J Health Care Poor Underserved. 2021;32(4):2222-2232. doi: 10.1353/hpu.2021.0194.
The purpose of this study was to assess the relationship between financial resources strain and self-reported ART adherence among men who have sex with men (MSM) who are living with HIV. Secondary data analyses were conducted with a sample of HIV-positive MSM (N = 77) who participated in a daily diary study on substance use and sexual behavior. Logistic regression was used to model the odds of self-reported ART adherence associated with financial resources strain. The adjusted model revealed a significant association between financial resources strain and self-reported ART adherence such that financially strained participants were 78.4% less likely to have "excellent" self-reported adherence ability compared with non-financially strained participants (aOR = .216, 95% CI [.063, .749], p = .016). Financial resources strain may negatively influence ART adherence. Future research should consider objectively measuring ART adherence. Health care providers might consider assessing patients' financial situation to identify those at-risk for nonadherence.
本研究旨在评估经济资源紧张与 HIV 阳性男男性行为者（MSM）自我报告的抗逆转录病毒治疗（ART）依从性之间的关系。对参加关于物质使用和性行为的每日日记研究的 HIV 阳性 MSM（N=77）样本进行了二次数据分析。使用逻辑回归模型来模拟与经济资源紧张相关的自我报告的 ART 依从性的可能性。调整后的模型显示，经济资源紧张与自我报告的 ART 依从性之间存在显著关联，与非经济资源紧张的参与者相比，经济紧张的参与者“极好”自我报告的依从能力的可能性低 78.4%（调整后比值比[aOR] =.216，95%置信区间[CI] [.063，.749]，p =.016）。经济资源紧张可能会对 ART 依从性产生负面影响。未来的研究应考虑客观地衡量 ART 依从性。医疗保健提供者可能需要评估患者的财务状况，以确定那些有不依从风险的患者。
