Amoatika Daniel A, Addo Prince N O, Kaur Amandeep, Brown Monique J
Department of Epidemiology and Biostatistics, Arnold School of Public Health, Columbia, South Carolina, USA.
Office for the Study of Aging, University of South Carolina, Columbia, South Carolina, USA.
Psychol Health Med. 2025 Feb;30(2):252-263. doi: 10.1080/13548506.2024.2417314. Epub 2024 Oct 20.
People living with HIV/AIDS (PLWH) are living longer due to improvements in HIV care including antiretroviral therapy (ART). Even though ART improves HIV prognosis and life expectancy, its adherence is hindered by many factors. As the population of older adults living with HIV (OALH) continues to increase, it is important to understand the psychosocial factors that are associated with living with HIV to improve ART adherence. The aim of this study was to determine the association between coping strategies and ART adherence. Data were obtained from 91 OALH at an immunology clinic in Columbia, South Carolina via purposive sampling. The participants were at least 50 years or older and living with HIV. Coping was assessed using the Brief COPE Inventory. Crude and adjusted linear regression models, controlling for age, race, gender, and were used to determine the association between coping strategies and ART adherence. Subgroup analyses were done to determine if the association between coping and ART adherence varied by gender. The analyses were conducted in SAS version 9.4. The mean difference in ART adherence was statistically significant for race ( = 0.0292). There was a statistically significant association between religion and ART adherence (β = -0.718, = 0.024). Males who use venting as a coping mechanism had higher ART adherence (β = 1.227, = 0.048), and males who use behavioral disengagement had lower ART adherence (β = -1.624, = 0.003) after adjusting for age and race. OALH who use religion as a coping strategy were less likely to adhere to ART treatment. Venting and behavioral disengagement tend to be associated with ART adherence among men. Qualitative research is needed to delve deeper into the relationship between religious coping and ART adherence, especially among OALH.
由于包括抗逆转录病毒疗法（ART）在内的艾滋病护理的改善，感染艾滋病毒/艾滋病（PLWH）的人寿命更长。尽管抗逆转录病毒疗法改善了艾滋病毒的预后和预期寿命，但其依从性受到多种因素的阻碍。随着老年艾滋病毒感染者（OALH）的数量持续增加，了解与艾滋病毒共存相关的社会心理因素对于提高抗逆转录病毒疗法的依从性很重要。本研究的目的是确定应对策略与抗逆转录病毒疗法依从性之间的关联。通过目的抽样从南卡罗来纳州哥伦比亚市一家免疫诊所的91名老年艾滋病毒感染者中获取数据。参与者年龄至少为50岁且感染了艾滋病毒。使用简易应对方式问卷评估应对方式。采用控制年龄、种族、性别的粗线性回归模型和调整线性回归模型来确定应对策略与抗逆转录病毒疗法依从性之间的关联。进行亚组分析以确定应对与抗逆转录病毒疗法依从性之间的关联是否因性别而异。分析在SAS 9.4版本中进行。抗逆转录病毒疗法依从性的平均差异在种族方面具有统计学意义（P = 0.0292）。宗教与抗逆转录病毒疗法依从性之间存在统计学显著关联（β = -0.718，P = 0.024）。在调整年龄和种族后，将宣泄作为应对机制的男性抗逆转录病毒疗法依从性较高（β = 1.227，P = 0.04），而采用行为脱离的男性抗逆转录病毒疗法依从性较低（β = -1.624，P = 0.003）。将宗教作为应对策略的老年艾滋病毒感染者不太可能坚持抗逆转录病毒疗法治疗。宣泄和行为脱离在男性中往往与抗逆转录病毒疗法依从性相关。需要进行定性研究以更深入地探究宗教应对与抗逆转录病毒疗法依从性之间的关系，尤其是在老年艾滋病毒感染者中。
