Minority Health Archive

Characteristics of HIV antiretroviral treatments, access and adherence in an ethnically diverse sample of men who have sex with men

Halkitis, PN and Parsons, JT and Wolitski, RJ and Remien, RH (2003) Characteristics of HIV antiretroviral treatments, access and adherence in an ethnically diverse sample of men who have sex with men. AIDS CARE, 15 (1). pp. 89-102.

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Abstract

Data regarding HIV antiretroviral treatment regimens, access to treatment and medical care, and adherence to medications were collected as part of the Seropositive Urban Men’s Study, a formative study of HIV-positive men who have sex with men. Participants (N=456) were recruited from AIDS service organizations, mainstream gay venues and public/commercial sex environments. The sample was 94% gay or bisexually-identified; 29% were African American, 24% Latino and 30% white. The majority (71%) indicated being on antiretroviral treatment, and most were taking a protease inhibitor/nucleoside reverse transcriptase inhibitor combination. African American men in New York City were less likely to be on treatment. Among those on treatment (n=322), 51% reported at least one day in which they had missed a dose of their medication and the mean number of days in which a dose was missed (in the past 30 days) was 1.72. Multivariate analyses indicated that avoidant coping, frequency of drinking alcohol and difficulty in communicating with sex partners about HIV were related to days of missed doses, suggesting the need or desire to escape from the reality of life with HIV as a potential explanation for poor adherence.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: HIV, HIV antiretroviral treatments, men, African American, Latino, white
Subjects: Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Alcohol
Health > Public Health > Health Risk Factors > Sexual Habits
Research
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Depositing User: Kismet Loftin-Bell
Date Deposited: 17 Aug 2005
Last Modified: 30 Jun 2011 14:52
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/199

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