Vulnerability, unsafe sex and non-adherence to HAART: Evidence from a large sample of French HIV/AIDS outpatients

Prevalence and predictors of facing a legal obligation to disclose HIV serostatus to sexual partners among people living with HIV who inject drugs in a Canadian setting:a cross-sectional analysis

“…[18][19][20][21]25,26 Inconsistent condom use among women living with HIV is well-described in the literature, attributed to fertility desire and serocondordant partnerships, in addition to challenges negotiating condom use, including gendered power imbalances, fear of inadvertent status disclosure and the threat of violence. [27][28][29][30] Marginalized women living with HIV may experience additional social-structural barriers to insisting upon safer sex practices, particularly those who are economically disadvantaged and who engage in survival sex work, 8,31,32 compromising their ability to avoid criminal liability for HIV nondisclosure through both achievement of a low viral load and condom use.…”

Factors Associated with Non-Adherence to Antiretroviral Therapy among Adults living with HIV/AIDS in Arsi Zone, Oromia

“…Factors associated with non-adherence varies with gender [30]. Study done among Brazilian patients indicated that the incidence of non-adherence was 1.5 times greater among women compared to men [31].…”

Heterogeneous response to HAART across a diverse population of people living with HIV: results from the ANRS-EN12-VESPA Study

“…CD4 cell count, HIV-RNA and AIDS at HAART initiation; time since first HAART initiation and HAART regimen prescribed at the time of data collection; date of HIV diagnosis; and HCV coinfection; 2) depressive symptoms at the time of interview as measured by the Hospital Anxiety and Depression Scale (HADS) [19] included in the self-administered questionnaire and 3) participant-reported age and level of treatment adherence at the time of data collection, active drug use in the year preceding interview, and history of interruption of ≥6 months in HIV care since diagnosis. Adherence was assessed using a dichotomous indicator ("highly" versus "poorly" adherent) validated in previous cohort studies [20], summarizing four questions dealing with dose taking during the prior week [21].…”

“…Moreover, over half (53%) of the heterosexual migrants reported financial difficulties and 33% reported food privation through lack of money in the preceding month, compared to 21% and 7% of the other participants, respectively; social isolation, as defined by <1 weekly contact with family members/friends, concerned 20% of the heterosexual migrants versus 12% of the others (data available on request). Such adverse living conditions may have indirect effects on response to treatment through various pathways including poor adherence, high comorbidity (e.g., depression, tuberculosis, bacterial coinfections), inadequate healthcare, low social support, life event stress, or maladaptive coping [21,[28][29][30][31]. The low level of literacy of HIV-infected migrants [18] may further constitute a barrier to adequate access to care and HIV treatment adherence and knowledge, with consequences on health status [32,33].…”