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Gepubliceerd in:

08-11-2020

Examining stigma, social support, and gender differences in unsuppressed HIV viral load among participants in HPTN 065

Auteurs: Allysha C. Maragh-Bass, Theresa Gamble, Wafaa M. El-Sadr, Brett Hanscom, Elizabeth E. Tolley

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2021

Abstract

Successful navigation of the HIV care continuum is necessary to maintain viral suppression. We explored gender-stratified correlates of being virally unsuppressed in the Prevention for Positives (P4P) component of HPTN 065. The outcome of interest was unsuppressed viral load (> 40 copies/mL) among individuals already living with HIV. Correlates included medication adherence factors, social support and stigma. Logistic regression models were stratified by gender (N = 673). Men-specific correlates of being virally unsuppressed included opposite-sex partners, older age and HIV disclosure stigma. Women-specific correlates included time since diagnosis, and personal-level barriers to medication adherence. When more individuals knew about their HIV status, women had over twice the likelihood of being virally unsuppressed; no such association was seen among men. Additionally, higher levels of social support were not associated with viral suppression among women. Interventions should consider gender-specific approaches to engaging social support in de-stigmatization of HIV and promotion of medication adherence and subsequent viral suppression.

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Titel: Examining stigma, social support, and gender differences in unsuppressed HIV viral load among participants in HPTN 065
Auteurs: Allysha C. Maragh-Bass
Theresa Gamble
Wafaa M. El-Sadr
Brett Hanscom
Elizabeth E. Tolley
Publicatiedatum: 08-11-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 2/2021
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-020-00186-7

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