Moderating effects of social support on the relationship between substance use disorders and HIV viral load and medication adherence among Black women living with HIV in the United States
| Autor: | Rachelle Reid, Sannisha K. Dale |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Health (social science) Social Psychology Anti-HIV Agents Substance-Related Disorders Human immunodeficiency virus (HIV) Medication adherence HIV Infections Alcohol use disorder medicine.disease_cause behavioral disciplines and activities Medication Adherence Social support Internal medicine mental disorders Humans Medicine Black women business.industry Public Health Environmental and Occupational Health Social Support Viral Load medicine.disease United States Substance abuse stomatognathic diseases Anti-Retroviral Agents Female Substance use business Viral load |
| Zdroj: | AIDS Care. 34:1219-1228 |
| ISSN: | 1360-0451 0954-0121 |
| DOI: | 10.1080/09540121.2021.2001415 |
| Popis: | Substance use may predict lower rates of antiretroviral therapy (ART) adherence and viral suppression among Black Women Living with HIV (BWLWH). We assessed how perceived social support (PSS) moderates the relationship between substance use disorder (SUD) and viral load (VL) and ART adherence. 119 BWLWH provided information on PSS, SUD, alcohol use disorder (AUD) and adherence (via Wisepill). Higher PSS from friends (β = -.263, p = .008) and significant others (β = -.219, p = .025) predicted lower VL. SUD predicted low Wisepill adherence (a) in the past week (β = -.273, p = .035) and past two weeks (β = -.273, p = .033) only for women low in PSS from friends, and (b) in the past two weeks only for women low in total PSS (β = -.294, p = .024). Ironically, for women high in total PSS, SUD predicted higher adherence in the past four weeks (β = .360, p = .006). Adherence and VL may be bolstered by understanding the role of various forms of PSS and SUDs. |
| Databáze: | OpenAIRE |
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