Anticipated stigma and medication adherence among people living with HIV: the mechanistic roles of medication support and ART self-efficacy

被引：24
|
作者：
Zeng, Chengbo [1 ,2 ]
Li, Xiaoming [1 ,2 ]
Qiao, Shan [1 ,2 ]
Yang, Xueying [1 ,2 ]
Shen, Zhiyong [3 ]
Zhou, Yuejiao [3 ]
机构：
[1] Univ South Carolina, Arnold Sch Publ Hlth, South Carolina SmartState Ctr Healthcare Qual, Columbia, SC 29208 USA
[2] Univ South Carolina, Arnold Sch Publ Hlth, Dept Hlth Promot Educ & Behav, Columbia, SC 29208 USA
[3] Guangxi Ctr Dis Control & Prevent, Nanning, Peoples R China
来源：
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2020年 / 32卷 / 08期
关键词：
Anticipated stigma; medication support; ART self-efficacy; medication adherence; HIV; China; ANTIRETROVIRAL THERAPY ADHERENCE; SOCIAL SUPPORT; PATIENT ADHERENCE; MEN; RECOMMENDATIONS; INFECTION; MEDIATION; REGIMENS; BEHAVIOR; MODELS;
D O I：
10.1080/09540121.2020.1728213
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
This study aimed to examine the relationship between anticipated stigma and medication adherence as well as the mechanistic roles of medication support and ART self-efficacy. Data were derived from the baseline assessment of a prospective cohort study in Guangxi, China. A total of 1198 PLWH were recruited and assessed on their sociodemographic characteristics, medication adherence, anticipated stigma, medication support, and ART self-efficacy. Path analysis was used to examine the direct effect from anticipated stigma to medication adherence and indirect effects through medication support and ART self-efficacy. Path model revealed that the indirect effect from anticipated stigma to medication adherence was statistically significant while the direct effect was not significant. Anticipated stigma could influence medication adherence through ART self-efficacy but not through medication support. The serial mediating effect of medication support and ART self-efficacy on the relationship between anticipated stigma and medication adherence was significant. Anticipated stigma affects medication adherence among PLWH through its adverse impact on medication support and ART self-efficacy. Tailored interventions promoting medication support and ART self-efficacy may alleviate the negative influence of anticipated stigma on medication adherence among PLWH. Additionally, policy efforts aiming to reduce stigma against PLWH and increasing medication support are warranted to improve medication adherence among PLWH.
引用
收藏
页码：1014 / 1022
页数：9
相关论文
共 50 条
  • [1] Stigma Mediates the Relationship Between Self-Efficacy, Medication Adherence, and Quality of Life Among People Living with HIV/AIDS in China
    Li, Xianhong
    Huang, Ling
    Wang, Honghong
    Fennie, Kristopher P.
    He, Guoping
    Williams, Ann B.
    AIDS PATIENT CARE AND STDS, 2011, 25 (11) : 665 - 671
  • [2] Literacy, self-efficacy, and HIV medication adherence
    Wolf, Michael S.
    Davis, Terry C.
    Osborn, Chandra Y.
    Skripkauskas, Silvia
    Bennett, Charles L.
    Makoul, Gregory
    PATIENT EDUCATION AND COUNSELING, 2007, 65 (02) : 253 - 260
  • [3] HIV Disclosure to Family Members and Medication Adherence: Role of Social Support and Self-efficacy
    Mi, Tianyue
    Li, Xiaoming
    Zhou, Guangyu
    Qiao, Shan
    Shen, Zhiyong
    Zhou, Yuejiao
    AIDS AND BEHAVIOR, 2020, 24 (01) : 45 - 54
  • [4] Investigating social support, self-efficacy, and factors affecting adherence to medication in people living with HIV/AIDS: application of IMB model
    Jadgal, Mohammad Saeed
    Movahed, Ehsan
    Zareipour, Moradali
    HIV & AIDS REVIEW, 2022, 21 (02): : 109 - 114
  • [5] Medication-Taking Self-Efficacy and Medication Adherence Among HIV-Infected Cocaine Users
    Waldrop-Valverde, Drenna
    Dong, Chuanhui
    Ownby, Raymond L.
    JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE, 2013, 24 (03): : 198 - 206
  • [6] Self-Efficacy, Medication Adherence, and Quality of Life Among People Living With HIV in Hunan Province of China: A Questionnaire Survey
    Huang, Ling
    Li, Ling
    Zhang, Yan
    Li, Huan
    Li, Xianhong
    Wang, Honghong
    JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE, 2013, 24 (02): : 145 - 153
  • [7] How Does Stigma Affect People Living with HIV? The Mediating Roles of Internalized and Anticipated HIV Stigma in the Effects of Perceived Community Stigma on Health and Psychosocial Outcomes
    Turan, Bulent
    Budhwani, Henna
    Fazeli, Pariya L.
    Browning, Wesley R.
    Raper, James L.
    Mugavero, Michael J.
    Turan, Janet M.
    AIDS AND BEHAVIOR, 2017, 21 (01) : 283 - 291
  • [8] Resilience, self-esteem, self-efficacy, social support, depression and ART adherence among people living with HIV in Sichuan, China
    Wen, Jing
    Yeh, Tzu-Pei
    Xie, Hong
    Yu, Xingli
    Tang, Jian
    Chen, Yanhua
    AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2021, 33 (11): : 1414 - 1421
  • [9] Coping and ART adherence self-efficacy among people living with HIV in South Carolina
    Kaur, Amandeep
    James, Titilayo A.
    Brown, Monique J.
    AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2023, 35 (07): : 989 - 994
  • [10] HIV symptom management self-efficacy mediates the relationship of internalized stigma and quality of life among people living with HIV in China
    Zhou, Guangyu
    Li, Xiaoming
    Qiao, Shan
    Shen, Zhiyong
    Zhou, Yuejiao
    JOURNAL OF HEALTH PSYCHOLOGY, 2020, 25 (03) : 311 - 321
12345