Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program.
Women with HIV (WWH) face increased difficulties maintaining adherence to antiretroviral therapy (ART) due to a variety of demographic and psychosocial factors. To navigate the complexities of ART regimens, use of strategies to maintain adherence is recommended. Research in this area, however, has l...
| Publicado en: | Journal of Behavioral Medicine Vol. 47; no. 2; pp. 282 - 295 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176082457&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176082457 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Apr2024 vid: 47 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176082457 173506488 176082457 176082457 10.1007/s10865-023-00459-x 176082457 ppf: 282 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Exploring the use of self-management strategies for antiretroviral therapy adherence among women with HIV in the Miami-Dade County Ryan White Program. aug: au: Gray, Aaliyah Ward, Melissa K. Fernandez, Sofia B. Nawfal, Ekpereka S. Gwanzura, Tendai Li, Tan Sheehan, Diana M. Jean-Gilles, Michele Beach, Mary Catherine Ladner, Robert A. Trepka, Mary Jo affil: https://ror.org/02gz6gg07 Department of Epidemiology, Florida International University, 33199, 11200 SW 8th St, Academic Health Center 5, Miami, FL, USA sug: subj: HIV-Positive Persons Psychosocial Factors Women Psychosocial Factors HIV Infections Drug Therapy Anti-Retroviral Agents Therapeutic Use Self-Management Psychosocial Factors Medication Compliance Evaluation Sociodemographic Factors Human Female Florida Secondary Analysis Questionnaires Multiple Logistic Regression Women's Health Patient Assessment Descriptive Statistics Funding Source Female ab: Women with HIV (WWH) face increased difficulties maintaining adherence to antiretroviral therapy (ART) due to a variety of demographic and psychosocial factors. To navigate the complexities of ART regimens, use of strategies to maintain adherence is recommended. Research in this area, however, has largely focused on adherence interventions, and few studies have examined self-reported preferences for adherence strategies. The purpose and objectives of this study were to explore the use of ART self-management strategies among a diverse sample of WWH, examine demographic and psychosocial differences in strategy use, and assess the association between strategies and ART adherence. The current study presents secondary data of 560 WWH enrolled in the Miami-Dade County Ryan White Program. Participants responded to questionnaire items assessing demographic and psychosocial characteristics, use of adherence strategies, and ART adherence during the past month. Principal component analysis identified four categories among the individual strategies and multivariable binomial logistic regression assessed adherence while controlling for individual-level factors. The majority of WWH reported optimal ART adherence, and nearly all used multiple individual strategies. The number of individual strategies used and preferences for strategy types were associated with various demographic and psychosocial characteristics. Adjusting for demographic and psychosocial characteristics, optimal ART adherence during the past month was associated with the use of four or more individual strategies. When conducting regular assessments of adherence, it may be beneficial to also assess use of adherence strategies and to discuss with WWH how using multiple strategies contributes to better adherence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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