ART Adherence Among Men Who Have Sex with Men Living with HIV: Key Challenges and Opportunities

被引：45

作者：

Quinn, Katherine G. ^{[1
]}

Voisin, Dexter R. ^{[2
]}

机构：

[1] Med Coll Wisconsin, Dept Psychiat & Behav Med, Ctr AIDS Intervent Res CAIR, 2071 N Summit, Milwaukee, WI 53202 USA

[2] Univ Toronto, Factor Intwentash Sch Social Work, Toronto, ON, Canada

来源：

CURRENT HIV/AIDS REPORTS | 2020年 / 17卷 / 04期

关键词：

Antiretroviral therapy (ART) adherence; Men who have sex with men; Stigma; Violence; Depression; ANTIRETROVIRAL THERAPY ADHERENCE; INTIMATE PARTNER VIOLENCE; POSTTRAUMATIC-STRESS-DISORDER; INTERACTIVE TOXICITY BELIEFS; DAILY MEDICATION ADHERENCE; AFRICAN-AMERICAN MEN; CD4 CELL COUNT; BLACK-MEN; DRUG-USE; INFECTED ADULTS;

D O I：

10.1007/s11904-020-00510-5

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Purpose of Review In the USA, gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV. High levels of adherence to antiretroviral therapy (ART) can dramatically improve outcomes for persons living with HIV and reduce the risk of HIV transmission to others. Yet, there are numerous individual, social, and structural barriers to optimal ART adherence. Many of these factors disproportionately impact Black MSM and may contribute to their poorer rates of ART adherence. This review synthesizes the key challenges and intervention opportunities to improve ART adherence among MSM in the USA. Recent Findings Key challenges to ART adherence include stigma, violence, depression, and substance use. Black MSM are significantly disadvantaged by several of these factors. There are several promising interventions to improve ART adherence among MSM, and there remains an opportunity to culturally tailor these to the needs of Black MSM populations to enhance adherence. Despite high rates of HIV among MSM, there continues to be a paucity of research on the various contributors to poor ART adherence among this population. Similarly, few interventions have been tested that lead to increased and sustained ART adherence among Black MSM.

引用

页码：290 / 300

页数：11

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