Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Patient Educ Couns. 2011 Dec;85(3):454-60. doi: 10.1016/j.pec.2010.12.004. Epub 2011 Jan 5.
This study explored influences on intention to adhere to highly active antiretroviral therapy (HAART) among immigrant Latinos living with HIV/AIDS in the southeastern USA.
Our community-based participatory research (CBPR) partnership completed individual in-depth interviews with 25 immigrant Latinos, based on the theory of planned behavior (TPB), to explore beliefs toward HAART adherence and HIV testing.
Participants identified (a) seven outcomes of treatment adherence (e.g., "feeling good" and "controlling the virus"), (b) six groups of persons influencing adherence (e.g., family, partner/spouse), and (c) nine impediments to adherence (e.g., appointment scheduling, side effects of treatment). Fear of deportation, perceived costs of services, and barriers to communication emerged as impediments to both HAART adherence and HIV testing.
The findings suggest the utility of TPB in identifying factors to enhance HAART adherence among immigrant Latinos. Future research should explore the extent to which these identified TPB components quantitatively influence adherence intention and immunological and virological outcomes.
Culturally congruent interventions for immigrant Latinos may need to focus on facilitators of adherence, influential referent groups, and destigmatizing HIV/AIDS.
本研究旨在探讨美国东南部感染艾滋病毒/艾滋病的移民拉丁裔人群坚持高效抗逆转录病毒疗法（HAART）的意愿的影响因素。
我们的社区参与式研究（CBPR）合作组织基于计划行为理论（TPB），对 25 名移民拉丁裔个体进行了深入的访谈，以探讨他们对 HAART 依从性和 HIV 检测的信念。
参与者确定了（a）治疗依从性的七个结果（例如，“感觉良好”和“控制病毒”），（b）影响依从性的六个群体（例如，家庭、伴侣/配偶），以及（c）九个依从性障碍（例如，预约安排、治疗副作用）。对驱逐出境的恐惧、对服务费用的感知以及沟通障碍是阻碍 HAART 依从性和 HIV 检测的因素。
研究结果表明 TPB 可用于识别增强移民拉丁裔人群 HAART 依从性的因素。未来的研究应探讨这些确定的 TPB 成分在多大程度上定量影响依从性意图和免疫及病毒学结果。
针对移民拉丁裔的文化上适宜的干预措施可能需要侧重于依从性的促进因素、有影响力的参照群体以及消除对 HIV/AIDS 的污名化。
