Exploring individual-level barriers to HIV medication adherence among men who have sex with men in the HIV Prevention Trials Network (HPTN 065) study

African-American men who have sex with men (MSM) with HIV are more likely to have unsuppressed viral load than other racial/ethnic groups. HPTN 065 Study, completed in 2015, consisted of five interconnected study components conducted at clinics in Bronx, New York and Washington, D.C. Participants co...

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Bibliographic Details
Published in:AIDS care 2021-11, Vol.33 (11), p.1404-1413
Main Authors: Maragh-Bass, Allysha C., Gamble, Theresa, El-Sadr, Wafaa M., Hanscom, Brett, Tolley, Elizabeth E.
Format: Article
Language:English
Subjects:
Adherence
African Americans
Barriers
Demography
Dosage
Drugs
Ethnic groups
Gays & lesbians
Health disparities
Health status
HIV
HIV medication adherence
HIV/AIDS
Human immunodeficiency virus
Individual differences
Intersectionality
Medical diagnosis
Medication adherence
Men who have sex with men
Mens health
Mental depression
Minority & ethnic groups
Patient compliance
Prevention programs
Preventive medicine
Race
Robustness (mathematics)
Secondary schools
Sexually transmitted diseases
social
Sociodemographics
STD
Stigma
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Summary:African-American men who have sex with men (MSM) with HIV are more likely to have unsuppressed viral load than other racial/ethnic groups. HPTN 065 Study, completed in 2015, consisted of five interconnected study components conducted at clinics in Bronx, New York and Washington, D.C. Participants completed surveys with questions related to socio-demographic factors and individual-level HIV medication adherence barriers, such as forgetting doses or fear of taking medications in front of others. Descriptive analyses and ordinal logistic regression with robust standard errors were conducted. Fifty-seven per cent of participants (N = 359) were African-American (57.1%) and roughly 40% had no more than a high school education. Mean age was 48 years. Overall, MSM with viral load suppression identified fewer individual-level barriers to adherence (p 
ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2020.1828799