Social and Religious Support on Treatment Adherence Among HIV/AIDS Patients by Race/Ethnicity

Sunil, Thankam; McGehee, Mary A.

doi:10.1300/j187v06n01_06

Cited by 6 publications

(4 citation statements)

References 36 publications

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“…In one study, this finding was greater for gay African Americans than for gay Latinos-a difference attributed to Latino men's greater physical symptoms and the homonegative attitudes of religious leaders (Domanico & Crawford, 2000). Sunil and McGehee (2007) explored treatment adherence among HIV patients. For African Americans and Hispanics compared with Whites, religious and social support variables were more influential, but the strategies somewhat different.…”

Section: Chronic and Life-threatening Illnessmentioning

confidence: 99%

Religion and spirituality in Latino life in the United States.

Koss‐Chioino¹

2013

APA Handbook of Psychology, Religion, and Spirituality (Vol 1): Context, Theory, and Research.

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Section: Chronic and Life-threatening Illnessmentioning

confidence: 99%

Religion and spirituality in Latino life in the United States.

Koss‐Chioino¹

2013

APA Handbook of Psychology, Religion, and Spirituality (Vol 1): Context, Theory, and Research.

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“…In the IFSMT, individual characteristics are also viewed as responsible for enhancing or inhibiting engagement in SM behaviours. Individual factors influencing SM identified in previous research include age, gender, educational level [ 11 ] and income [ 11 , 12 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Factors influencing self-management of adults living with HIV on antiretroviral therapy in Northwest Ethiopia: a cross-sectional study

2020

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Background Effective self-management is an important consideration for adults living with HIV on therapy to enable people to maintain their health and well-being whilst living with chronic HIV. Although numerous attempts have been made to implement and improve HIV self-management practice, there is limited evidence on effective self-management strategies, particularly in sub-Saharan Africa. This study aimed to identify the level and factors influencing the self-management practice of adults living with HIV on antiretroviral therapy. Methods A cross-sectional survey was conducted on a sample of 415 adults living with HIV on antiretroviral therapy at a major referral hospital in Northwest Ethiopia using convenience sampling. A theory of self-management – the Individual and Family Self-Management Theory - guided the study design, analysis and presentation of the data. A face-to-face survey tool was administered for data collection, and the data were entered and analyzed using SPSS version 25.0. Results Over half (58.1%) of the respondents were female. Many of the respondents did not know their HIV stage (76.9%) but reported adequate knowledge of their treatment (79.5%). The mean self-management score was 1.94+ 0.22 out of a total score of 3. Female gender was associated with decreased self-management. Contextual factors (gender, educational level, job status, income, living in a rural area, and awareness of HIV stage) explained 8.2% of the variance in self-management. The explanatory power increased by 9.2% when self-management process variables (self-efficacy, setting a goal, knowledge of antiretroviral therapy, HIV disclosure, and use of reminders) were added. Intervention-focused variables (encouraging disclosure and adherence support) increased the proportion of explained variance by 2.3%. Conclusions The findings of the study indicate that the level of self-management practice amongst the population studied was low compared to international literature. Our study findings support the theoretical model and previously identified factors influencing HIV self-management. The most important predictors of lower self-management practice in Ethiopia were female gender, illiteracy, lack of awareness of HIV stage, low self-efficacy, absence of reminders, lack of encouragement to disclose and absence of adherence support. HIV care providers should seek ways to empower and support adults living with HIV to self-manage, particularly through enhancing self-efficacy and encouraging the use of reminders.

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“…The direction of the association between education and medication adherence was less clear. Four studies reported a significant adjusted negative association with medication adherence and lower educational attainment [57,93,103,118]; one [93] also reported positive associations among some sub-groups (Fig. 2b; Additional file 6).…”

Section: Educationmentioning

confidence: 97%

“…Sunil and McGehee [93] found different patterns across educational levels when stratifying by race/ethnicity. White Americans (n = 992) who had completed high school, some College or had an undergraduate qualification were 30% (aOR 1.30; 95% CI 1.24, 1.37), 41% (aOR 1.41; 95% CI 1.34, 1.48) and 58% (aOR 1.58; 95% CI 1.51, 1.66) more likely, respectively, to be adherent to ART compared to individuals who completed some high school only [93]. The same general trend was seen for African American participants (n = 581): individuals who completed high school and some College…”

Section: Educationmentioning

confidence: 99%

Influence of Material Deprivation on Clinical Outcomes Among People Living with HIV in High-Income Countries: A Systematic Review and Meta-analysis

et al. 2021

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Despite developments in HIV treatment and care, disparities persist with some not fully benefiting from improvements in the HIV care continuum. We conducted a systematic review to explore associations between social determinants and HIV treatment outcomes (viral suppression and treatment adherence) in high-income countries. A random effects meta-analysis was performed where there were consistent measurements of exposures. We identified 83 observational studies eligible for inclusion. Social determinants linked to material deprivation were identified as education, employment, food security, housing, income, poverty/deprivation, socioeconomic status/position, and social class; however, their measurement and definition varied across studies. Our review suggests a social gradient of health persists in the HIV care continuum; people living with HIV who reported material deprivation were less likely to be virologically suppressed or adherent to antiretrovirals. Future research should use an ecosocial approach to explore these interactions across the lifecourse to help propose a causal pathway.

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Social and Religious Support on Treatment Adherence Among HIV/AIDS Patients by Race/Ethnicity

Cited by 6 publications

References 36 publications

Religion and spirituality in Latino life in the United States.

Religion and spirituality in Latino life in the United States.

Factors influencing self-management of adults living with HIV on antiretroviral therapy in Northwest Ethiopia: a cross-sectional study

Influence of Material Deprivation on Clinical Outcomes Among People Living with HIV in High-Income Countries: A Systematic Review and Meta-analysis

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