Title | Barriers to medication adherence in behaviorally and perinatally infected youth living with HIV. |
Publication Type | Publication |
Year of Publication | 2013 |
Authors | MacDonell K, Naar-King S, Huszti H, Belzer M |
Journal | AIDS Behav |
Volume | 17 |
Issue | 1 |
Pagination | 86-93 |
Date Published | 2013 Jan |
ISSN | 1573-3254 |
Keywords | Adolescent, Adult, Anti-HIV Agents, Antiretroviral Therapy, Highly Active, Child, Cross-Sectional Studies, Female, HIV Infections, Humans, Infectious Disease Transmission, Vertical, Male, Medication Adherence, Risk-Taking, Sexual Behavior, Socioeconomic Factors, Stress, Psychological, Substance-Related Disorders, Surveys and Questionnaires, Viral Load, Young Adult |
Abstract | <p>The study explored barriers to antiretroviral medication adherence in perinatally and behaviorally HIV infected adolescents and young adults in a cross-sectional, multisite sample. The study included a subset of a convenience sample from a cross-sectional analysis. Participants were youth with HIV ages 12-24 who were prescribed HIV medication and reported missing medication in the past 7 days (n = 484, 28.4 % of protocol sample). The top barriers were similar for perinatally and behaviorally infected youth, but perinatally infected youth reported significantly more barriers. Forgetting, not feeling like taking medication and not wanting to be reminded of HIV infection were the most common barriers reported. Number of barriers was significantly correlated with percent of doses missed, viral load, and psychological distress for perinatally infected youth and with doses missed, psychological distress, and substance use for behaviorally infected youth. Interventions to improve adherence to HIV medications should not only address forgetfulness and choosing not to take medications, but also consider route of infection.</p> |
DOI | 10.1007/s10461-012-0364-1 |
Alternate Journal | AIDS Behav |
PubMed ID | 23142855 |
PubMed Central ID | PMC3549030 |
Grant List | U01 HD040533 / HD / NICHD NIH HHS / United States U01 HD040474 / HD / NICHD NIH HHS / United States 5 U01 HD 40533 / HD / NICHD NIH HHS / United States U01 HD40533 / HD / NICHD NIH HHS / United States 5 U01 HD 40474 / HD / NICHD NIH HHS / United States |