A qualitative study of antiretroviral therapy adherence interruptions among young Latino men who have sex with men with HIV: Project D.A.I.L.Y
| Autor: | Mary Jo Trepka, Miguel Muñoz-Laboy, Dallas Swendeman, Yazmine De La Cruz, Miguel Ángel Cano, Daisy Ramírez-Ortiz, Jessy G. Dévieux, Diana M. Sheehan, Dustin T. Duncan |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatric AIDS Health (social science) Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Men who have sex with men 0302 clinical medicine 7.1 Individual care needs Psychology adherence 030212 general & internal medicine Viral suppression Qualitative Research Pediatric Human immunodeficiency virus Substance Abuse Life events Hispanic or Latino Mental Health Infectious Diseases Anti-Retroviral Agents Public Health and Health Services HIV/AIDS Public Health Infection 0305 other medical science Adult medicine.medical_specialty Adolescent Social Psychology antiretroviral therapy Article Medication Adherence Young Adult 03 medical and health sciences Clinical Research Internal medicine Intervention (counseling) Behavioral and Social Science medicine Humans Latinos 030505 public health business.industry Prevention Public Health Environmental and Occupational Health Antiretroviral therapy Good Health and Well Being Management of diseases and conditions business Qualitative research |
| Zdroj: | AIDS Care AIDS care, vol 33, iss 7 |
| ISSN: | 1360-0451 0954-0121 |
| Popis: | Consistent antiretroviral therapy (ART) adherence is necessary for HIV viral suppression. However, adherence may fluctuate around daily routines and life events, warranting intervention support. We examined reasons for ART adherence interruptions, using in-depth, semi-structured qualitative interviews, among young (18-34-year-old) Latino men who have sex with men (YLMSM) with HIV. Interviews (n = 24) were guided by the Theory of Planned Behavior, the Information-Motivation-Behavioral Skills Theory, and the Socio-Ecological Model. Two coders independently coded transcripts using NVivo 12 software and synthesized codes into themes using Thematic Content Analysis. Results suggested 4 primary influences on ART adherence interruptions: (1) HIV diagnosis denial, (2) breaks in daily routine, (3) substance use, and (4) HIV status disclosure. Participant quotes highlighted routinization of pill-taking and planning ahead for breaks in routine as critically important. The narrative suggested modification of pill-taking routines during alcohol use, and that periods most vulnerable for long-term interruptions in ART adherence were following an HIV diagnosis and during periods of drug use. Support at the time of HIV diagnosis, including a plan for routinization of pill taking, and adaptive interventions incorporating real-time support during breaks in routines and substance use episodes may be one way to help YLMSM adhere to ARTs. |
| Databáze: | OpenAIRE |
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