Correlates of HAART adherence among immigrant Latinos in the southeastern United States

Abstract

We explored the relationships between sociocultural and psychological constructs and adherence to antiretroviral therapy among predominantly Spanish-speaking immigrant Latinos in the southeastern United States. A cross-sectional clinic-based sample of immigrant Latino men and women participated in an interviewer-administered assessment. Self-reported prevalence of adherence was assessed along with demographic characteristics, acculturation, physician trust, social support, and theory of planned behavior (TPB) constructs: attitude, subjective norm (SN), and perceived behavioral control (PBC). A total of 66 respondents met inclusion criteria. Average age was 38 years old, 74% of respondents were male, 71% heterosexual, and 86% reported being from Mexico or Central America. Prevalence of "complete" adherence (i.e., not missing a single dose) in the past 30 days was 71%. Social support was significantly and inversely associated with adherence, PBC, and attitude. Positive correlates of adherence included attitude, PBC, and employment status. In multivariable analysis, SN and PBC were significantly associated with social support, controlling for acculturation, physician trust, and number of behavioral referents. TPB constructs have utility in explaining ART adherence among immigrant Latinos in the "Deep South." Further research is necessary to understand the complex relationships between social support, attribution processes, and ART adherence outcomes.

Assessment of Trust in Physician: A Systematic Review of Measures

“…Furthermore, as every systematic review, our results are limited by our inclusion and exclusion criteria and we might have missed certain interesting scales, e.g. a paper on the Spanish version of the WFPTS that did not aim to test psychometric properties [41] and a paper on a measure that assesses trust in physicians in general [42].…”

Theory of planned behavior and adherence in chronic illness: a meta-analysis

“…The theory of planned behavior is one of the most widely applied theoretical models and has been found to be effective in predicting a range of health intentions and behaviors, including dietary behaviors, physical activity, condom use, drug use, and health screening behaviors (Armitage & Conner, 2001;Conner & Sparks, 2005;Hagger & Chatzisarantis, 2009;Hagger et al, 2002;McEachan et al, 2011). It has been beneficial in understanding a range of adherence behaviors including dietary adherence (e.g., Sainsbury & Mullan, 2011), exercise adherence (e.g., Courneya et al, 2008), and medication adherence in a variety of conditions, including both acute illnesses such as urinary tract infections (Ried & THEORY OF PLANNED BEHAVIOR AND ADHERENCE 4 Christensen, 1988) and chronic illnesses, such as HIV (Vissman et al, 2013). While a number of meta-analyses of the theory of planned behavior have been conducted (Albarracin et al, 2001;Armitage & Conner, 2001;Cooke & French, 2008;Hagger & Chatzisarantis, 2009;Hagger et al, 2002;Hausenblas et al, 1997;McEachan et al, 2011;Sheeran & Taylor, 1999;Topa & Moriano, 2010), the current study is warranted for several reasons.…”

weCARE: A Social Media–Based Intervention Designed to Increase HIV Care Linkage, Retention, and Health Outcomes for Racially and Ethnically Diverse Young MSM

“…Building on our team’s ongoing expertise using social media, including Facebook, text messaging, and apps to promote HIV testing (Sun, et al, 2016; Sun, et al, 2015; Bachmann, et al, 2013; Rhodes, 2004; Rhodes, et al, 2011) as well as our research with youth and young adults with HIV (Tanner, et al, 2014; Tanner, et al, 2014; Tanner, et al, 2012; Tanner, 2008; Philbin, et al, 2014; Philbin, et al, 2014; Tanner, et al, 2014; Tanner, et al, 2013; Vissman, et al, 2011; Vissman, et al, 2013), we are in the development phase of a 4-year Health Resources and Services Administration (HRSA) funded project to design a social media intervention to improve care linkage and retention among underserved, underinsured, and hard-to-reach, racially and ethnically diverse young MSM with HIV. The purpose of this paper is to describe design and development of, weCare, our social media-based intervention to improve care linkage and retention and health outcomes among racially and ethnically diverse MSM, ages 13–34, living with HIV.…”