Factors Related to Biological Sex Differences in Engagement with Healthcare Providers in Persons Living with HIV

被引：6
作者：
Baik, Dawon [1 ]
Liu, Jianfang [2 ]
Cho, Hwayoung [3 ]
Schnall, Rebecca [2 ]
机构：
[1] Univ Colorado, Coll Nursing, Anschutz Med Campus,13120 E 19th Ave,C288, Aurora, CO 80045 USA
[2] Columbia Univ, Sch Nursing, New York, NY 10032 USA
[3] Univ Florida, Coll Nursing, Gainesville, FL 32610 USA
来源：
AIDS AND BEHAVIOR | 2020年 / 24卷 / 09期
关键词：
Patient-provider engagement; Sex differences; Medication adherence; Depression; HIV; AIDS; QUALITY-OF-LIFE; MEDICATION ADHERENCE; SELF-EFFICACY; GENDER; DEPRESSION; PEOPLE; INFECTION; STIGMA;
D O I：
10.1007/s10461-020-02823-3
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Little is known about how engagement with healthcare providers mediates the relationship between psychosocial factors (anxiety, depression, stigma) and medication adherence among persons living with HIV (PLWH). Moreover, little research has investigated potential biological sex differences in this relationship. We conducted a secondary analysis of data collected from four projects (N = 281) focused on improving health outcomes in PLWH. Males displayed (a) negative association between depression and engagement with healthcare providers (beta = - 0.02, z = - 3.20,p = 0.001) and (b) positive association between engagement with healthcare providers and medication adherence (beta = 0.55, OR = 1.73, z = 2.62,p = 0.009). Females showed no association between any of these factors. Anxiety and stigma were not significantly associated with medication adherence. Path analysis modeling for males had a very good fit (CFI = 1, TLI = 1, RMSEA = 0); none of the regression coefficients was significant for females. The significant relationship between depression and medication adherence among males was fully mediated by engagement with healthcare providers. Findings suggest that adherence interventions for PLWH should be tailored by biological sex.
引用
收藏
页码：2656 / 2665
页数：10
相关论文
共 41 条
[1]   Why is depression more prevalent in women? [J].
Albert, Paul R. .
JOURNAL OF PSYCHIATRY & NEUROSCIENCE, 2015, 40 (04) :219-221
[2]   Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS [J].
Bakken, S ;
Holzemer, WL ;
Brown, MA ;
Powell-Cope, GM ;
Turner, JG ;
Inouye, J ;
Nokes, KM ;
Corless, IB .
AIDS PATIENT CARE AND STDS, 2000, 14 (04) :189-197
[3]   Patient-provider relationship predicts mental and physical health indicators for HIV-positive men who have sex with men [J].
Bankoff, Sarah M. ;
McCullough, Mary B. ;
Pantalone, David W. .
JOURNAL OF HEALTH PSYCHOLOGY, 2013, 18 (06) :762-772
[4]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[5]   A Multi-step Usability Evaluation of a Self-Management App to Support Medication Adherence in Persons Living with HIV [J].
Beauchemin, Melissa ;
Gradilla, Melissa ;
Baik, Dawon ;
Cho, Hwayoung ;
Schnall, Rebecca .
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2019, 122 :37-44
[6]   Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale [J].
Berger, BE ;
Ferrans, CE ;
Lashley, FR .
RESEARCH IN NURSING & HEALTH, 2001, 24 (06) :518-529
[7]  
Bertakis KD, 2000, J FAM PRACTICE, V49, P147
[8]  
Centers for Disease Control and Prevention, 2017, MOR PEOPL HIV HAV VI
[9]  
Chen Wei-Ti, 2013, J AIDS Clin Res, V4, P256
[10]   Applying the new SABV (sex as a biological variable) policy to research and clinical care [J].
Clayton, Janine Austin .
PHYSIOLOGY & BEHAVIOR, 2018, 187 :2-5
12345