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01-04-2014

Differential medication nonadherence and illness beliefs in co-morbid HIV and type 2 diabetes

Auteurs: Abigail W. Batchelder, Jeffrey S. Gonzalez, Karina M. Berg

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2014

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Abstract

Increased antiretroviral availability has decreased mortality and increased rates of comorbid chronic illnesses, including type 2 diabetes, among people living with HIV. Little work has compared within-person adherence rates for HIV and comorbid conditions. Sixty-two adults with HIV and type 2 diabetes reported adherence rates, illness representations, beliefs about medications, symptoms, side-effects, and negative mood states. Adherence to antiretrovirals was better than diabetes medication (95 vs. 90 %, z = −2.05, p = 0.04). Participants reported better control over diabetes compared to HIV (t = 1.98, p = 0.05) while antiretrovirals were considered more necessary than diabetes medication (t = −2.79, p < 0.05). In adjusted analyses, antiretroviral nonadherence was associated with antiretroviral concerns (OR = 0.24, 95 % CI 0.08–0.67) and diabetes medication nonadherence with diabetes-related symptom burden (OR = 0.69, 95 % CI 0.53–0.89). Results indicate that medication nonadherence varies within individuals across comorbid illnesses and suggest this variation may depend on symptom attribution and medication concerns.
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Metagegevens
Titel
Differential medication nonadherence and illness beliefs in co-morbid HIV and type 2 diabetes
Auteurs
Abigail W. Batchelder
Jeffrey S. Gonzalez
Karina M. Berg
Publicatiedatum
01-04-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 2/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-012-9486-1