Brief Report: Interpersonal and Intrapersonal Factors as Parallel Independent Mediators in the Association Between Internalized HIV Stigma and ART Adherence.
| Autor: | Seghatol-Eslami VC; Departments of *Psychology;†Medicine, University of Alabama at Birmingham, Birmingham, AL; and‡Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL., Dark HE, Raper JL, Mugavero MJ, Turan JM, Turan B |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2017 Jan 01; Vol. 74 (1), pp. e18-e22. |
| DOI: | 10.1097/QAI.0000000000001177 |
| Abstrakt: | Introduction: People living with HIV (PLWH) need to adhere to antiretroviral therapy (ART) to achieve optimal health. One reason for ART nonadherence is HIV-related stigma. Objectives: We aimed to examine whether HIV treatment self-efficacy (an intrapersonal mechanism) mediates the stigma-adherence association. We also examined whether self-efficacy and the concern about being seen while taking HIV medication (an interpersonal mechanism) are parallel mediators independent of each other. Methods: A total of 180 people living with HIV self-reported internalized HIV stigma, ART adherence, HIV treatment self-efficacy, and concerns about being seen while taking HIV medication. We calculated bias-corrected 95% confidence intervals for indirect effects using bootstrapping to conduct mediation analyses. Results: Adherence self-efficacy mediated the relationship between internalized stigma and ART adherence. Additionally, self-efficacy and concern about being seen while taking HIV medication uniquely mediated and explained almost all the stigma-adherence association in independent paths (parallel mediation). Conclusion: These results can inform intervention strategies to promote ART adherence. Competing Interests: The authors declared that no conflicts of interest exist. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|