TY - JOUR
T1 - A mediation model to explain HIV antiretroviral adherence among gay and bisexual men
AU - Halkitis, Perry N.
AU - Palamar, Joseph
N1 - Funding Information:
Perry N. Halkitis, PhD, is Director of Research, Professor of Applied Psychology, and Director of the Center for Health, Identity, Behavior & Prevention Studies (CHIBPS) at The Steinhardt School, New York University. Joseph Palamar is a graduate student in Public Health and a research affiliate of CHIBPS at The Steinhardt School. Address correspondence to: Perry N. Halkitis, 82 Washington Square East, Pless 553, New York, NY 10003 (E-mail: [email protected]). The authors would like to thank everyone on the PILLS team. Funding for this research was provided by a grant from the National Institute on Drug Abuse, R01 DA 12816, Perry N. Halkitis, Principal Investigator.
PY - 2007
Y1 - 2007
N2 - Based on quantitative data describing a sample of 300 HIV seropositive gay and bisexual men living in New York City who were on antiretroviral drug therapy, variables of interest were collapsed into 4 latent constructs-SES (including health care provision), psychological states, drug use impairment, and HIV treatment adherence-and structural equation modeling was used to test the relations among them. Our model indicated a complex interplay between socioeconomic factors, drug use impairment, psychological states, and adherence. It is imperative for counselors and clinicians working with this population to understand the complex relationships between cultural, social, and psychological realities and adherence to HIV antiviral medications and to develop effective socially relevant and culturally nested interventions.
AB - Based on quantitative data describing a sample of 300 HIV seropositive gay and bisexual men living in New York City who were on antiretroviral drug therapy, variables of interest were collapsed into 4 latent constructs-SES (including health care provision), psychological states, drug use impairment, and HIV treatment adherence-and structural equation modeling was used to test the relations among them. Our model indicated a complex interplay between socioeconomic factors, drug use impairment, psychological states, and adherence. It is imperative for counselors and clinicians working with this population to understand the complex relationships between cultural, social, and psychological realities and adherence to HIV antiviral medications and to develop effective socially relevant and culturally nested interventions.
KW - Adherence
KW - Gay
KW - HIV
KW - Latent class analysis
KW - SEM
KW - Treatment
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U2 - 10.1300/J041v19n01_03
DO - 10.1300/J041v19n01_03
M3 - Article
AN - SCOPUS:42649135945
SN - 1053-8720
VL - 19
SP - 35
EP - 55
JO - Journal of Gay and Lesbian Social Services
JF - Journal of Gay and Lesbian Social Services
IS - 1
ER -