Impact and correlates of sub-optimal social support among patients in HIV care.
In: AIDS Care, Jg. 33 (2021-09-01), Heft 9, S. 1178-1188
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Zugriff:
Social support (SS) predicts health outcomes among patients living with HIV. We administered a brief, validated measure of SS, the Multifactoral Assessment of Perceived Social Support, within a patient-reported outcomes assessment of health domains in HIV care at 4 U.S. clinics in English and Spanish (n = 708). In univariate analysis, low SS was associated with poorer engagement in care, antiretroviral adherence, and health-related quality of life; current methamphetamine/crystal use, depression, anxiety, and HIV stigma (all p < 0.001); any use of either methamphetamines/crystal, illicit opioids, or cocaine/crack (p = 0.001), current marijuana use (p = 0.012), nicotine use (p = 0.005), and concern for sexually transmitted infection exposure (p = 0.001). High SS was associated with undetectable viral load (p = 0.031). Multivariate analyses found low SS independently associated with depression (risk ratio (RR) 3.72, 95% CI 2.93–4.72), lower adherence (RR 0.76, 95% CI 0.64–0.89), poor engagement in care (RR 2.05, 95% CI 1.44–2.96), and having more symptoms (RR 2.29, 95% CI 1.92–2.75). Medium SS was independently associated with depression (RR 2.59, 95% CI 2.00–3.36), poor engagement in care (RR 1.62, 95% CI 1.15–2.29) and having more symptoms (RR 1.75, 95% CI 1.44–2.13). SS assessment may help identify patients at risk for these outcomes. [ABSTRACT FROM AUTHOR]
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Impact and correlates of sub-optimal social support among patients in HIV care.
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Autor/in / Beteiligte Person: | Fredericksen, R. J. ; Gibbons, L. E. ; Fitzsimmons, E. ; Nance, R. M. ; Schafer, K. R. ; Batey, D. S. ; Loo, S. ; Dougherty, S. ; Mathews, W. C. ; Christopoulos, K. ; Mayer, K. H. ; Mugavero, M. J. ; Kitahata, M. M. ; Crane, P. K. ; Crane, H. M. |
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Zeitschrift: | AIDS Care, Jg. 33 (2021-09-01), Heft 9, S. 1178-1188 |
Veröffentlichung: | 2021 |
Medientyp: | academicJournal |
ISSN: | 0954-0121 (print) |
DOI: | 10.1080/09540121.2020.1853660 |
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