Associations between perceived discrimination experiences, treatment adherence self-efficacy, and depressive symptoms among people living with HIV in the Southern United States.
| Autor: | Chu, Wendy, Tam, Cheuk Chi, Harrison, Sayward |
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| Předmět: |
CLINICAL drug trials
PATIENT compliance CROSS-sectional method SELF-evaluation SCALE analysis (Psychology) PERCEIVED discrimination SELF-efficacy INCOME CLUSTER analysis (Statistics) RESEARCH funding HUMAN sexuality SEX distribution QUESTIONNAIRES LOGISTIC regression analysis DESCRIPTIVE statistics PSYCHOLOGY of HIV-positive persons SURVEYS ODDS ratio QUALITY of life ANALYSIS of variance STATISTICS SOCIODEMOGRAPHIC factors DATA analysis software CONFIDENCE intervals MENTAL depression SOCIAL stigma |
| Zdroj: | AIDS Care; Oct2024, Vol. 36 Issue 10, p1382-1391, 10p |
| Abstrakt: | This study examined associations between perceived discrimination, treatment adherence self-efficacy, and depressive symptoms among people living with HIV (PLHIV) in the Southern United States. Cross-sectional survey data were collected from 402 PLHIV who self-reported on interpersonal discrimination experiences based on HIV status, sexuality, gender, income, and living condition. Participants also reported on adherence self-efficacy and depressive symptoms. We employed K-means clustering to identify groups based on discrimination experiences, and logistic regressions to examine group differences on adherence self-efficacy and depressive symptoms. Results suggested three groups: a cluster with high perceived discrimination across all identities/conditions (n = 41; 11%; Cluster 1); a cluster with high perceived discrimination based on HIV status, income, and living condition (n = 49; 13%; Cluster 2); and a cluster with low perceived discrimination across all identities/conditions (n = 288; 76%; Cluster 3). Compared to Cluster 3, Cluster 1 and 2 had 2.22 times (p =.037) and 3.98 times (p<.001) greater odds of reporting depressive symptoms. Compared to Cluster 3, Cluster 2 had 3.40 times (p =.003) greater odds of reporting lower adherence self-efficacy. Findings demonstrate the need for individual-level support for PLHIV with discrimination histories, and broader efforts to end the stigma, discrimination, and marginalization of PLHIV based on HIV status and other characteristics. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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