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The Role of Religious Service Attendance, Psychosocial and Behavioral Determinants of Antiretroviral Therapy (ART) Adherence: Results from HPTN 063 Cohort Study.
Ransome, Yusuf; Mayer, Kenneth H; Tsuyuki, Kiyomi; Mimiaga, Matthew J; Rodriguez-Diaz, Carlos E; Srithanaviboonchai, Kriengkrai; Friedman, Ruth K; Limbada, Mohammed; Safren, Steven A.
Afiliação
  • Ransome Y; Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, LEPH 4th Floor, New Haven, CT, 06510, USA. yusuf.ransome@yale.edu.
  • Mayer KH; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA. yusuf.ransome@yale.edu.
  • Tsuyuki K; The Fenway Institute, Fenway Health, Boston, MA, USA.
  • Mimiaga MJ; Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
  • Rodriguez-Diaz CE; Harvard Medical School, Boston, MA, USA.
  • Srithanaviboonchai K; Division of Global Public Health, School of Medicine, University of San Diego, San Diego, CA, USA.
  • Friedman RK; Department of Social and Behavioral Sciences, Brown University School of Public Health, Providence, RI, USA.
  • Limbada M; University of Puerto Rico School of Public Health, San Juan, PR, USA.
  • Safren SA; Faculty of Medicine, and Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand.
AIDS Behav ; 23(2): 459-474, 2019 Feb.
Article em En | MEDLINE | ID: mdl-29956116
Early and sustained antiretroviral therapy (ART) adherence can suppress the HIV virus in individuals and reduce onward transmission of HIV in the population. Religiosity has been associated with better HIV clinical outcomes. Data are from a longitudinal, observational study of 749 HIV-infected individuals from Brazil, Zambia, and Thailand (HPTN 063). Ordered logistic regression assessed whether religious service attendance was associated with ART adherence (self-reported and plasma HIV-RNA) and moderated the association between alcohol problems and ART adherence. In each country, > 80% of participants reported high self-reported ART adherence (good/very good/excellent). Religious service attendance exceeded 85% but was statistically unrelated to adherence. In combined-country models, (p = 0.03) as alcohol problems increased, the probability of high self-reported ART adherence, as well as viral-load, became weaker at higher compared to low service attendance frequency. Future studies should evaluate spirituality variables and replicate the moderation analyses between religious attendance and alcohol problems.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Religião / Apoio Social / Infecções por HIV / Transtornos Relacionados ao Uso de Álcool / Antirretrovirais / Adesão à Medicação Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do sul / Asia / Brasil Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Religião / Apoio Social / Infecções por HIV / Transtornos Relacionados ao Uso de Álcool / Antirretrovirais / Adesão à Medicação Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do sul / Asia / Brasil Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos