Title |
HIV Stigma and Depressive Symptoms are Related to Adherence and Virological Response to Antiretroviral Treatment Among Immigrant and Indigenous HIV Infected Patients
|
---|---|
Published in |
AIDS and Behavior, December 2011
|
DOI | 10.1007/s10461-011-0112-y |
Pubmed ID | |
Authors |
I. Marion Sumari-de Boer, Mirjam A. G. Sprangers, Jan M. Prins, Pythia T. Nieuwkerk |
Abstract |
We compared adherence to cART and virological response between indigenous and immigrant HIV-infected patients in the Netherlands, and investigated if a possible difference was related to a difference in the psychosocial variables: HIV-stigma, quality-of-life, depression and beliefs about medications. Psychosocial variables were assessed using validated questionnaires administered during a face-to-face interview. Adherence was assessed trough pharmacy-refill monitoring. We assessed associations between psychosocial variables and non-adherence and having detectable plasma viral load using logistic regression analyses. Two-hundred-two patients participated of whom 112 (55%) were immigrants. Viral load was detectable in 6% of indigenous patients and in 15% of the immigrants (P < 0.01). In multivariate analyses, higher HIV-stigma and prior virological failure were associated with non-adherence, and depressive symptoms, prior virological failure and non-adherence with detectable viral load. Our findings suggest that HIV-stigma and depressive symptoms may be targets for interventions aimed at improving adherence and virological response among indigenous and immigrant HIV-infected patients. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Portugal | 1 | <1% |
Germany | 1 | <1% |
Sweden | 1 | <1% |
United Kingdom | 1 | <1% |
United States | 1 | <1% |
Unknown | 192 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 36 | 18% |
Researcher | 29 | 15% |
Student > Ph. D. Student | 25 | 13% |
Student > Bachelor | 20 | 10% |
Other | 10 | 5% |
Other | 34 | 17% |
Unknown | 43 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 62 | 31% |
Psychology | 25 | 13% |
Nursing and Health Professions | 18 | 9% |
Social Sciences | 17 | 9% |
Agricultural and Biological Sciences | 4 | 2% |
Other | 19 | 10% |
Unknown | 52 | 26% |