Skip to main content
Journal cover image

High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV.

Publication ,  Journal Article
Ham, L; Montoya, JL; Serrano, V; Yeager, S; Paltin, D; Pasipanodya, EC; Marquine, MJ; Hoenigl, M; Ramers, CB; Kua, J; Moore, DJ
Published in: AIDS Patient Care STDS
February 2023

Black/African American communities continue to be disproportionately impacted by HIV with Black people with HIV (PWH) exhibiting poorer outcomes along the HIV treatment cascade. Psychosocial burden may, in part, explain these health disparities among PWH. We implemented a culturally adapted intervention [individualized Texting for Adherence Building (iTAB)] to improve ART adherence among 89 Black PWH in San Diego, CA. We aimed to (1) characterize psychosocial risk factors (depression, negative life events, discrimination, medical mistrust) hypothesized to be barriers to HIV outcomes among Black PWH and (2) determine if these factors influence intervention engagement, HIV outcomes, and self-reported physical and mental health. We identified three levels of psychosocial burden (low, moderate, high) through hierarchical cluster analysis. Participants in the high burden cluster (n = 25) experienced the highest levels of depression, negative life events, and discrimination, in addition to the poorest intervention outcomes, HIV outcomes, and physical and mental health compared to low and moderate burden clusters. Participants in the low (n = 29) burden cluster had less medical mistrust than the moderate (n = 34) and high burden clusters, but low and moderate clusters did not differ on any outcomes. Overall, self-reported ART adherence was 83%, which is above estimates of ART adherence in the Western region of the United States. The iTAB intervention shows promise in improving HIV-related outcomes among Black PWH with low to moderate psychosocial burden; however, additional supports may need to be identified for those with high psychosocial burden.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

AIDS Patient Care STDS

DOI

EISSN

1557-7449

Publication Date

February 2023

Volume

37

Issue

2

Start / End Page

103 / 113

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Trust
  • Risk Factors
  • Medication Adherence
  • Humans
  • HIV Infections
  • Black or African American
  • Anti-Retroviral Agents
  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ham, L., Montoya, J. L., Serrano, V., Yeager, S., Paltin, D., Pasipanodya, E. C., … Moore, D. J. (2023). High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV. AIDS Patient Care STDS, 37(2), 103–113. https://doi.org/10.1089/apc.2022.0180
Ham, Lillian, Jessica L. Montoya, Vanessa Serrano, Samantha Yeager, Dafna Paltin, Elizabeth C. Pasipanodya, Maria J. Marquine, et al. “High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV.AIDS Patient Care STDS 37, no. 2 (February 2023): 103–13. https://doi.org/10.1089/apc.2022.0180.
Ham L, Montoya JL, Serrano V, Yeager S, Paltin D, Pasipanodya EC, et al. High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV. AIDS Patient Care STDS. 2023 Feb;37(2):103–13.
Ham, Lillian, et al. “High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV.AIDS Patient Care STDS, vol. 37, no. 2, Feb. 2023, pp. 103–13. Pubmed, doi:10.1089/apc.2022.0180.
Ham L, Montoya JL, Serrano V, Yeager S, Paltin D, Pasipanodya EC, Marquine MJ, Hoenigl M, Ramers CB, Kua J, Moore DJ. High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV. AIDS Patient Care STDS. 2023 Feb;37(2):103–113.
Journal cover image

Published In

AIDS Patient Care STDS

DOI

EISSN

1557-7449

Publication Date

February 2023

Volume

37

Issue

2

Start / End Page

103 / 113

Location

United States

Related Subject Headings

  • Virology
  • United States
  • Trust
  • Risk Factors
  • Medication Adherence
  • Humans
  • HIV Infections
  • Black or African American
  • Anti-Retroviral Agents
  • 4206 Public health