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. 2019 Aug;31(4):306-324.
doi: 10.1521/aeap.2019.31.4.306.

Barriers and Facilitators for Antiretroviral Treatment Adherence Among HIV-Positive African American and Latino Men Who Have Sex With Men

James W Carey  1 , Neal Carnes  1 , Alisú Schoua-Glusberg  2 , Katherine Kenward  2 , Deborah Gelaude  1 , Damian J Denson  1 , Elizabeth Gall  3 , Laura A Randall  4 , Paula M Frew  4   5
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Barriers and Facilitators for Antiretroviral Treatment Adherence Among HIV-Positive African American and Latino Men Who Have Sex With Men

James W Carey et al. AIDS Educ Prev. 2019 Aug.

Abstract

Some Black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not take antiretroviral therapy (ART). We conducted semistructured interviews with 84 adult, Black/African American and Hispanic/Latino MSM with HIV to understand ART barriers and facilitators. We used chi-square statistics to identify factors associated with ART use (p ≤ .05), and selected illustrative quotes. Over half (51.2%) said they followed their doctor's instructions; however, only 27.4% reported consistently taking ART. Some men delayed ART until overcoming diagnosis denial or becoming very sick. ART use was facilitated by encouragement from others, treatment plans, side effect management, lab test improvements, pill-taking reminders, and convenient care facilities that provide "one-stop shop" services. Men were more likely to take ART when having providers who communicated effectively and were perceived to treat them with respect. Healthcare personnel can use our findings to strengthen services for MSM of color.

Keywords: Black/African American men who have sex with men; HIV/AIDS; Hispanic/Latino men who have sex with men; antiretroviral adherence; content analysis.

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References

    1. Bankoff SM, McCullough MB, & Panta-lone DW (2013). Patient-provider re-lationship predicts mental and physical health indicators for HIV-positive men who have sex with men. Journal of Health Psychology, 18, 762–772. 10.1177/1359105313475896 - DOI - PubMed
    1. Baugher AR, Beer L, Fagan JL, Mattson CL, Freedman M, Skarbinski J, … Medi-cal Monitoring Project. (2017). Prevalence of internalized HIV-related stigma among HIV-infected adults in care, United States, 2011–2013. AIDS and Behavior, 21, 2600–2608. 10.1007/s10461-017-1712-y - DOI - PMC - PubMed
    1. Beach MC, Roter DL, Saha S, Korthuis PT, Eggly S, Cohn J, … Wilson IB (2015). Impact of a brief patient and provider in-tervention to improve the quality of communication about medication adherence among HIV patients. Patient Education and Counseling, 98, 1078–1083. 10.1016/j.pec.2015.05.011 - DOI - PMC - PubMed
    1. Beer L, Mattson CL, Bradley H, Skarbinski J, & Medical Monitoring Project (2016). Understanding cross-sectional racial, ethnic, and gender disparities in antiretroviral use and viral suppression among HIV pa-tients in the United States. Medicine (Balti-more), 95, e3171. 10.1097/MD.0000000000003171 - DOI - PMC - PubMed
    1. Blake Helms C, Turan JM, Atkins G, Kempf MC, Clay OJ, Raper JL, … Turan B (2017). Interpersonal mechanisms contributing to the association between HIV-related internalized stigma and medication adherence. AIDS and Behavior, 21, 238–247. 10.1007/s10461-016-1320-2 - DOI - PMC - PubMed

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