Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/30397
Title: The Role of Religious Service Attendance, Psychosocial and Behavioral Determinants of Antiretroviral Therapy (ART) Adherence: Results from HPTN 063 Cohort Study
Authors: Ransome, Yusuf
Mayer, Kenneth H
Tsuyuki, Kiyomi
Mimiaga, Matthew J
Rodriguez-Diaz, Carlos E
Srithanaviboonchai, Kriengkrai
Friedman, Ruth K
Limbada, Mohammed
Safren, Steven A
HPTN 063 Team
Affilliation: Yale School of Public Health. Department of Social and Behavioral Sciences. New Haven, CT, USA./ Harvard T.H. Chan School of Public Health. Department of Social and Behavioral Sciences. Boston, MA, USA.
The Fenway Institute. Fenway Health. Boston, MA, USA./ Department of Medicine, Beth Israel Deaconess Medical Center. Boston, MA, USA./ Harvard Medical School. Boston, MA, USA.
University of San Diego. School of Medicine. Division of Global Public Health. San Diego, CA, USA.
Brown University. School of Public Health. Department of Social and Behavioral Sciences. Providence, RI, USA.
University of Puerto Rico. School of Public Health. San Juan, PR, USA.
Chiang Mai University. Faculty of Medicine. Research Institute for Health Sciences. Chiang Mai, Thailand.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Zambart. Lusaka, Zambia.
University of Miami. Department of Psychology. Coral Gables, FL, USA.
HIV Prevention Trials Network 063 Team
Abstract: Early and sustained antiretroviral therapy (ART) adherence can suppress the HIV virus in individuals and reduce onward transmission of HIV in the population. Religiosity has been associated with better HIV clinical outcomes. Data are from a longitudinal, observational study of 749 HIV-infected individuals from Brazil, Zambia, and Thailand (HPTN 063). Ordered logistic regression assessed whether religious service attendance was associated with ART adherence (self-reported and plasma HIV-RNA) and moderated the association between alcohol problems and ART adherence. In each country, > 80% of participants reported high self-reported ART adherence (good/very good/excellent). Religious service attendance exceeded 85% but was statistically unrelated to adherence. In combined-country models, (p = 0.03) as alcohol problems increased, the probability of high self-reported ART adherence, as well as viral-load, became weaker at higher compared to low service attendance frequency. Future studies should evaluate spirituality variables and replicate the moderation analyses between religious attendance and alcohol problems.
Keywords: Alcohol
Antiretroviral therapy (ART) adherence
HIV/AIDS
HPTN
Religion
Issue Date: 2018
Publisher: Springer Science | Business Media
Citation: RANSOME, Y. et al. The Role of Religious Service Attendance, Psychosocial and Behavioral Determinants of Antiretroviral Therapy (ART) Adherence: Results from HPTN 063 Cohort Study. AIDS and Behavior, 2018.
Description: HPTN (HIV Prevention Trials Network) 063 was a research study to conduct the preparatory research needed to design a behavioral intervention to decrease sexual transmission risk behaviors in HIV-infected individuals in care and to determine whether a similar intervention structure could be used across various sexual risk groups and cultural settings. A total of 751 HIV-infected participants (200 MSM in Brazil and Thailand, 300 heterosexual women, and 251 heterosexual men in Brazil, Thailand and Zambia, who had reported recent (within in the last three months) HIV sexual transmission risk behavior.
DOI: 10.1007/s10461-018-2206-2
ISSN: 1090-7165
Copyright: restricted access
Appears in Collections:INI - Artigos de Periódicos

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