Psychosocial Characteristics Associated with Both Antiretroviral Therapy Adherence and Risk Behaviors in Women Living with HIV

被引:13
作者
Holstad, Marcia McDonnell [1 ]
Spangler, Sydney [1 ]
Higgins, Melinda [1 ]
Dalmida, Safiya George [1 ]
Sharma, Sanjay [2 ]
机构
[1] Emory Univ, Nell Hodgson Woodruff Sch Nursing, Atlanta, GA 30322 USA
[2] Emory Univ, Sch Med, 1520 Clifton Rd, Atlanta, GA USA
基金
美国国家卫生研究院;
关键词
HIV/AIDS; ART; Antiretroviral medication adherence; Sexual risk behavior; Motivation; Difficult life circumstances; Self-efficacy; SEXUAL RISK; MEDICATION ADHERENCE; SOCIAL SUPPORT; POSITIVE WOMEN; INTRINSIC MOTIVATION; VIRAL LOAD; UNSAFE SEX; CONDOM USE; DEPRESSION; TRANSMISSION;
D O I
10.1007/s10461-015-1209-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose of this study was to identify key psychosocial characteristics of HIV-infected women who exhibit different levels of both ART adherence and risk behaviors. We analyzed baseline data from 193 predominately African American HIV-infected women participating in a behavioral clinical trial. Women were categorized into high/low groups based on levels of adherence and risky behaviors. There was a significant interaction effect for internal motivation for adherence. Women at high risk for poor health and transmitting HIV (low adherence/high risk group) had the lowest levels of internal motivation and also reported more difficult life circumstances. Gender roles, caretaking and reliance on men for economic and other support may promote external versus internal motivation as well as riskier behaviors in this group. The highest levels of internal motivation were found in those with High Adherence/High Risk behaviors. This group was highly knowledgeable about HIV and had the lowest VL. Compared to others, this group seems to tolerate risky behaviors given their high level of adherence. Adherence and risk reduction behaviors are key to individual and public health. Motivation and risk compensation should be addressed when providing interventions to women living with HIV.
引用
收藏
页码:1084 / 1096
页数:13
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