Characteristics of HIV antiretroviral treatments, access and adherence in an ethnically diverse sample of men who have sex with men
Autor: | Robert H. Remien, Jeffrey T. Parsons, Perry N. Halkitis, Richard J. Wolitski |
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Rok vydání: | 2003 |
Předmět: |
Adult
Male Gerontology medicine.medical_specialty Health (social science) Multivariate analysis Social Psychology Anti-HIV Agents Cross-sectional study media_common.quotation_subject HIV Infections Human Males Health Services Accessibility White People Men who have sex with men Acquired immunodeficiency syndrome (AIDS) Humans Medicine Protease Inhibitors Homosexuality Homosexuality Male Sida media_common biology business.industry Public health Public Health Environmental and Occupational Health Hispanic or Latino biology.organism_classification medicine.disease Black or African American Cross-Sectional Studies Multivariate Analysis Patient Compliance Reverse Transcriptase Inhibitors Drug Therapy Combination New York City San Francisco business Demography |
Zdroj: | AIDS Care. 15:89-102 |
ISSN: | 1360-0451 0954-0121 |
Popis: | Data regarding HIV antiretroviral treatment regimens, access to treatment and medical care, and adherence to medications were collected as part of the Seropositive Urban Men's Study, a formative study of HIV-positive men who have sex with men. Participants (N = 456) were recruited from AIDS service organizations, mainstream gay venues and public/commercial sex environments. The sample was 94% gay or bisexually-identified; 29% were African American, 24% Latino and 30% white. The majority (71%) indicated being on antiretroviral treatment, and most were taking a protease inhibitor/nucleoside reverse transcriptase inhibitor combination. African American men in New York City were less likely to be on treatment. Among those on treatment (n = 322), 51% reported at least one day in which they had missed a dose of their medication and the mean number of days in which a dose was missed (in the past 30 days) was 1.72. Multivariate analyses indicated that avoidant coping, frequency of drinking alcohol and difficulty in communicating with sex partners about HIV were related to days of missed doses, suggesting the need or desire to escape from the reality of life with HIV as a potential explanation for poor adherence. |
Databáze: | OpenAIRE |
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