VIOLENCE, COPING, AND CONSISTENT MEDICATION ADHERENCE IN HIV POSITIVE COUPLES
VIOLENCE, COPING, AND CONSISTENT MEDICATION ADHERENCE IN HIV POSITIVE COUPLES
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DOI：
10.1521/aeap.2010.22.1.61
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发表时间：
2010-02-01
影响因子：
1.8
通讯作者：
Weiss, Stephen M.
中科院分区：
文献类型：
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作者：
Lopez, Eliot J.;Jones, Deborah L.;Weiss, Stephen M.
本研究的目的是调查亲密伴侣暴力（IPV）影响抗逆转录病毒药物治疗依从性的程度。此外，据推测，根据暴力程度和每种性别采用的应对策略，男子和妇女的遵守情况会有所不同。从迈阿密地区招募了HIV血清一致和血清不一致的异性恋夫妇样本，并对药物依从性、冲突解决策略和应对策略进行了评估。其中，190名参与者接受了抗逆转录病毒药物治疗。男性的基线依从率为90.29%，女性为87.77%。发现暴力行为对妇女的坚持有负面影响，但对男子没有影响。然而，消极的应对策略是预测穷人坚持男性，而不是女性。研究发现，暴力行为与男子和妇女的不良应对方式有关。这项研究为将伙伴纳入干预行动提供了支持。此外，它强调了认识到IPV是药物依从性的障碍的重要性。
The purpose of this study was to investigate the extent to which intimate partner violence (IPV) influences antiretroviral medication adherence. Furthermore, it was hypothesized that adherence would differ for men and women based on degree of violence and coping strategies employed by each gender. A sample of HIV seroconcordant and serodiscordant heterosexual couples was recruited from the Miami area and assessed on rates of medication adherence, conflict resolution tactics, and coping strategies. Of these, 190 individual participants were prescribed antiretroviral medication. Baseline rates of adherence were 90.29% for men and 87.77% for women. Acts of violence were found to have negative effects on adherence for women but not for men. However, negative coping strategies were predictive of poor adherence for men but not women. Violence was found to be related to poor coping styles for both men and women. This study offers support for the inclusion of partners in conducting interventions. Furthermore, it underlines the importance of recognizing IPV as a barrier to medication adherence.