The role of multiple identities in adherence to medical appointments among gay/bisexual male adolescents living with HIV.

TitleThe role of multiple identities in adherence to medical appointments among gay/bisexual male adolescents living with HIV.
Publication TypePublication
Year of Publication2013
AuthorsHarper GW, Fernandez IM, Bruce D, Hosek SG, Jacobs RJ
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalAIDS Behav
Volume17
Issue1
Pagination213-23
Date Published2013 Jan
ISSN1573-3254
KeywordsAdolescent, Appointments and Schedules, Bisexuality, Cross-Sectional Studies, Gender Identity, HIV Infections, Homosexuality, Male, Humans, Male, Office Visits, Patient Compliance, Patient Dropouts, Regression Analysis, Risk Factors, Self Concept, Social Identification, Social Support, Social Values, Stress, Psychological, Time Factors, Young Adult
Abstract

<p>Adolescents living with HIV require engagement with care providers in order to access the critical medical and psychosocial services they need. The current study sought to explore developmental determinants of adherence to medical appointments as one aspect of engagement in care among a geographically diverse sample of 200 gay/bisexual male adolescents (16-24 years) living with HIV, with a specific focus on ethnic identity, sexual orientation identity, and identity as a young man living with HIV. Ethnic identity affirmation (OR = 0.6; 95% CI: 0.3, 0.9), morality of homosexuality (OR = 1.7; 95% CI: 1.2, 2.5), and HIV-positive identity salience (OR = 1.5; 95% CI: 0.9, 2.4) were associated with significantly higher risk for missed appointments in the past 3 months. These findings highlight the importance of attending to developmental factors, such as the development of multiple identities, when attempting to increase engagement in care for gay/bisexual male adolescents living with HIV.</p>

DOI10.1007/s10461-011-0071-3
Alternate JournalAIDS Behav
PubMed ID22041930
PubMed Central IDPMC3367130
Grant ListU01 HD040476 / HD / NICHD NIH HHS / United States
UO1 HD 040474-10 / HD / NICHD NIH HHS / United States
U01 HD040463 / HD / NICHD NIH HHS / United States
U01 HD040533 / HD / NICHD NIH HHS / United States
5U01 HD 40474 / HD / NICHD NIH HHS / United States
U01 HD040533-10 / HD / NICHD NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
HD40505-10 / HD / NICHD NIH HHS / United States
U01 HD040497 / HD / NICHD NIH HHS / United States
5U01HD040476-08 / HD / NICHD NIH HHS / United States
U01 HD040562 / HD / NICHD NIH HHS / United States
5U01HD040463-09 / HD / NICHD NIH HHS / United States
5U01 HD 40533 / HD / NICHD NIH HHS / United States
U01 HD040505 / HD / NICHD NIH HHS / United States
5U01HD040497-09 / HD / NICHD NIH HHS / United States
U01 HD040515 / HD / NICHD NIH HHS / United States
U01 HD040562-10 / HD / NICHD NIH HHS / United States
U01HD040474-09 / HD / NICHD NIH HHS / United States
U01 HD040494 / HD / NICHD NIH HHS / United States