Brief Report: Interpersonal and Intrapersonal Factors as Parallel Independent Mediators in the Association Between Internalized HIV Stigma and ART Adherence
| Autor: | James L. Raper, Bulent Turan, Michael J. Mugavero, Heather E. Dark, Janet M. Turan, Victoria C. Seghatol-Eslami |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 0301 basic medicine Mediation (statistics) Social stigma Social Stigma Stigma (botany) HIV Infections Interpersonal communication Article Medication Adherence 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Humans Pharmacology (medical) 030212 general & internal medicine Association (psychology) Mechanism (biology) virus diseases Middle Aged 030112 virology Infectious Diseases Anti-Retroviral Agents Female Psychology Intrapersonal communication Clinical psychology |
| Zdroj: | JAIDS Journal of Acquired Immune Deficiency Syndromes. 74:e18-e22 |
| ISSN: | 1525-4135 |
| DOI: | 10.1097/qai.0000000000001177 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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