Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression among People Living with HIV Infection in St. Petersburg, Russia
| Autor: | Sergey Tarima, Yuri A. Amirkhanian, Jeffrey A. Kelly, Vladimir B Musatov, Alexey Yakovlev, Wayne DiFranceisco, Anna V. Kuznetsova |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Substance-Related Disorders Psychological intervention HIV Infections Anxiety Article Medication Adherence Russia 03 medical and health sciences 0302 clinical medicine Risk-Taking medicine Retention in Care Humans 030212 general & internal medicine Psychiatry Drug injection 030505 public health business.industry Public health Public Health Environmental and Occupational Health virus diseases Continuity of Patient Care Middle Aged Viral Load medicine.disease Self Efficacy Substance abuse Health psychology Infectious Diseases Anti-Retroviral Agents Family medicine Female medicine.symptom 0305 other medical science business Psychosocial Viral load |
| Popis: | Over 1 million HIV infections have been diagnosed in Russia, and HIV care uptake and viral suppression are very low. 241 HIV-positive individuals in St. Petersburg were enrolled through social networks, provided blood for viral load testing, and completed measures of medication-taking adherence, readiness, and self-efficacy; psychosocial well-being; and substance use. Outcomes included attending an HIV care appointment in the past 6 months, >90% ART adherence, and undetectable viral load. 26% of participants had no recent care appointment, 18% had suboptimal adherence, and 56% had detectable viral load. Alcohol use consistently predicted all adverse health outcomes. Having no recent care visit was additionally associated with being single and greater past-month drug injection frequency. Poor adherence was additionally predicted by lower medication-taking self-efficacy and lower anxiety. Detectable viral load was additionally related to younger age. Comprehensive interventions to improve HIV care in Russia must address substance abuse, anxiety, and medication-taking self-efficacy. |
| Databáze: | OpenAIRE |
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