Longitudinal Relationships Between Antiretroviral Treatment Adherence and Discrimination Due to HIV-serostatus, Race, and Sexual Orientation Among African-American Men with HIV

Overview

Journal Ann Behav Med

Publisher Oxford University Press

Specialty Social Sciences

Date 2010 Jun 17

PMID 20552416

Citations 102

Authors

Laura M Bogart

Glenn J Wagner

Frank H Galvan

David J Klein

Affiliations

Soon will be listed here.

Abstract

African-Americans show worse HIV disease outcomes compared to Whites. Health disparities may be aggravated by discrimination, which is associated with worse health and maladaptive health behaviors. We examined longitudinal effects of discrimination on antiretroviral treatment adherence among 152 HIV-positive Black men who have sex with men. We measured adherence and discrimination due to HIV-serostatus, race/ethnicity, and sexual orientation at baseline and monthly for 6 months. Hierarchical repeated-measures models tested longitudinal effects of each discrimination type on adherence. Over 6 months, participants took 60% of prescribed medications on average; substantial percentages experienced discrimination (HIV-serostatus, 38%; race/ethnicity, 40%; and sexual orientation, 33%). Greater discrimination due to all three characteristics was significantly bivariately associated with lower adherence (all p's < 0.05). In the multivariate model, only racial discrimination was significant (p < 0.05). Efforts to improve HIV treatment adherence should consider the context of multiple stigmas, especially racism.

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