Medication Adherence Mediates the Relationship between Adherence Self-efficacy and Biological Assessments of HIV Health among those with Alcohol Use Disorders

被引：0
作者：
Jeffrey T. Parsons
Elana Rosof
Brian Mustanski
机构：
[1] Hunter College of the City University of New York,Department of Psychology
[2] Center for HIV/AIDS Educational Studies and Training (CHEST),undefined
[3] Center for HIV/AIDS Educational Studies and Training (CHEST),undefined
[4] Medical and Health Research Association of NYC,undefined
[5] Inc,undefined
[6] University of Illinois,undefined
来源：
AIDS and Behavior | 2008年 / 12卷
关键词：
Adherence; Alcohol; Self-efficacy; Viral load; CD4;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The current study examines the relationship between negative consequences of alcohol use, adherence self-efficacy, medication adherence, and biological markers of HIV health (CD4 count and viral load). A total of 275 HIV-positive men and women with alcohol use disorders were surveyed using Audio-CASI measures and time line followback interviews. Findings from a structural equation model suggest that negative consequences related to alcohol use did not directly impact HIV health. Adherence self-efficacy had direct effects on viral load, but not CD4 count. Mediation analyses indicated that self-reported adherence partially mediated the relationship between adherence self-efficacy and viral load. Cognitive-oriented interventions aimed at facilitating adherence self-efficacy may be effective in improving both medication adherence and HIV health. If facilitating confidence improves HIV health, then health care providers can make a strong impact by spending a few short minutes themselves and/or partnering with behavioral health clinicians using techniques like motivational enhancement.
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页码：95 / 103
页数：8
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