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Examining stigma, social support, and gender differences in unsuppressed HIV viral load among participants in HPTN 065
- Source :
- Journal of Behavioral Medicine. April, 2021, Vol. 44 Issue 2, p159, 13 p.
- Publication Year :
- 2021
-
Abstract
- Successful navigation of the HIV care continuum is necessary to maintain viral suppression. We explored gender-stratified correlates of being virally unsuppressed in the Prevention for Positives (P4P) component of HPTN 065. The outcome of interest was unsuppressed viral load (> 40 copies/mL) among individuals already living with HIV. Correlates included medication adherence factors, social support and stigma. Logistic regression models were stratified by gender (N = 673). Men-specific correlates of being virally unsuppressed included opposite-sex partners, older age and HIV disclosure stigma. Women-specific correlates included time since diagnosis, and personal-level barriers to medication adherence. When more individuals knew about their HIV status, women had over twice the likelihood of being virally unsuppressed; no such association was seen among men. Additionally, higher levels of social support were not associated with viral suppression among women. Interventions should consider gender-specific approaches to engaging social support in de-stigmatization of HIV and promotion of medication adherence and subsequent viral suppression.<br />Author(s): Allysha C. Maragh-Bass [sup.1] , Theresa Gamble [sup.2] , Wafaa M. El-Sadr [sup.3] , Brett Hanscom [sup.4] , Elizabeth E. Tolley [sup.1] Author Affiliations: (1) grid.245835.d, 0000 0001 0300 [...]
- Subjects :
- Patient compliance -- Management -- Social aspects
Stigma (Social psychology) -- Demographic aspects -- Health aspects
Social networks -- Health aspects
HIV infection -- Social aspects -- Demographic aspects -- Care and treatment
Company business management
Psychology and mental health
Subjects
Details
- Language :
- English
- ISSN :
- 01607715
- Volume :
- 44
- Issue :
- 2
- Database :
- Gale General OneFile
- Journal :
- Journal of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsgcl.656116160
- Full Text :
- https://doi.org/10.1007/s10865-020-00186-7