Selected Publication:

SHR Neuro Cancer Cardio Lipid Metab Microb

Ham, L; Montoya, JL; Serrano, V; Yeager, S; Paltin, D; Pasipanodya, EC; Marquine, MJ; Hoenigl, M; Ramers, CB; Kua, J; Moore, DJ.
High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV.
AIDS Patient Care STDS. 2023; 37(2):103-113 Doi: 10.1089/apc.2022.0180 [OPEN ACCESS]
Web of Science PubMed FullText FullText_MUG

 

Co-authors Med Uni Graz

Hönigl Martin

Altmetrics:

Dimensions Citations:

Plum Analytics:

Scite (citation analytics):

Abstract:

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.

Find related publications in this database (using NLM MeSH Indexing)

Humans - administration & dosage

United States - epidemiology

Black or African American - administration & dosage

HIV Infections - drug therapy, epidemiology, psychology

Trust - administration & dosage

Anti-Retroviral Agents - therapeutic use

Risk Factors - administration & dosage

Medication Adherence - psychology

Find related publications in this database (Keywords)

health disparity

health inequities

cluster analysis

depression

perceived discrimination

social determinants of health

© Med Uni Graz • Imprint