A mediation model to explain HIV antiretroviral adherence among gay and bisexual men

Perry N. Halkitis, Joseph Palamar

Research output: Contribution to journalArticlepeer-review

Abstract

Based on quantitative data describing a sample of 300 HIV seropositive gay and bisexual men living in New York City who were on antiretroviral drug therapy, variables of interest were collapsed into 4 latent constructs-SES (including health care provision), psychological states, drug use impairment, and HIV treatment adherence-and structural equation modeling was used to test the relations among them. Our model indicated a complex interplay between socioeconomic factors, drug use impairment, psychological states, and adherence. It is imperative for counselors and clinicians working with this population to understand the complex relationships between cultural, social, and psychological realities and adherence to HIV antiviral medications and to develop effective socially relevant and culturally nested interventions.

Original languageEnglish (US)
Pages (from-to)35-55
Number of pages21
JournalJournal of Gay and Lesbian Social Services
Volume19
Issue number1
DOIs
StatePublished - 2007

Keywords

  • Adherence
  • Gay
  • HIV
  • Latent class analysis
  • SEM
  • Treatment

ASJC Scopus subject areas

  • Gender Studies
  • Sociology and Political Science

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