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

被引：25

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

页码：1014 / 1022

页数：9

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