Disparities in Electronically Monitored Antiretroviral Adherence and Differential Adherence Predictors in Latinx and Non-Latinx White Persons Living with HIV

Mindt, Monica Rivera; Arentoft, Alyssa; Summers, Angela C.; Morris, Emily P.; Guzman, Vanessa A.; Aghvinian, Maral; Alvarez, Karen; Robbins, Reuben N; Savin, Micah J; Byrd, Desiree

doi:10.1089/apc.2019.0256

Cited by 6 publications

(3 citation statements)

References 77 publications

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“…SES also impacts health behaviors, such as medication adherence in PLH, which is critical, as poor adherence is associated with declines in cognitive functioning (Ettenhofer et al, 2010) and therefore may partially explain underlying cognitive disparities in PLH (Aidala et al, 2016;Falagas et al, 2008;Marquine et al, 2018). Thus, it is important to examine whether SES impacts PM given its relationship to health behaviors (Ettenhofer et al, 2010;Zogg et al, 2012), particularly among Latinx PLH who face worse medication adherence rates (Rivera Mindt et al, 2020;Robbins et al, 2012). This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

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confidence: 99%

The impact of sociocultural factors on prospective memory performance in HIV+ Latinx adults.

Byrd¹,

Guzman²,

Summers³

et al. 2021

Neuropsychology

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Objective: Prospective memory (PM), a salient component of neurocognitive functioning for people living with HIV (PLH), is necessary for planning and coordinating health-related behaviors and instrumental tasks of daily living. However, little is known regarding the impact of sociocultural factors on PM in diverse populations, particularly Latinx PLH. The aim of this study was to examine ethnic group differences and sociocultural factors related to PM. Method: The sample of 127 PLH (91 Latinx and 36 non-Latinx white) completed measures of quality of education, socioeconomic status (SES), and a validated PM measure, the Memory for Intentions Screening Test (MIST). The Latinx group also completed a bicultural acculturation measure. Results: Results revealed the Latinx and the non-Latinx white groups did not significantly differ in overall MIST performance (all p > .05). In the entire sample, better quality of education was associated with better MIST performance (all p < .05). Within the Latinx group, higher Latinx acculturation was associated with worse MIST performance ( p = .02), whereas higher U.S. acculturation was associated with better MIST performance at a trend level ( p = .07). Multivariate regressions revealed quality of education and Latinx acculturation significantly predicted MIST performance and PM errors (all p < .05). SES was not related to the MIST (all p > .10). Conclusions: In sum, clinicians must take sociocultural factors into consideration when working with Latinx PLH, as these factors influence cognitive functions (i.e., PM) vital to health-related behaviors. Integrating culturally-informed psychoeducation into care plans is an imperative first step.

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mentioning

confidence: 99%

The impact of sociocultural factors on prospective memory performance in HIV+ Latinx adults.

Byrd¹,

Guzman²,

Summers³

et al. 2021

Neuropsychology

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“…For the parent study, participants were included if they were living with HIV, 18 to 80 years old, proficient in English (oral/written), and identified as either Latinx (any race) or NLW. Participants were required to be independently taking their prescribed antiretroviral medication for at least 12 weeks to be included due to the primary aims of the parent study (Rivera Mindt et al, 2020). Participants were excluded if they met Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition criteria for a current or past psychotic disorder or bipolar disorder, as assessed by a structured clinical interview (Composite International Diagnostic Interview; World Health Organization, 1993) administered by the study staff.…”

Section: Methodsmentioning

confidence: 99%

Health Locus of Control and Neurocognitive Function in Latinx and Non-Latinx White People Living With HIV: A Cross-sectional Study

Aghvinian¹,

Morris²,

Savin³

et al. 2021

J Assoc Nurses AIDS Care

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Research suggests that health locus of control (HLOC) is related to important health and neurocognitive outcomes in people living with HIV. However, the role of ethnicity in these relationships remains poorly understood. This study explored the role of HLOC on neurocognition in a diverse sample of 134 people living with HIV (Latinx: n = 96; non-Latinx White: n = 38) who completed comprehensive neurocognitive evaluations and the Multidimensional HLOC Scale-Form C. Results indicate no ethnocultural differences in HLOC beliefs (ps > .05). External HLOC (i.e., chance and powerful others) related to worse neurocognition in the Latinx group and contributed to significant variance in global neurocognition and learning, memory, and verbal fluency, underscoring the role of external HLOC beliefs on neurocognition, particularly for Latinx individuals. Additional research is needed to better characterize the mechanistic relationship between HLOC beliefs and neurocognitive function and to further explore this relationship among other underrepresented populations also disproportionately affected by HIV.

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“…However, the role that acculturation plays in this association remains ambiguous. While greater acculturation has been linked to increased medication adherence among Arab-Americans ( Tailakh et al, 2016 ) and Chinese-Americans ( Jin and Acharya, 2016 ), studies exploring this association in Hispanic populations have yielded mixed results ( Padilla et al, 2011 , Hall et al, 2016 , Rivera Mindt et al, 2020 ). Furthermore, to our knowledge, prior studies have relied on pharmacy fill data, which are poorly suited to assessing the influence of Hispanic ethnicity and linguistic acculturation on daily implementation of a medication regimen.…”

Section: Introductionmentioning

confidence: 99%

Association of Hispanic ethnicity and linguistic acculturation with cardiovascular medication adherence in patients with suspected acute coronary syndrome

Liyanage-Don¹,

Cornelius²,

Romero³

et al. 2021

Preventive Medicine Reports

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Despite a higher prevalence of cardiovascular disease (CVD) risk factors, Hispanic-Americans have lower rates of CVD-related and all-cause mortality, as well as higher life expectancy than non-Hispanic whites – a phenomenon known as the Hispanic health paradox . However, this survival benefit attenuates with increased acculturation to Western lifestyles, potentially due to adoption of unhealthy behaviors. Accordingly, we assessed whether Hispanic ethnicity and linguistic acculturation, as measured by English proficiency, were associated with nonadherence to cardiovascular medications. We enrolled patients presenting to an academic medical center emergency department with suspected acute coronary syndrome between May 2014 and November 2017. Ethnicity, native language, and English proficiency were self-reported. Cardiovascular medication adherence was assessed using an electronic pill bottle that recorded the date and time of each bottle opening. Generalized linear models with a logit link were used to examine the association of Hispanic ethnicity and English proficiency with daily cardiovascular medication adherence, adjusting for demographics, comorbidities, and dosing frequency of the electronically-monitored medication. Among 332 included patients, mean age was 61.68 ± 12.05 years, 43.07% were women, and 62.95% were Hispanic, of whom 80.38% were native Spanish-speakers. Overall, Hispanics had higher odds of medication adherence than non-Hispanics (adjusted OR 1.31, 95% CI 1.16–1.49, p < 0.001). However, among native Spanish-speaking Hispanics, greater English proficiency was associated with lower odds of medication adherence (adjusted OR 0.80 per 1-point increase in English proficiency, 95% CI 0.75–0.86, p < 0.001). Although Hispanics had better medication adherence than non-Hispanics overall, increased linguistic acculturation among native Spanish-speakers was associated with worse adherence behaviors.

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Disparities in Electronically Monitored Antiretroviral Adherence and Differential Adherence Predictors in Latinx and Non-Latinx White Persons Living with HIV

Cited by 6 publications

References 77 publications

The impact of sociocultural factors on prospective memory performance in HIV+ Latinx adults.

The impact of sociocultural factors on prospective memory performance in HIV+ Latinx adults.

Health Locus of Control and Neurocognitive Function in Latinx and Non-Latinx White People Living With HIV: A Cross-sectional Study

Association of Hispanic ethnicity and linguistic acculturation with cardiovascular medication adherence in patients with suspected acute coronary syndrome

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