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High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV 期刊论文

编号：

83E4A2F85EA94BB7F6BA542C49DCB643
作者：

Ham, Lillian^[1,2];Montoya, Jessica L.^[1,3];Serrano, Vanessa^[1,2];Yeager, Samantha^[1,4];Paltin, Dafna^[1,2];Pasipanodya, Elizabeth C.^[5];Marquine, Maria J.^[6];Hoenigl, Martin^[4,7]Ramers, Christian B.^[8];Kua, John^[8];Moore, David J.^[1,3,9];
语种：

英文
期刊：

AIDS PATIENT CARE AND STDS ISSN：1087-2914 2023 年 37 卷 2 期 (103 - 113) ; FEB 1
疾病分类：

艾滋病
关键词：

health disparity health inequities cluster analysis depression perceived discrimination social determinants of health
摘要：

Black/African American communities continue to be disproportionately impacted by HIV with Black people with HIV (PWH) exhibiting poorer outcomes along the HIV treatment cascade. Psychosocial burden may, in part, explain these health disparities among PWH. We implemented a culturally adapted intervention (individualized Texting for Adherence Building [iTAB]) to improve ART adherence among 89 Black PWH in San Diego, CA. We aimed to (1) characterize psychosocial risk factors (depression, negative life events, discrimination, medical mistrust) hypothesized to be barriers to HIV outcomes among Black PWH and (2) determine if these factors influence intervention engagement, HIV outcomes, and self-reported physical and mental health. We identified three levels of psychosocial burden (low, moderate, high) through hierarchical cluster analysis. Participants in the high burden cluster (n = 25) experienced the highest levels of depression, negative life events, and discrimination, in addition to the poorest intervention outcomes, HIV outcomes, and physical and mental health compared to low and moderate burden clusters. Participants in the low (n = 29) burden cluster had less medical mistrust than the moderate (n = 34) and high burden clusters, but low and moderate clusters did not differ on any outcomes. Overall, self-reported ART adherence was 83%, which is above estimates of ART adherence in the Western region of the United States. The iTAB intervention shows promise in improving HIV-related outcomes among Black PWH with low to moderate psychosocial burden; however, additional supports may need to be identified for those with high psychosocial burden.
推荐引用方式
GB/T 7714：

Ham Lillian,Montoya Jessica L.,Serrano Vanessa, et al. High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV [J].AIDS PATIENT CARE AND STDS,2023,37(2):103-113.
APA：

Ham Lillian,Montoya Jessica L.,Serrano Vanessa,Yeager Samantha,&Moore David J..(2023).High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV .AIDS PATIENT CARE AND STDS,37(2):103-113.
MLA：

Ham Lillian, et al. "High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV" .AIDS PATIENT CARE AND STDS 37,2(2023):103-113.
数据来源自科睿唯安Web of Science核心合集
入库时间：

2023/5/30 15:57:50
更新时间：

2023/5/30 15:57:50

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