Psychosocial factors associated with adherence to antiretroviral medications in a sample of HIV-positive African American drug users

A. J. Harzke, M. L. Williams, L. Nilsson-Schönnesson, M. W. Ross, S. Timpson, K. B. Keel

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

The purpose of the study was to investigate factors affecting antiretroviral adherence among African American drug users, specifically to identify associations between self-reported adherence levels and psychosocial measures selected with guidance from the Transactional Model of Stress and Coping (TMSC). The study was conducted using data collected from 137 HIV-positive African American drug users who were receiving antiretroviral medications at the time they were interviewed. Bivariate associations were investigated using correlational analyses and variables showing a significant correlation with adherence were entered into a multivariate regression model. The multivariate model showed only perceived efficacy of antiretrovirals and one measure of perceived barriers, simply forgetting to take medications, were independently related to adherence. These preliminary findings suggest that theoretical approaches to understanding antiretroviral adherence must address a range of variables, including but not limited to behavioural practices, cognitive appraisals, affective responses and social support. Further studies using the complete TMSC are recommended.

Original languageEnglish (US)
Pages (from-to)458-470
Number of pages13
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume16
Issue number4
DOIs
StatePublished - May 2004
Externally publishedYes

Fingerprint

psychosocial factors
Drug Users
African Americans
medication
HIV
Psychology
drug
Social Support
coping
social support
regression
American

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)
  • Social Sciences (miscellaneous)

Cite this

Psychosocial factors associated with adherence to antiretroviral medications in a sample of HIV-positive African American drug users. / Harzke, A. J.; Williams, M. L.; Nilsson-Schönnesson, L.; Ross, M. W.; Timpson, S.; Keel, K. B.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 16, No. 4, 05.2004, p. 458-470.

Research output: Contribution to journalArticle

Harzke, A. J. ; Williams, M. L. ; Nilsson-Schönnesson, L. ; Ross, M. W. ; Timpson, S. ; Keel, K. B. / Psychosocial factors associated with adherence to antiretroviral medications in a sample of HIV-positive African American drug users. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2004 ; Vol. 16, No. 4. pp. 458-470.
@article{881c5b733c7c41b99937997e83771e52,
title = "Psychosocial factors associated with adherence to antiretroviral medications in a sample of HIV-positive African American drug users",
abstract = "The purpose of the study was to investigate factors affecting antiretroviral adherence among African American drug users, specifically to identify associations between self-reported adherence levels and psychosocial measures selected with guidance from the Transactional Model of Stress and Coping (TMSC). The study was conducted using data collected from 137 HIV-positive African American drug users who were receiving antiretroviral medications at the time they were interviewed. Bivariate associations were investigated using correlational analyses and variables showing a significant correlation with adherence were entered into a multivariate regression model. The multivariate model showed only perceived efficacy of antiretrovirals and one measure of perceived barriers, simply forgetting to take medications, were independently related to adherence. These preliminary findings suggest that theoretical approaches to understanding antiretroviral adherence must address a range of variables, including but not limited to behavioural practices, cognitive appraisals, affective responses and social support. Further studies using the complete TMSC are recommended.",
author = "Harzke, {A. J.} and Williams, {M. L.} and L. Nilsson-Sch{\"o}nnesson and Ross, {M. W.} and S. Timpson and Keel, {K. B.}",
year = "2004",
month = "5",
doi = "10.1080/09540120410001683394",
language = "English (US)",
volume = "16",
pages = "458--470",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",
number = "4",

}

TY - JOUR

T1 - Psychosocial factors associated with adherence to antiretroviral medications in a sample of HIV-positive African American drug users

AU - Harzke, A. J.

AU - Williams, M. L.

AU - Nilsson-Schönnesson, L.

AU - Ross, M. W.

AU - Timpson, S.

AU - Keel, K. B.

PY - 2004/5

Y1 - 2004/5

N2 - The purpose of the study was to investigate factors affecting antiretroviral adherence among African American drug users, specifically to identify associations between self-reported adherence levels and psychosocial measures selected with guidance from the Transactional Model of Stress and Coping (TMSC). The study was conducted using data collected from 137 HIV-positive African American drug users who were receiving antiretroviral medications at the time they were interviewed. Bivariate associations were investigated using correlational analyses and variables showing a significant correlation with adherence were entered into a multivariate regression model. The multivariate model showed only perceived efficacy of antiretrovirals and one measure of perceived barriers, simply forgetting to take medications, were independently related to adherence. These preliminary findings suggest that theoretical approaches to understanding antiretroviral adherence must address a range of variables, including but not limited to behavioural practices, cognitive appraisals, affective responses and social support. Further studies using the complete TMSC are recommended.

AB - The purpose of the study was to investigate factors affecting antiretroviral adherence among African American drug users, specifically to identify associations between self-reported adherence levels and psychosocial measures selected with guidance from the Transactional Model of Stress and Coping (TMSC). The study was conducted using data collected from 137 HIV-positive African American drug users who were receiving antiretroviral medications at the time they were interviewed. Bivariate associations were investigated using correlational analyses and variables showing a significant correlation with adherence were entered into a multivariate regression model. The multivariate model showed only perceived efficacy of antiretrovirals and one measure of perceived barriers, simply forgetting to take medications, were independently related to adherence. These preliminary findings suggest that theoretical approaches to understanding antiretroviral adherence must address a range of variables, including but not limited to behavioural practices, cognitive appraisals, affective responses and social support. Further studies using the complete TMSC are recommended.

UR - http://www.scopus.com/inward/record.url?scp=2442545145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2442545145&partnerID=8YFLogxK

U2 - 10.1080/09540120410001683394

DO - 10.1080/09540120410001683394

M3 - Article

VL - 16

SP - 458

EP - 470

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

IS - 4

ER -