Galvan Frank H, Bogart Laura M, Wagner Glenn J, Klein David J, Chen Ying-Tung
a Bienestar Human Services , Los Angeles , California , USA.
Cult Health Sex. 2014 Jun;16(6):697-709. doi: 10.1080/13691058.2014.902102. Epub 2014 Apr 14.
HIV-positive Latino men have been found to have poorer medication adherence compared to Whites. This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. A total of 208 HIV-positive men reported the number of doses of antiretroviral medication missed in the previous seven days (dichotomised at 100% adherence versus less). Conceptualisations of masculinity consisted of traditional machismo (e.g., power and aggressive attitudes, which are normally associated with negative stereotypes of machismo) and caballerismo (e.g., fairness, respect for elders and the importance of family). Multivariate logistic regression was used to identify factors associated with adherence. The mean adherence was 97% (SD = 6.5%; range = 57-100%). In all, 77% of the participants reported 100% adherence in the previous seven days. Caballerismo was associated with a greater likelihood (OR = 1.77; 95% CI: 1.08-2.92; p = 0.03) and machismo with a lower likelihood (OR = 0.60; 95% CI: 0.38-0.95; p = 0.03) of medication adherence. In addition, higher medication side-effects were found to be associated with a lower likelihood (OR = 0.59; 95% CI: 0.43-0.81; p = 0.001) of medication adherence. These findings reinforce the importance of identifying cultural factors that may affect medication adherence among HIV-positive Latino men resident in the USA.
研究发现，与白人相比，感染艾滋病毒的拉丁裔男性的药物依从性较差。本研究旨在确定男性气概的文化概念如何与拉丁裔男性自我报告的药物依从性相关联。共有208名感染艾滋病毒的男性报告了过去七天中错过的抗逆转录病毒药物剂量（分为100%依从和低于100%依从两类）。男性气概的概念包括传统大男子主义（如权力和攻击性态度，通常与大男子主义的负面刻板印象相关）和绅士风度（如公平、尊重长辈和家庭的重要性）。采用多变量逻辑回归来确定与依从性相关的因素。平均依从率为97%（标准差=6.5%；范围=57%-100%）。总体而言，77%的参与者报告在过去七天中依从率为100%。绅士风度与更高的药物依从性可能性相关（比值比=1.77；95%置信区间：1.08-2.92；p=0.03），而大男子主义与较低的药物依从性可能性相关（比值比=0.60；95%置信区间：0.38-0.95；p=0.03）。此外，较高的药物副作用与较低的药物依从性可能性相关（比值比=0.59；95%置信区间：0.43-0.81；p=0.001）。这些发现强化了识别可能影响居住在美国的感染艾滋病毒的拉丁裔男性药物依从性的文化因素的重要性。
