1
|
Rhodes SD, Alonzo J, Mann-Jackson L, Aviles LR, Tanner AE, Galindo CA, Bessler PA, Courtenay-Quirk C, Garcia M, Sucaldito AD, Smart BD, Goldenberg T, Reboussin BA. Preexposure Prophylaxis Uptake Among Spanish-Speaking Transgender Women: A Randomized Controlled Trial in North and South Carolina, 2019-2022. Am J Public Health 2024; 114:68-78. [PMID: 38091558 PMCID: PMC10726943 DOI: 10.2105/ajph.2023.307444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/03/2023] [Indexed: 12/18/2023]
Abstract
Objectives. To evaluate Chicas Creando Acceso a la Salud (Girls Creating Access to Health; ChiCAS), a Spanish-language, small-group intervention designed to increase preexposure prophylaxis (PrEP) use, consistent condom use, and medically supervised gender-affirming hormone therapy use among Spanish-speaking transgender Latinas who have sex with men. Methods. Participants were 144 HIV-negative Spanish-speaking transgender Latinas, aged 18 to 59 years, living in North and South Carolina. From July 2019 to July 2021, we screened, recruited, and randomized them to the 2-session ChiCAS intervention or the delayed-intervention waitlist control. Participants completed assessments at baseline and 6-month follow-up. Follow-up retention was 94.4%. Results. At follow-up, relative to control participants, ChiCAS participants reported increased PrEP use (adjusted odds ratio [AOR] = 4.64; 95% confidence interval [CI] = 1.57, 13.7; P < .006). However, ChiCAS participants did not report increased use of condoms or medically supervised gender-affirming hormone therapy. ChiCAS participants reported increases in knowledge of HIV (P < .001), sexually transmitted infections (P < .001), and gender-affirming hormone therapy (P = .01); PrEP awareness (P < .001), knowledge (P < .001), and readiness (P < .001); condom use skills (P < .001); and community attachment (P < .001). Conclusions. The ChiCAS intervention was efficacious in increasing PrEP use among Spanish-speaking, transgender Latinas in this trial. (Am J Public Health. 2024;114(1):68-78. https://doi.org/10.2105/AJPH.2023.307444).
Collapse
Affiliation(s)
- Scott D Rhodes
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Jorge Alonzo
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Lilli Mann-Jackson
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Lucero Refugio Aviles
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Amanda E Tanner
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Carla A Galindo
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Patricia A Bessler
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Cari Courtenay-Quirk
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Manuel Garcia
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Ana D Sucaldito
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Benjamin D Smart
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Tamar Goldenberg
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| | - Beth A Reboussin
- Scott D. Rhodes, Jorge Alonzo, Lilli Mann-Jackson, and Manuel Garcia are with the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC. At trial initiation, Lucero Refugio Aviles was with the Triad Health Project, Greensboro, NC; she completed the study while at the Department of Social Sciences and Health Policy, Wake Forest University School of Medicine. Amanda E. Tanner and Tamar Goldenberg are with the Department of Public Health Education, University of North Carolina, Greensboro. Carla A. Galindo, Patricia A. Bessler, and Cari Courtenay-Quirk are with the US Centers for Disease Control and Prevention, Atlanta, GA. Ana D. Sucaldito is with the Clinical and Translational Science Institute, Wake Forest University School of Medicine. Benjamin D. Smart is with the Karolinska Institutet, Stockholm, Sweden. Beth A. Reboussin is with the Department of Biostatistics and Data Sciences, Wake Forest University School of Medicine
| |
Collapse
|
2
|
Fuentes A, Coulehan K, Byrd D, Arentoft A, Miranda C, Arce Rentería M, Monzones J, Rosario A, Rivera Mindt M. Neurocognitive, Sociocultural, and Psychological Factors Impacting Medication Beliefs Among HIV-Seropositive Latinx Adults. AIDS Patient Care STDS 2023; 37:616-625. [PMID: 38096115 PMCID: PMC10732168 DOI: 10.1089/apc.2023.0173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2023] Open
Abstract
Among Latinx people living with HIV (PLWH), neurocognitive (NC) function, culture, and mental health impact medication adherence. Similarly, health beliefs and attitudes play a role in health care barriers and health behaviors. Research has not examined the effect that compromised neurocognition, sociocultural factors, and mental health have on health beliefs and attitudes. This is especially relevant for Latinx PLWH who are disproportionately impacted by HIV, given that sociocultural factors may uniquely impact HIV-related NC and psychological sequelae. This study investigated the associations between neurocognition, sociocultural factors, mental health, health beliefs, and health attitudes among Latinx HIV-seropositive adults. Within a sample of 100 Latinx PLWH, better verbal learning and executive functioning abilities were associated with more positive attitudes about the benefits of medications and memory for medications. In terms of sociocultural factors, higher English language competence was related to better self-reported memory for medications, and overall, higher US acculturation was associated with more positive attitudes toward health professionals. Depressive symptomatology was negatively associated with attitudes toward medications and health professionals, as well as with self-reported memory for medications. These findings highlight the important interplay between NC, sociocultural, psychological factors, and health beliefs among Latinx PLWH. Adherence intervention strategies and suggestions for dispensing medical information are presented for clinicians and health care practitioners.
Collapse
Affiliation(s)
- Armando Fuentes
- Department of Psychology, Fordham University, New York, New York, USA
| | - Kelly Coulehan
- Department of Neurology, Stony Brook University Hospital, Stony Brook, New York, USA
| | - Desiree Byrd
- Department of Psychology, Queens College, Flushing, New York, USA
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Alyssa Arentoft
- Department of Psychology, California State University, Northridge, California, USA
| | - Caitlin Miranda
- Department of Neurology, Stony Brook University Hospital, Stony Brook, New York, USA
| | - Miguel Arce Rentería
- Department of Neurology, Columbia University Medical Center, New York, New York, USA
| | - Jennifer Monzones
- Department of Psychiatry and Behavioral Sciences, University of New Mexico Hospital, Albuquerque, New Mexico, USA
| | - Ana Rosario
- Department of Psychology, Fordham University, New York, New York, USA
| | - Monica Rivera Mindt
- Department of Psychology, Fordham University, New York, New York, USA
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
- Latin American and Latino Studies Institute, and Department of African and African American Studies, Fordham University, Bronx, New York, USA
| |
Collapse
|
3
|
Yang L, Gabriel N, Bian J, Bilello LA, Wright DR, Hernandez I, Guo J. Individual and social determinants of adherence to sodium-glucose cotransporter 2 inhibitor therapy: A trajectory analysis. J Manag Care Spec Pharm 2023; 29:1242-1251. [PMID: 37889868 PMCID: PMC10776261 DOI: 10.18553/jmcp.2023.29.11.1242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/29/2023]
Abstract
BACKGROUND: Sodium-glucose cotransporter 2 inhibitors (SGLT2is) are known to improve cardiovascular and renal outcomes in patients with type 2 diabetes (T2D). Understanding the longitudinal patterns of adherence and the associated predictors is critical to addressing the suboptimal use of this outcome-improving treatment. OBJECTIVE: To characterize the distinct trajectories of adherence to SGLT2is in patients with T2D and to identify patient characteristics and social determinants of health (SDOHs) associated with SGLT2i adherence. METHODS: In this retrospective cohort study, we identified patients with T2D who initiated and filled at least 1 SGLT2i prescription according to 2012-2016 national Medicare claims data. The monthly proportion of days covered with SGLT2is for each patient was incorporated into group-based trajectory models to identify groups with similar adherence patterns. A multinomial logistic regression model was constructed to examine the association between patient characteristics and group membership. In addition, the association between context-specific SDOHs (eg, neighborhood median income and neighborhood employment rate) and adherence to an SGLT2i regimen was explored in both the overall cohort and the racial and ethnic subgroups. RESULTS: The final sample comprised 6,719 patients with T2D. Four trajectories of SGLT2i adherence were identified: continuously adherent users (49.6%), early discontinuers (27.5%), late discontinuers (14.5%), and intermediately adherent users (8.4%). Patient age, sex, race, diabetes duration, and Medicaid eligibility were significantly associated with trajectory group membership. Areas with a higher unemployment rate, lower income level, lower high school education rate, worse nutrition environment, fewer health care facilities, and greater Area Deprivation Index scores were found to be associated with low adherence to SGLT2is. CONCLUSIONS: Four distinct trajectories of adherence to SGLT2is were identified, with only half of the patients remaining continuously adherent to their treatment regimen during the first year after initiation. Several contextual SDOHs were associated with suboptimal adherence to SGLT2is.
Collapse
Affiliation(s)
- Lanting Yang
- Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, PA
| | - Nico Gabriel
- Division of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego
| | - Jiang Bian
- Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville
| | - Lori A. Bilello
- Department of Medicine, University of Florida College of Medicine, Jacksonville
| | - Davene R. Wright
- Department of Population Medicine, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA
| | - Inmaculada Hernandez
- Division of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego
| | - Jingchuan Guo
- Department of Pharmaceutical Outcomes and Policy, University of Florida College of Pharmacy, Gainesville
| |
Collapse
|
4
|
Patel D, Jalal Z, Guo P. Medicine Adherence and Associated Factors in Immigrants and Refugees: A Systematic Review. Int J Clin Pract 2022; 2022:1993066. [PMID: 36636740 PMCID: PMC9812604 DOI: 10.1155/2022/1993066] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 12/04/2022] [Accepted: 12/06/2022] [Indexed: 12/29/2022] Open
Abstract
Medicine nonadherence is a major contributing factor to morbidity and mortality. Almost half of the chronically ill patients are nonadherent to their medication. Vulnerable groups like immigrants and refugees are at a higher risk of poor medication adherence. This study aims to determine the rate of medicine adherence and the factors associated with medicine nonadherence in a population of immigrants and refugees. A protocol-led (PROSPERO ID: CRD42021285419) systematic review was conducted by searching PubMed, Medline, Embase, Scopus, CINAHL, and Cochrane Library for studies published between 1st January 2000 and 4th November 2021. PRISMA guidelines were followed. The NIH quality assessment tool and CASP checklist were used to quality assess the papers. Data were searched, screened, and extracted. Extracted data were tabulated for descriptive and narrative analyses. 15 studies were conducted across six countries including participants with various medical conditions. The rate of medicine adherence reported ranged from 10.1% to 74.5%. Higher rates of nonadherence were observed in immigrants and refugees compared to migrant and native groups. Socio-economic factors, including language proficiency, level of education, and financial burden, and patient-related factors involving cultural behaviours and beliefs were common themes for nonadherence among immigrants and refugees. Further research is required to address the effect of nonadherence on clinical outcomes. Studies should focus on using a consistent definition of adherence and the same objective methods to measure rates of adherence to allow for meta-analysis of data and definitive results. Healthcare professionals (HCPs) are recommended to target interventions at improving adherence and reducing modifiable risk factors in immigrants and refugees, thus reducing health disparities among the population.
Collapse
Affiliation(s)
- Damini Patel
- School of Pharmacy, University of Birmingham, Edgbaston, Birmingham B152TT, UK
| | - Zahraa Jalal
- School of Pharmacy, University of Birmingham, Edgbaston, Birmingham B152TT, UK
| | - Ping Guo
- School of Nursing and Midwifery, University of Birmingham, Edgbaston, Birmingham B152TT, UK
| |
Collapse
|
5
|
Barrington C, Davis DA, Villa-Torres L, Carcano J, Hightow-Weidman L. Intersectionalities and the HIV continuum of care among gay Latino men living with HIV in North Carolina. ETHNICITY & HEALTH 2021; 26:1098-1113. [PMID: 31109189 DOI: 10.1080/13557858.2019.1620177] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2018] [Accepted: 05/11/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE Latino men who have sex with men (MSM) are disproportionately affected by HIV in the US and only half of Latinos diagnosed with HIV are virally suppressed. Little is known about the determinants of HIV care and treatment outcomes among Latinos. We used theories of intersectionality to assess the HIV testing, care and treatment experiences of gay Latino men living with HIV in a new immigrant destination. DESIGN We conducted qualitative in-depth interviews with US and foreign-born gay Latino men living with HIV (n = 14) recruited through referrals from HIV care providers and case managers. We used Maxwell and Miller's theory of qualitative analysis to guide our approach to data analysis, integrating narrative techniques and thematic coding. We used theories of intersectionality - including both intersecting identities and structures - as an interpretive framework to understand participants' outcomes and experiences. RESULTS All participants were engaged in HIV care at the time of the interviews. The mental health burden of diagnosis and managing life with HIV was a salient theme across all interviews. Most participants had experienced interruptions in their care due to both intersecting stigmatized identities (e.g. being gay, Latino, undocumented) and intersecting structures (healthcare, immigration policy, institutionalized homophobia). Undocumented participants directly connected their immigration status to their ability to get work, which then affected their retention in HIV care and treatment adherence. CONCLUSIONS Examining the interplay between identities and structures provides a contextualized understanding of outcomes along the HIV care continuum among gay Latino men that goes beyond behavioral and cultural explanations. There is a need to assess long-term experiences of navigating HIV care and treatment given the intersecting structures of mobility, housing instability, and immigration policy.
Collapse
Affiliation(s)
- Clare Barrington
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA
| | - Dirk A Davis
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA
| | - Laura Villa-Torres
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA
| | - Joaquin Carcano
- Institute of Global Health and Infectious Diseases, University of North Carolina, Chapel Hill, USA
| | - Lisa Hightow-Weidman
- Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA
- Institute of Global Health and Infectious Diseases, University of North Carolina, Chapel Hill, USA
| |
Collapse
|
6
|
Xie T, Yan H, Wang G. Translation and Validation: Chinese Version of the HIV-Related Social Support Scale. Int J Gen Med 2021; 14:4025-4030. [PMID: 34349552 PMCID: PMC8326224 DOI: 10.2147/ijgm.s318766] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 07/16/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose Social support is increasingly recognized to be important in care of people living with HIV/AIDS (PLWH), we firstly translate and validate the disease-targeted social support instrument in Chinese and to explore the correlation with WHOQOL-HIV. Patients and Methods We established content validity for HIV-related social support scale (HSSS) and administered the resultant questionnaire to 310 PLWH. Descriptive statistics were generated for each of the variables of general characteristics; student t-test was used to compare the different groups. Results The HSSS demonstrated a high level of internal consistency, both within each subscale and with the total score; all Cronbach’s α values exceeded a priori threshold of ≥0.70. The HSSS cores were positively correlated with WHOQOL-HIV total scores (Pearson correlation: 0.39, P < 0.001). We also found that higher educational level, personal income, CD4 cell count, and shorter duration of antiretroviral therapy are significantly associated with a higher level of social support (P < 0.05). Conclusion Social support may improve quality of life for PLWH, Chinese version of HIV-related social support scale can be used in future clinical practice.
Collapse
Affiliation(s)
- Tiansheng Xie
- Zhejiang Sino-German Institute of Life science and Healthcare, School of Biological and Chemical Engineering, Zhejiang University of Science and Technology, Hangzhou, Zhejiang, 310023, People's Republic of China.,State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital of Zhejiang University, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310003, People's Republic of China
| | - Haibo Yan
- Center for Disease Prevention and Control, Shaoxing, 312030, People's Republic of China
| | - Guohua Wang
- Center for Disease Prevention and Control, Jiaxing, 314500, People's Republic of China
| |
Collapse
|
7
|
Wilder ME, Kulie P, Jensen C, Levett P, Blanchard J, Dominguez LW, Portela M, Srivastava A, Li Y, McCarthy ML. The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis. J Gen Intern Med 2021; 36:1359-1370. [PMID: 33515188 PMCID: PMC8131473 DOI: 10.1007/s11606-020-06447-0] [Citation(s) in RCA: 70] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 12/13/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND Medication adherence (MA) is critical to successful chronic disease management. It is not clear how social determinants of health (SDH) impact MA. We conducted a systematic review and meta-analysis to summarize the evidence on the relationship between SDH and MA. METHODS We conducted a systematic review of the literature using a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) format. A literature search was performed using three databases: PubMed, Scopus, and Cochrane Clinical Trials Register in December of 2018. Included studies were completed in the USA, included adults aged 18 years and older, measured at least one social determinant of health, and medication adherence was the primary outcome measure. Data from included full texts were independently extracted using a standardized data extraction form. We then conducted a meta-analysis and pooled the odds ratios from the included studies for each social determinant as well as for all SDH factors collectively. RESULTS A total of 3137 unduplicated abstracts were identified from our database searches. A total of 173 were selected for full text review after evaluating the abstract. A total of 29 articles were included for this systematic review. Economic-related SDH factors and MA were mostly commonly examined. The meta-analysis revealed a significant relationship between food insecurity (aOR = 0.56; 95% CI 0.42-0.7), housing instability (aOR = 0.64; 95% CI 0.44-0.93), and social determinants overall (aOR = 0.75; 95% CI 0.65-0.88) and medication adherence. DISCUSSION Food insecurity and housing instability most consistently impacted medication adherence. Although included studies were heterogenous and varied widely in SDH and MA measurements, adverse social determinants overall were significantly associated with lower MA. The relationship between SDH and MA warrants more attention and research by health care providers and policymakers.
Collapse
Affiliation(s)
- Marcee E Wilder
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA.
| | - Paige Kulie
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA
| | - Caroline Jensen
- Anesthesiology Residency Program, Columbia University, New York, NY, USA
| | - Paul Levett
- Himmelfarb Health Sciences Library, George Washington University, Washington, DC, USA
| | - Janice Blanchard
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA
| | - Luis W Dominguez
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA
| | - Maria Portela
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA
| | - Aneil Srivastava
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA
| | - Yixuan Li
- Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC, USA
| | - Melissa L McCarthy
- Department of Emergency Medicine, George Washington University, Medical Faculty Associates, Washington, DC, USA.,Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, Washington, DC, USA
| |
Collapse
|
8
|
Stecher C, Linnemayr S. Promoting antiretroviral therapy adherence habits: a synthesis of economic and psychological theories of habit formation. AIDS 2021; 35:711-716. [PMID: 33306553 PMCID: PMC9207816 DOI: 10.1097/qad.0000000000002792] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
9
|
Kelly BC, Pawson M, Vuolo M. Beliefs on COVID-19 Among Electronic Cigarette Users: Behavioral Responses and Implications for COVID Prevention and E-Cigarette Interventions. JOURNAL OF DRUG ISSUES 2020. [DOI: 10.1177/0022042620977828] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
E-cigarette users’ beliefs about COVID-19 may shape their responses to the pandemic and their e-cigarette consumption. A U.S. national cross-sectional survey of 562 e-cigarette users was conducted in April 2020. Participants self-reported nicotine consumption, COVID-19 beliefs, beliefs about e-cigarettes, social distancing, COVID-19 disruptions, cessation considerations, and individual characteristics. Ordinary least squares (OLS) regression provided unstandardized, and standardized coefficients. Frequency of e-cigarette use is inversely associated with beliefs COVID-19 is relevant (β = −0.215). Beliefs e-cigarettes are addictive, harmful, or pose a risk to future health were positively associated with beliefs COVID-19 is relevant (β = 0.171; β = 0.164; β = 0.203), beliefs the media are truthful on COVID-19 (β = 0.133; β = 0.136; β = 0.137), and beliefs e-cigarette users are at greater risk (β = 0.279; β = 0.411; β = 0.447). All three COVID-19 beliefs (COVID relevant; media truthful; and greater risk) were positively associated with social distancing (β = 0.307; β = 0.259; β = 0.115), work disruptions (β = 0.134; β = 0.135; β = 0.130), family disruptions (β = 0.232; β = 0.131; β = 0.164), friendship disruptions (β = 0.214; β = 0.139; β = 0.133), and considerations of quitting (β = 0.250; β = 0.222; β = 0.620). Strong associations between e-cigarette beliefs and COVID-19 beliefs exist. COVID-19 beliefs are associated with behavioral responses, such as social distancing and considerations of e-cigarette cessation. Interventions may be able to leverage COVID-19 beliefs to reduce e-cigarette consumption or promote cessation during the pandemic.
Collapse
Affiliation(s)
| | | | - Mike Vuolo
- The Ohio State University, Columbus, OH, USA
| |
Collapse
|
10
|
Bass SB, D’Avanzo P, Alhajji M, Ventriglia N, Trainor A, Maurer L, Eisenberg R, Martinez O. Exploring the Engagement of Racial and Ethnic Minorities in HIV Treatment and Vaccine Clinical Trials: A Scoping Review of Literature and Implications for Future Research. AIDS Patient Care STDS 2020; 34:399-416. [PMID: 32931317 PMCID: PMC10722429 DOI: 10.1089/apc.2020.0008] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
HIV disproportionately impacts US racial and ethnic minorities but they participate in treatment and vaccine clinical trials at a lower rate than whites. To summarize barriers and facilitators to this participation we conducted a scoping review of the literature guided by the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Studies published from January 2007 and September 2019 were reviewed. Thirty-one articles were identified from an initial pool of 325 records using three coders. All records were then assessed for barriers and facilitators and summarized. Results indicate that while racial and ethnic minority participation in these trials has increased over the past 10 years, rates still do not proportionately reflect their burden of HIV infection. While many of the barriers mirror those found in other disease clinical trials (e.g., cancer), HIV stigma is a unique and important barrier to participating in HIV clinical trials. Recommendations to improve recruitment and retention of racial and ethnic minorities include training health care providers on the importance of recruiting diverse participants, creating interdisciplinary research teams that better represent who is being recruited, and providing culturally competent trial designs. Despite the knowledge of how to better recruit racial and ethnic minorities, few interventions have been documented using these strategies. Based on the findings of this review, we recommend that future clinical trials engage community stakeholders in all stages of the research process through community-based participatory research approaches and promote culturally and linguistically appropriate recruitment and retention strategies for marginalized populations overly impacted by HIV.
Collapse
Affiliation(s)
- Sarah Bauerle Bass
- Risk Communication Laboratory, Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| | - Paul D’Avanzo
- Risk Communication Laboratory, Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| | - Mohammed Alhajji
- Risk Communication Laboratory, Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| | - Nicole Ventriglia
- Fox Chase Cancer Center, Risk Assessment Program, Philadelphia, Pennsylvania, USA
| | - Aurora Trainor
- Risk Communication Laboratory, Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| | - Laurie Maurer
- Tennessee Department of Health, HIV/STD/Viral Hepatitis Section, Nashville, Tennessee, USA
| | | | - Omar Martinez
- School of Social Work, Temple University College of Public Health, Philadelphia, Pennsylvania, USA
| |
Collapse
|
11
|
Ting CY, Ahmad Zaidi Adruce S, Lim CJ, Abd Jabar AHA, Ting RSK, Ting H, Osman NA, Ngau E, Talin BA, Muhammad M, Loo SC, Lim SE, Hassali MA. Effectiveness of a pharmacist-led structured group-based intervention in improving medication adherence and glycaemic control among type 2 diabetes mellitus patients: A randomized controlled trial. Res Social Adm Pharm 2020; 17:344-355. [PMID: 32327398 DOI: 10.1016/j.sapharm.2020.03.026] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 03/30/2020] [Accepted: 03/30/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND A pharmacist-led structured group-based intervention (MEDIHEALTH) was formulated to improve medication adherence among Malay type 2 diabetes mellitus (T2DM) patients in the Malaysian state of Sarawak. OBJECTIVES The objective of this study was to examine the effectiveness of MEDIHEALTH and its mechanism of impact for improving medication adherence and the glycated haemoglobin (HbA1c) level. METHODS A two group and parallel randomised controlled trial with a twelve months follow-up period was conducted at two primary health clinics in Malaysia that were surrounded by Malay communities. Malay T2DM patients whose HbA1c was >7% and total score on the Self-Efficacy for Appropriate Medication Use Scale (SEAMS) was <26 were recruited and parallelly randomised to the MEDIHEALTH or usual care (control) groups. The extended theory of planned behaviour was employed to test the mechanism of impact. Repeated measure analysis of variance was used to assess the difference in the estimated marginal mean of the SEAMS scores and HbA1c level between the intervention and control groups at different times. RESULTS A total of 142 participants were recruited and randomised; three from the intervention group and eight from the control group withdrew before receiving any treatment. Hence, 68 participants in the intervention group and 63 in the control group were included for analyses. The MEDIHEALTH group had a significantly greater increase in the SEAMS score compared to the control group (p < 0.001) at one, three, six and twelve months post-intervention. There was also a significantly greater reduction in HbA1c in the MEDIHEALTH compared to the control group at one, three, six and twelve months post-intervention (p < 0.001). These improvements were mediated by enhancements in perceived behavioural control and knowledge about medications. CONCLUSIONS The MEDIHEALTH may improve medication adherence and glycaemic control among Malay T2DM patients.
Collapse
Affiliation(s)
- Chuo Yew Ting
- Institute of Borneo Studies, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia; Pharmacy Practice and Development Division, Sarawak State Health Department Sarawak, Minitry of Health, Malaysia.
| | - Shahren Ahmad Zaidi Adruce
- Institute of Borneo Studies, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia; Faculty of Cognitive Science and Human Development, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
| | - Chien Joo Lim
- Clinical Research & Innovation Office, Tan Tock Seng Hospital, Singapore.
| | | | - Rachel Sing-Kiat Ting
- Monash University, Jeffrey Cheah School of Medicine and Health Sciences, Selangor, Malaysia.
| | - Hiram Ting
- Sarawak Research Society, Sarawak, Malaysia; Faculty of Hospitality and Tourism Management, UCSI University, Malaysia.
| | - Nor Anizah Osman
- Pharmacy Practice and Development Division, Sarawak State Health Department Sarawak, Minitry of Health, Malaysia.
| | - Esther Ngau
- Pharmacy Department, Petra Jaya Health Clinic, Petra Jaya, Kuching, Ministry of Health, Malaysia.
| | - Benodict Apok Talin
- Pharmacy Enforcement Division, Sarawak State Health Department Sarawak, Ministry of Health, Malaysia.
| | - Munira Muhammad
- Pharmaceutical Services Division, Ministry of Health, Malaysia.
| | - Shing Chyi Loo
- Pharmacy Enforcement Division, Sarawak State Health Department Sarawak, Ministry of Health, Malaysia.
| | - Su Ee Lim
- Pharmacy Practice and Development Division, Sarawak State Health Department Sarawak, Minitry of Health, Malaysia.
| | - Mohamed Azmi Hassali
- Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.
| |
Collapse
|
12
|
Exploring Medication Adherence Amongst Australian Adults Using an Extended Theory of Planned Behaviour. Int J Behav Med 2020; 27:389-399. [DOI: 10.1007/s12529-020-09862-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
|
13
|
Selling the product: Strategies to increase recruitment and retention of Spanish-speaking Latinos in biomedical research. J Clin Transl Sci 2018; 2:147-155. [PMID: 30510779 PMCID: PMC6269095 DOI: 10.1017/cts.2018.314] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Introduction The Latino population in the United States is rapidly growing and faces profound health disparities; however, engagement of Latinos in biomedical research remains low. Our community-based participatory research partnership has recruited 2083 Spanish-speaking Latinos into 21 studies over 15 years. We sought to identify and describe the strategies we have used to successfully recruit and retain Spanish-speaking Latinos in research. Methods We abstracted and analyzed data from archived study notes, progress reports, team meeting minutes, and in-depth interviews conducted annually from community-based participatory research partnership members. We used a nominal group process to refine and prioritize strategies. Results Overall, 13 recruitment strategies and 12 retention strategies emerged. These strategies relied on the creativity and perseverance of the study team and partners. Conclusions It is essential that we develop and disseminate effective recruitment and retention strategies that engage Latinos in biomedical research to reduce health disparities and promote health equity.
Collapse
|
14
|
Ting CY, Ahmad Zaidi Adruce S, Hassali MA, Ting H, Lim CJ, Ting RSK, Abd Jabar AHA, Osman NA, Shuib IS, Loo SC, Sim ST, Lim SE, Morisky DE. Effectiveness and sustainability of a structured group-based educational program (MEDIHEALTH) in improving medication adherence among Malay patients with underlying type 2 diabetes mellitus in Sarawak State of Malaysia: study protocol of a randomized controlled trial. Trials 2018; 19:310. [PMID: 29871651 PMCID: PMC5989376 DOI: 10.1186/s13063-018-2649-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 04/13/2018] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Amidst the high disease burden, non-adherence to medications among patients with type 2 diabetes mellitus (T2DM) has been reported to be common and devastating. Sarawak Pharmaceutical Services Division has formulated a pharmacist-led, multiple-theoretical-grounding, culturally sensitive and structured group-based program, namely "Know Your Medicine - Take if for Health" (MEDIHEALTH), to improve medication adherence among Malay patients with T2DM. However, to date, little is known about the effectiveness and sustainability of the Program. METHODS/DESIGN This is a prospective, parallel-design, two-treatment-group randomized controlled trial to evaluate the effectiveness and sustainability of MEDIHEALTH in improving medication adherence. Malay patients who have underlying T2DM, who obtain medication therapy at Petra Jaya Health Clinic and Kota Samarahan Health Clinic, and who have a moderate to low adherence level (8-item Morisky Medication Adherence Scale, Malaysian specific, score <6) were randomly assigned to the treatment group (MEDIHEALTH) or the control group. The primary outcome of this study is medication adherence level at baseline and 1, 3, 6 and 12 months post-intervention. The secondary outcomes are attitude, subjective norms, perceived behavioural control, intention and knowledge related to medication adherence measured at baseline and 1, 6 and 12 months post-intervention. The effectiveness and sustainability of the Program will be triangulated by findings from semi-structured interviews with five selected participants conducted 1 month after the intervention and in-depth interviews with two main facilitators and two managerial officers in charge of the Program 12 months after the intervention. Statistical analyses of quantitative data were conducted using SPSS version 22 and Stata version 14. Thematic analysis for qualitative data were conducted with the assistance of ATLAS.ti 8. DISCUSSION This study provides evidence on the effectiveness and sustainability of a structured group-based educational program that employs multiple theoretical grounding and a culturally sensitive approach in promoting medication adherence among Malays with underlying T2DM. Both the quantitative and qualitative findings of this study could assist in the future development of the Program. TRIAL REGISTRATION National Medical Research Register, NMRR-17-925-35875 (IIR). Registered on 19 May 2017. ClinicalTrials.gov, NCT03228706 . Registered on 25 July 2017.
Collapse
Affiliation(s)
- Chuo Yew Ting
- Institute of Borneo Studies, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
| | | | - Mohamed Azmi Hassali
- Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia
| | - Hiram Ting
- Sarawak Research Society, Sarawak, Malaysia
| | - Chien Joo Lim
- Clinical Research Center, Sarawak General Hospital, Sarawak, Malaysia
| | - Rachel Sing-Kiat Ting
- Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Selangor, Malaysia
| | | | - Nor Anizah Osman
- Pharmacy Practice and Development Division, Sarawak State Health Department, Sarawak, Malaysia
| | - Izzul Syazwan Shuib
- Pharmacy Enforcement Division, Sarawak State Health Department, Sarawak, Malaysia
| | - Shing Chyi Loo
- Pharmacy Enforcement Division, Sarawak State Health Department, Sarawak, Malaysia
| | - Sui Theng Sim
- Pharmacy Enforcement Division, Sarawak State Health Department, Sarawak, Malaysia
| | - Su Ee Lim
- Pharmacy Practice and Development Division, Sarawak State Health Department, Sarawak, Malaysia
| | - Donald E Morisky
- Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA
| |
Collapse
|
15
|
Tanner AE, Mann L, Song E, Alonzo J, Schafer K, Arellano E, Garcia JM, Rhodes SD. weCARE: A Social Media-Based Intervention Designed to Increase HIV Care Linkage, Retention, and Health Outcomes for Racially and Ethnically Diverse Young MSM. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2016; 28:216-30. [PMID: 27244190 PMCID: PMC5010783 DOI: 10.1521/aeap.2016.28.3.216] [Citation(s) in RCA: 50] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Estimates suggest that only about 30% of all individuals living with HIV in the U.S. have achieved viral suppression. Men who have sex with men (MSM), particularly racial/ethnic minority young MSM, are at increased risk for HIV infection and may have even lower viral suppression rates. HIV testing rates among MSM are low, and when tested, racial/ethnic minority young MSM have disproportionately lower rates of retention in care and viral suppression compared to other subgroups. This article describes the design and development of weCare, our social media-based intervention to improve care linkage and retention and health outcomes among racially and ethnically diverse MSM, ages 13-34, living with HIV that will be implemented and evaluated beginning in late 2016. The intervention harnesses established social media that MSM between these ages commonly use, including Facebook, text messaging, and established GPS-based mobile applications (apps). We are using community-based participatory research (CBPR) to enhance the quality and validity of weCare, equitably involving community members, organization representatives, healthcare providers, clinic staff, and academic researchers.
Collapse
Affiliation(s)
- Amanda E. Tanner
- Department of Public Health Education, University of North Carolina Greensboro
| | - Lilli Mann
- Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Eunyoung Song
- Department of Social Sciences & Health Policy and Department of Biostatistical Sciences, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Jorge Alonzo
- Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Katherine Schafer
- Section on Infectious Diseases, Wake Forest University Health Sciences
| | - Elías Arellano
- Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Jesus M. Garcia
- Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine
| | - Scott D. Rhodes
- Department of Social Sciences & Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine
| |
Collapse
|
16
|
Kopelowicz A, Zarate R, Wallace CJ, Liberman RP, Lopez SR, Mintz J. Using the theory of planned behavior to improve treatment adherence in Mexican Americans with schizophrenia. J Consult Clin Psychol 2015; 83:985-93. [PMID: 26030760 PMCID: PMC4573226 DOI: 10.1037/a0039346] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Failure to adhere to treatment with antipsychotic medication is the most common cause of relapse among patients with schizophrenia. A novel multifamily group (MFG) intervention, informed by the Theory of Planned Behavior (TPB), demonstrated efficacy in increasing medication adherence and decreasing rehospitalizations in schizophrenia patients. This report explores the hypothesis that the improved outcomes obtained through the MFG approach were mediated by changes in the patients' attitudes toward medications, subjective norms-social influences, and perceived behavioral control of resources. METHOD Data from a recently completed, randomized controlled trial of MFG was used to test the hypothesis that the improvement in adherence was mediated by the 3 TPB factors. Subjects were 174 Mexican American adults with schizophrenia-spectrum disorder who had participated in a study of MFG focused on improving medication adherence. Assessments occurred at baseline and at 4, 8, 12, 18, and 24 months. RESULTS Path analysis revealed that the increased adherence associated with MFG was mediated by improvements in subjective norms but not attitudes toward medications nor perceived behavioral control. CONCLUSION An MFG treatment specifically tailored to increase medication adherence among Mexican Americans with schizophrenia achieved its benefits by leveraging social influences through teaching family members how to support medication adherence in their ill relatives.
Collapse
Affiliation(s)
- Alex Kopelowicz
- David Geffen School of Medicine, University of California-Los Angeles
| | - Roberto Zarate
- David Geffen School of Medicine, University of California-Los Angeles
| | - Charles J Wallace
- David Geffen School of Medicine, University of California-Los Angeles
| | | | - Steven R Lopez
- Department of Psychology, University of Southern California
| | - Jim Mintz
- Department of Psychiatry, University of Texas Health Science Center at San Antonio
| |
Collapse
|
17
|
Rich A, Brandes K, Mullan B, Hagger MS. Theory of planned behavior and adherence in chronic illness: a meta-analysis. J Behav Med 2015; 38:673-88. [DOI: 10.1007/s10865-015-9644-3] [Citation(s) in RCA: 153] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 05/07/2015] [Indexed: 11/24/2022]
|
18
|
Nachega JB, Uthman OA, Peltzer K, Richardson LA, Mills EJ, Amekudzi K, Ouédraogo A. Association between antiretroviral therapy adherence and employment status: systematic review and meta-analysis. Bull World Health Organ 2014; 93:29-41. [PMID: 25558105 PMCID: PMC4271680 DOI: 10.2471/blt.14.138149] [Citation(s) in RCA: 70] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Revised: 09/21/2014] [Accepted: 10/01/2014] [Indexed: 11/27/2022] Open
Abstract
Objective To assess the association between the employment status of human immunodeficiency virus (HIV)-infected individuals and adherence to antiretroviral therapy (ART). Methods We searched the Medline, Embase and Cochrane Central Register of Controlled Trials databases for studies reporting ART adherence and employment status published between January 1980 and September 2014. Information from a wide range of other sources, including the grey literature, was also analysed. Two independent reviewers extracted data on treatment adherence and study characteristics. Study data on the association between being employed and adhering to ART were pooled using a random-effects model. Between-study heterogeneity and sources of bias were evaluated. Findings The meta-analysis included 28 studies published between 1996 and 2014 that together involved 8743 HIV-infected individuals from 14 countries. The overall pooled odds ratio (OR) for the association between being employed and adhering to ART was 1.27 (95% confidence interval, CI: 1.04–1.55). The association was significant for studies from low-income countries (OR: 1.85, 95% CI: 1.58–2.18) and high-income countries (OR: 1.33, 95% CI: 1.02–1.74) but not middle-income countries (OR: 0.94, 95% CI: 0.62–1.42). In addition, studies published after 2011 and larger studies showed less association between employment and adherence than earlier and small studies, respectively. Conclusion Employed HIV-infected individuals, particularly those in low- and high-income countries, were more likely to adhere to ART than unemployed individuals. Further research is needed on the mechanisms by which employment and ART adherence affect each other and on whether employment-creation interventions can positively influence ART adherence, HIV disease progression and quality of life.
Collapse
Affiliation(s)
- Jean B Nachega
- Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, 503 Parran Hall, 130 DeSoto Street, Pittsburgh, PA 15261, United States of America (USA)
| | - Olalekan A Uthman
- Warwick Centre for Applied Health Research and Delivery, University of Warwick, Coventry, England
| | - Karl Peltzer
- Department of Psychology, University of Limpopo, Turfloop, South Africa
| | | | - Edward J Mills
- Stanford Prevention Research Center, Stanford University, Stanford, USA
| | - Kofi Amekudzi
- HIV/AIDS and the World of Work Branch (ILOAIDS), International Labour Organization, Geneva, Switzerland
| | - Alice Ouédraogo
- HIV/AIDS and the World of Work Branch (ILOAIDS), International Labour Organization, Geneva, Switzerland
| |
Collapse
|
19
|
Müller E, Zill JM, Dirmaier J, Härter M, Scholl I. Assessment of trust in physician: a systematic review of measures. PLoS One 2014; 9:e106844. [PMID: 25208074 PMCID: PMC4160203 DOI: 10.1371/journal.pone.0106844] [Citation(s) in RCA: 76] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Accepted: 08/06/2014] [Indexed: 11/25/2022] Open
Abstract
Over the last decades, trust in physician has gained in importance. Studies have shown that trust in physician is associated with positive health behaviors in patients. However, the validity of empirical findings fundamentally depends on the quality of the measures in use. Our aim was to provide an overview of trust in physician measures and to evaluate the methodological quality of the psychometric studies and the quality of psychometric properties of identified measures. We conducted an electronic search in three databases (Medline, EMBASE and PsycInfo). The secondary search strategy included reference and citation tracking of included full texts and consultation of experts in the field. Retrieved records were screened independently by two reviewers. Full texts that reported on testing of psychometric properties of trust in physician measures were included in the review. Study characteristics and psychometric properties were extracted. We evaluated the quality of design, methods and reporting of studies with the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. The quality of psychometric properties was assessed with Terwee's 2007 quality criteria. After screening 3284 records and assessing 169 full texts for eligibility, fourteen studies on seven trust in physician measures were included. Most of the studies were conducted in the USA and used English measures. All but one measure were generic. Sample sizes range from 25 to 1199 participants, recruited in very heterogeneous settings. Quality assessments revealed several flaws in the methodological quality of studies. COSMIN scores were mainly fair or poor. The overall quality of measures' psychometric properties was intermediate. Several trust in physician measures have been developed over the last years, but further psychometric evaluation of these measures is strongly recommended. The methodological quality of psychometric property studies could be improved by adhering to quality criteria like the COSMIN checklist.
Collapse
Affiliation(s)
- Evamaria Müller
- University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany
| | - Jördis M. Zill
- University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany
| | - Jörg Dirmaier
- University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany
| | - Martin Härter
- University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany
| | - Isabelle Scholl
- University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany
| |
Collapse
|
20
|
Morales-Aleman MM, Sutton MY. Hispanics/Latinos and the HIV continuum of care in the Southern USA: a qualitative review of the literature, 2002-2013. AIDS Care 2014; 26:1592-604. [PMID: 25027357 DOI: 10.1080/09540121.2014.936817] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Hispanics/Latinos are disproportionately affected by HIV infection, but access HIV care less often than non-Hispanic whites in the USA. The majority of new HIV diagnoses among Hispanics/Latinos occur in the southern USA; however, data are lacking regarding factors associated with HIV care access for Hispanics/Latinos in the South. We conducted a qualitative review of peer-reviewed articles using the HIV continuum of care framework to assess HIV care for Hispanics/Latinos in the US South. We identified 13 studies conducted in southern states that were informed by the continuum of care: testing and diagnosis of HIV infection (n = 9); linkage and retention in care (n = 2); and prescription of and adherence to ART (n = 2). Barriers to health care access included stigma, lack of Spanish-speaking health-care providers, and fear of deportation. Facilitators to health care access included provider endorsement of HIV tests and regular health care. Innovative solutions (e.g., patient navigators), tailored strategies (e.g., community outreach) and organizational-level interventions (e.g., increasing provider endorsement of HIV tests) can improve access for Hispanics/Latinos in the South.
Collapse
|
21
|
Galvan FH, Bogart LM, Wagner GJ, Klein DJ, Chen YT. Conceptualisations of masculinity and self-reported medication adherence among HIV-positive Latino men in Los Angeles, California, USA. CULTURE, HEALTH & SEXUALITY 2014; 16:697-709. [PMID: 24730591 PMCID: PMC4061155 DOI: 10.1080/13691058.2014.902102] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Accepted: 03/04/2014] [Indexed: 06/01/2023]
Abstract
HIV-positive Latino men have been found to have poorer medication adherence compared to Whites. This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. A total of 208 HIV-positive men reported the number of doses of antiretroviral medication missed in the previous seven days (dichotomised at 100% adherence versus less). Conceptualisations of masculinity consisted of traditional machismo (e.g., power and aggressive attitudes, which are normally associated with negative stereotypes of machismo) and caballerismo (e.g., fairness, respect for elders and the importance of family). Multivariate logistic regression was used to identify factors associated with adherence. The mean adherence was 97% (SD = 6.5%; range = 57-100%). In all, 77% of the participants reported 100% adherence in the previous seven days. Caballerismo was associated with a greater likelihood (OR = 1.77; 95% CI: 1.08-2.92; p = 0.03) and machismo with a lower likelihood (OR = 0.60; 95% CI: 0.38-0.95; p = 0.03) of medication adherence. In addition, higher medication side-effects were found to be associated with a lower likelihood (OR = 0.59; 95% CI: 0.43-0.81; p = 0.001) of medication adherence. These findings reinforce the importance of identifying cultural factors that may affect medication adherence among HIV-positive Latino men resident in the USA.
Collapse
Affiliation(s)
| | - Laura M. Bogart
- Department of Pediatrics, Harvard Medical School, Boston, USA
| | - Glenn J. Wagner
- Health Unit, RAND Corporation, Santa Monica, California, USA
| | - David J. Klein
- Division of General Pediatrics, Department of Medicine, Boston Children’s Hospital, Boston, USA
| | | |
Collapse
|