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Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV: The Role of Food Insecurity and Alcohol Misuse

Perazzo, Hugo ; Gonçalves, Juliana L. ; Cardoso, Sandra W. ; Grinsztejn, Beatriz ; Veloso, Valdilea G. ; Luz, Paula M.

AIDS and behavior, 2024-04, Vol.28 (4), p.1173-1185 [Periódico revisado por pares]

New York: Springer US

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Título:
Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV: The Role of Food Insecurity and Alcohol Misuse
Autor: Perazzo, Hugo ; Gonçalves, Juliana L. ; Cardoso, Sandra W. ; Grinsztejn, Beatriz ; Veloso, Valdilea G. ; Luz, Paula M.
Assuntos: Alcohol abuse ; Alcohol use ; Alcoholism - epidemiology ; Alcohols ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Brazil - epidemiology ; Cross-Sectional Studies ; Drug therapy ; Financial support ; Food ; Food Insecurity ; Food security ; Food Supply ; Health Psychology ; HIV ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Hunger ; Impact analysis ; Infectious Diseases ; Low income groups ; Medication Adherence ; Medicine ; Medicine & Public Health ; Original Paper ; Prescription drugs ; Public Health ; Quality of Life ; Socioeconomic factors ; Socioeconomic status ; Socioeconomics ; Structural equation modeling
É parte de: AIDS and behavior, 2024-04, Vol.28 (4), p.1173-1185
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Daily adherence to antiretroviral therapy (ART) increases the length and quality of life of people living with HIV (PLHIV). We explored whether socioeconomic status directly impacts ART adherence and whether part of the effect is mediated by pathways through alcohol misuse or food insecurity. A cross-sectional study was conducted in Rio de Janeiro/Brazil (November/2019 to March/2020) with PLHIV aged ≥ 18 years. Validated instruments were used to measure alcohol use, food insecurity, and ART adherence. Using structural equation modeling we assessed the direct and indirect effects of variables on ART adherence. Participants reported significant challenges: hunger: 12%, alcohol use: 64%, and missing ART doses: 24%. Results showed that lower socioeconomic status increased poor adherence and that this effect was mediated through higher food insecurity. Alcohol misuse also increased poor adherence through a strong direct effect. Providing socio-economic support coupled with interventions to mitigate alcohol’s harmful impact can aid HIV care.
Editor: New York: Springer US
Idioma: Inglês

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Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV: The Role of Food Insecurity and Alcohol Misuse

Perazzo, Hugo ; Gonçalves, Juliana L. ; Cardoso, Sandra W. ; Grinsztejn, Beatriz ; Veloso, Valdilea G. ; Luz, Paula M.

New York: Springer US

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