Adherence to antiretroviral medication in older adults living with HIV/AIDS: a comparison of alternative models.
Adherence to antiretroviral medication in older adults living with HIV/AIDS: a comparison of alternative models.
复制标题
在患有艾滋病毒/艾滋病的老年人中遵守抗逆转录病毒药物:替代模型的比较。
DOI:
10.1080/09540120802385611
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发表时间:
2009-05
期刊:
影响因子:
1.7
通讯作者:
Sikkema KJ
中科院分区:
文献类型:
--
作者:
Johnson CJ;Heckman TG;Hansen NB;Kochman A;Sikkema KJ
The CDC estimates that by 2015, half of all persons living with HIV/AIDS in the USA will be over the age of 50. Despite increasing HIV seroprevalence rates in older adults, most research examining adherence to antiretroviral therapy (ART) has focused on young HIV-infected persons and, in general, has been atheoretical in nature. This study examined two ART adherence conceptual frameworks to determine whether these models generalize to HIV-seropositive older adults. Two hundred and forty-four HIV-positive adults 50-plus years of age were recruited through AIDS service organizations in Ohio and New York. Participants completed a neuropsychological battery and an audio computer-assisted self-interview. FIML SEM analyses revealed that neuropsychological functioning was not associated with adherence. Fit indices supported a stress and coping model, with negative affect mediating the effects of social support and maladaptive coping on ART adherence. Results were consistent with stress and coping models and suggest that interventions intending to increase adherence to ART in HIV-infected older adults may be more effective if they address negative affect and enhance adaptive coping and social support.
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影响因子:
3.8
作者:
Hansen, Nathan B.;Tarakeshwar, Nalini;Sikkema, Kathleen J.
通讯作者:
Sikkema, Kathleen J.
影响因子:
9.9
作者:
Hinkin, CH;Castellon, SA;Stefaniak, M
通讯作者:
Stefaniak, M
DOI:
10.1097/00126334-200202011-00002
发表时间:
2002-02-01
期刊:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子:
--
作者:
Bartlett, JA
通讯作者:
Bartlett, JA
影响因子:
3
作者:
Garber, MC;Nau, DP;Lawrence, JB
通讯作者:
Lawrence, JB
DOI:
10.1097/qai.0b013e3180600766
发表时间:
2007-06-01
影响因子:
3.6
作者:
Conway, Brian
通讯作者:
Conway, Brian