Examination of the Role of Religious and Psychosocial Factors in HIV Medication Adherence Rates.

Journal Article (Journal Article)

Optimal adherence to antiretroviral therapy (ART) is associated with favorable HIV outcomes, including higher CD4 cell counts, HIV virus suppression and a lower risk of HIV transmission. However, only 25% of people living with HIV/AIDS (PLWH) in the USA are virally suppressed. Sub-optimal adherence (<90-95%) contributes to antiretroviral resistance and worse medical outcomes, including more rapid progression to AIDS and death. Psychosocial factors and religion/spirituality (R/S) have a significant impact on ART adherence, but the findings are mixed. The purpose of this study was to examine religious and psychosocial correlates and predictors of ≥90% ART adherence in PLWH. A cross-sectional study was conducted with a sample of 292 outpatient PLWH in the Southeastern USA. Participants completed computerized surveys. The mean ART adherence percentage was 80.9% and only about half reported ≥90% adherence. There were statistically significant differences in ART adherence rates based on age, depressive symptom status and frequency of religious attendance and prayer. Praying at least once a day was significantly associated with ≥90% ART adherence (OR = 2.26, 95% CI [1.06-4.79], p < 0.05). Social support satisfaction was also significantly associated with ART adherence (OR = 1.52, 95% CI [1.11-2.08], p < 0.05) and energy/fatigue/vitality (OR = 1.03, 95% CI [1.00-1.05], p < 0.05).

Full Text

Duke Authors

Cited Authors

  • Dalmida, SG; McCoy, K; Koenig, HG; Miller, A; Holstad, MM; Thomas, T; Clayton-Jones, D; Grant, M; Fleming, T; Wirani, MM; Mugoya, G

Published Date

  • December 2017

Published In

Volume / Issue

  • 56 / 6

Start / End Page

  • 2144 - 2161

PubMed ID

  • 28285439

Electronic International Standard Serial Number (EISSN)

  • 1573-6571

Digital Object Identifier (DOI)

  • 10.1007/s10943-017-0377-1


  • eng

Conference Location

  • United States