A qualitative study of antiretroviral therapy adherence interruptions among young Latino men who have sex with men with HIV: Project DAILY

Sheehan Diana M.; De La Cruz Yazmine; Ramirez-Ortiz Daisy; Swendeman Dallas; Munoz-Laboy Miguel; Duncan Dustin T.; Cano Miguel Angel; Devieux Jessy G.; Trepka Mary Jo

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A qualitative study of antiretroviral therapy adherence interruptions among young Latino men who have sex with men with HIV: Project DAILY

机译：与艾滋病毒艾滋病毒的男性发生性与男性发生性交的抗逆转录病毒治疗依从中断的定性研究

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Consistent antiretroviral therapy (ART) adherence is necessary for HIV viral suppression. However, adherence may fluctuate around daily routines and life events, warranting intervention support. We examined reasons for ART adherence interruptions, using in-depth, semi-structured qualitative interviews, among young (18-34-year-old) Latino men who have sex with men (YLMSM) with HIV. Interviews (n = 24) were guided by the Theory of Planned Behavior, the Information-Motivation-Behavioral Skills Theory, and the Socio-Ecological Model. Two coders independently coded transcripts using NVivo 12 software and synthesized codes into themes using Thematic Content Analysis. Results suggested 4 primary influences on ART adherence interruptions: (1) HIV diagnosis denial, (2) breaks in daily routine, (3) substance use, and (4) HIV status disclosure. Participant quotes highlighted routinization of pill-taking and planning ahead for breaks in routine as critically important. The narrative suggested modification of pill-taking routines during alcohol use, and that periods most vulnerable for long-term interruptions in ART adherence were following an HIV diagnosis and during periods of drug use. Support at the time of HIV diagnosis, including a plan for routinization of pill taking, and adaptive interventions incorporating real-time support during breaks in routines and substance use episodes may be one way to help YLMSM adhere to ARTs.

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来源
《AIDS care.》 |2021年第7期|共8页
作者
Sheehan Diana M.; De La Cruz Yazmine; Ramirez-Ortiz Daisy; Swendeman Dallas; Munoz-Laboy Miguel; Duncan Dustin T.; Cano Miguel Angel; Devieux Jessy G.; Trepka Mary Jo;
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作者单位

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Epidemiol Miami FL 33199 USA;

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Epidemiol Miami FL 33199 USA;

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Epidemiol Miami FL 33199 USA;

Univ Calif Los Angeles David Geffen Sch Med Dept Psychiat &

Biobehav Sci Los Angeles CA USA;

CUNY City Coll Commun Hlth &

Social Med Dept New York NY USA;

Columbia Univ Mailman Sch Publ Hlth Dept Epidemiol New York NY USA;

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Epidemiol Miami FL 33199 USA;

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Hlth Promot &

Dis Prevent;

Florida Int Univ Robert Stempel Coll Publ Hlth &

Social Work Dept Epidemiol Miami FL 33199 USA;

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原文格式 PDF
正文语种 eng
中图分类传染病;
关键词
Human immunodeficiency virus; antiretroviral therapy; Latinos; adherence;

机译：人类免疫缺陷病毒;抗逆转录病毒治疗;拉美裔;坚持;

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1. Adherence level to antiretroviral therapy predict the time to viral load suppression of adult people living with HIV on antiretroviral therapy in Arba Minch general hospital [J] . Sultan Hussen, Mohammedaman Mama, Bitewu Mekonnen, 中华医学杂志（英文版） . 2019,第023期
2. An Assessment of the Level of Knowledge of HIV-Infected Patients about Highly Active Antireteroviral Therapy and Waiting Times and Their Influence on Antiretroviral Therapy Adherence at a Primary Healthcare Centre of South Africa [J] . N L Katende-Kyenda 药剂与药理学：英文版 . 2017,第007期
3. Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men —United States, 2015–2019 [J] . Stacy M. Crim, Yunfeng Tie, Linda Beer, Morbidity and Mortality Weekly Report: CDC Surveillance Summaries . 2020,第40期

机译：艾滋病毒阳性西班牙裔和拉丁裔男性在与男性的抗逆转录病毒治疗遵守障碍的障碍，2015-2019
4. Event-Level Association Between Daily Alcohol Use and Same-Day Nonadherence to Antiretroviral Therapy Among Young Men Who Have Sex With Men and Trans Women Living With HIV: Intensive Longitudinal Study [J] . Caitlin Marie Turner, Dillon Trujillo, Victory Le, JMIR mHealth and uHealth . 2020,第10期

机译：每日酒精使用与患有艾滋病病毒症的男性和跨妇女发生性关系的抗逆转录病毒治疗之间的事件级联的抗逆转录病毒治疗：密集型纵向研究
5. A triaged real-time alert intervention to improve antiretroviral therapy adherence among young African American men who have sex with men living with HIV: focus group findings [J] . Mark S. Dworkin, Palak Panchal, Wayne Wiebel, BMC Public Health . 2019,第1期

机译：一个具有与艾滋病毒艾滋病毒毒病症的男性发生性关系的年轻非洲裔美国人之间的抗逆转录病毒治疗依从性，以改善抗逆转录病毒治疗遵守：焦点小组调查结果
6. Uncertainty quantification for a model of HIV-1 patient response to antiretroviral therapy interruptions [C] . Baraldi Robert, Cross Karissa, McChesney Christina, American Control Conference . 2014

机译：HIV-1患者抗逆转录病毒治疗中断反应模型的不确定度量化
7. Adherence to Antiretroviral Therapy Among Adolescents and Young Adults Living with HIV in Haiti: Point-Of-Care Viral Load Testing to Simplify Viral Load Monitoring and Improve Outcomes [D] . Reif, Lindsey Krull. 2020

机译：在海地艾滋病病毒期间的青少年和年轻成年人中依赖抗逆转录病毒治疗：护理点病毒载体测试，以简化病毒载荷监测和改善结果
8. Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men —United States 2015–2019 [O] . Stacy M. Crim, Yunfeng Tie, Linda Beer, 2020

机译：艾滋病毒阳性西班牙裔和拉丁裔男子在与男性的艾滋病毒阳性西班牙裔和拉丁裔男性之间的障碍障碍2015-2019
9. Event-Level Association Between Daily Alcohol Use and Same-Day Nonadherence to Antiretroviral Therapy Among Young Men Who Have Sex With Men and Trans Women Living With HIV: Intensive Longitudinal Study [O] . Caitlin Marie Turner, Dillon Trujillo, Victory Le, 2020

机译：每日酒精使用与患有艾滋病病毒症的男性和跨妇女发生性关系的抗逆转录病毒治疗之间的事件级联的抗逆转录病毒治疗：密集型纵向研究
10. Report of the NIH Panel to Define Principles of Therapy of HIV Infection andGuidelines for the Use of Antiretroviral Agents in HIV-Infected Adults and Adolescents. Vol. 47/No. RR-5 [R] . Feinberg, M. B., Kaplan, J. E. 1998

机译：美国国立卫生研究院小组定义艾滋病毒感染治疗原则的报告和艾滋病毒感染成人和青少年使用抗逆转录病毒药物的指南。卷。 47 /否。 RR-5

A qualitative study of antiretroviral therapy adherence interruptions among young Latino men who have sex with men with HIV: Project DAILY

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