TY - JOUR
T1 - FAMILY CONFLICT NON-NEGOTIATION AND HIV DISCLOSURE ASSOCIATED WITH ART ADHERENCE IN A DISADVANTAGED POPULATION
AU - Mitchell, Mary M
AU - Tseng, Tuo Yen
AU - Cruz-Oliver, Dulce
AU - Catanzarite, Zachary
AU - Hansen, Eric
AU - Knowlton, Amy R.
N1 - Funding Information:
Mary M. Mitchell is affiliated with Friends Research Institute, Baltimore, Maryland. Tuo-Yen Tseng, Zachary Catanzarite, and Amy R. Knowlton are affiliated with Johns Hopkins Bloomberg School of Public Health, Department of Health, Behavior and Society, Baltimore, Maryland. Dulce Cruz-Oliver is affiliated with Johns Hopkins School of Medicine, Department of Medicine, Baltimore, Maryland. Eric Hansen is affiliated with Roswell Park Comprehensive Cancer Center, Department of Supportive Care, Buffalo, New York. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The authors have no conflicts of interest to report. This study was supported by National Institutes of Health grants R01 DA019413, R01 NR14050-01 and 1P30 AI094189. Address correspondence to Amy Knowlton, Johns Hopkins School of Public Health, Department of Health, Behavior and Society, 624 N. Broadway, Hampton House 286, Baltimore, MD 21205. E-mail: [email protected]
Publisher Copyright:
© 2022 The Guilford Press.
PY - 2022/4
Y1 - 2022/4
N2 - Adherence to antiretroviral therapy (ART) is vital for reducing racial and gender disparities in morbidity and mortality among people living with HIV/AIDS (PLWH). Little research attention has been given to aspects of family functioning affecting ART adherence among PLWH vulnerable to disparities. Data were from n = 313 participants (93% African American) in the BEACON study, which recruited injection-drug-using PLWH on ART. Using factor analysis and longitudinal structural equation modeling, we found that current substance use and negative family conflict tactics (i.e., non-negotiation) predicted PLWH’s lower probability of ART adherence at 12-month follow-up; and greater HIV disclosure to support network members predicted a higher probability of adherence. These findings suggest the importance of family and other support network members in this vulnerable population’s ART adherence. Social network-focused interventions promoting prosocial response to conflict and negotiation skills are important for improving vulnerable PLWH’s HIV outcomes and reducing health disparities.
AB - Adherence to antiretroviral therapy (ART) is vital for reducing racial and gender disparities in morbidity and mortality among people living with HIV/AIDS (PLWH). Little research attention has been given to aspects of family functioning affecting ART adherence among PLWH vulnerable to disparities. Data were from n = 313 participants (93% African American) in the BEACON study, which recruited injection-drug-using PLWH on ART. Using factor analysis and longitudinal structural equation modeling, we found that current substance use and negative family conflict tactics (i.e., non-negotiation) predicted PLWH’s lower probability of ART adherence at 12-month follow-up; and greater HIV disclosure to support network members predicted a higher probability of adherence. These findings suggest the importance of family and other support network members in this vulnerable population’s ART adherence. Social network-focused interventions promoting prosocial response to conflict and negotiation skills are important for improving vulnerable PLWH’s HIV outcomes and reducing health disparities.
KW - African American or Black race/eth-nicity
KW - HIV/AIDS
KW - antiretroviral therapy (ART) adherence
KW - family
KW - interpersonal conflict
KW - social disparities
KW - social support networks
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U2 - 10.1521/aeap.2022.34.2.158
DO - 10.1521/aeap.2022.34.2.158
M3 - Article
C2 - 35438542
AN - SCOPUS:85128796490
SN - 0899-9546
VL - 34
SP - 158
EP - 167
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
IS - 2
ER -