Unmet Social Needs are Associated with Lower Adherence to Antiretroviral Therapy (ART) Medication Among a Sample of Black People Living with HIV (PLHIV)

The current study examined the prevalence and typology of unmet needs and the association between unmet needs and HIV antiretroviral therapy (ART) medication adherence among a sample of Black people living with HIV(PLHIV) (N = 304) in Los Angeles, CA. We found a high prevalence of unmet needs, with...

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Bibliographic Details
Published in:AIDS and behavior 2023-11, Vol.27 (11), p.3651-3660
Main Authors: Ogunbajo, Adedotun, Bogart, Laura M., Mutchler, Matt G., Klein, David J., Lawrence, Sean J., Goggin, Kathy, Wagner, Glenn J.
Format: Article
Language:English
Subjects:
Adult
African Americans
Anti-HIV Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Black or African American - psychology
Black or African American - statistics & numerical data
Black people
Cross-Sectional Studies
Drugs
Female
Food security
Health disparities
Health needs
Health Psychology
Health risks
Health Services Needs and Demand
HIV
HIV Infections - drug therapy
HIV Infections - ethnology
HIV Infections - psychology
Homeless people
Homelessness
Human immunodeficiency virus
Humans
Infectious Diseases
Los Angeles - epidemiology
Male
Medication Adherence - ethnology
Medication Adherence - psychology
Medication Adherence - statistics & numerical data
Medicine
Medicine & Public Health
Middle Aged
Needs Assessment
Original Paper
Patient compliance
Prescription drugs
Prevalence
Public Health
Social Determinants of Health
Social Support
Sociodemographics
Socioeconomic Factors
Typology
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Summary:The current study examined the prevalence and typology of unmet needs and the association between unmet needs and HIV antiretroviral therapy (ART) medication adherence among a sample of Black people living with HIV(PLHIV) (N = 304) in Los Angeles, CA. We found a high prevalence of unmet needs, with 32% of participants reporting having two or more unmet needs. The most common unmet needs category was basic benefits needs (35%), followed by subsistence needs (33%), and health needs (27%). Significant correlates of unmet needs included food insecurity, history of homelessness, and history of incarceration. A greater number of unmet needs and any unmet basic benefits needs were each significantly associated with lower odds of HIV ART medication adherence. These findings provide further evidence linking the social determinants of health and social disenfranchisement to ART medication adherence among Black PLHIV.
ISSN:1090-7165
1573-3254
1573-3254
DOI:10.1007/s10461-023-04079-z