best statistical and conceptual fit, including attention to partner behavior, collective action, role modeling, motivation, and relationship quality. Behavioral modeling was associated with medication-taking behaviors among members of serodifferent couples. Partner modeling of ART/PrEP taking could be an important target for assessment and intervention in HIV prevention programs for HIV serodifferent couples.

引用

页码：1719 / 1730

页数：12