COPING STYLES AS PREDICTORS OF ADHERENCE IN YOUNG PEOPLE LIVING WITH HIV

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 在美国，感染艾滋病毒的青少年和年轻人的增加是一个严重的问题，特别是在城市地区。尽管存在有效的抗逆转录病毒疗法，但不坚持治疗会导致约一半开出抗逆转录病毒疗法的患者的健康状况下降。这一问题对治疗提出了相当大的挑战，并对公共卫生产生了重大影响。这项研究将调查城市艾滋病毒携带者(YPLH)年轻人的应对方式是否可以预测他们对护理的坚持。通过初步的数据收集和分析，本研究的目标1将确定青少年儿童适应不良应对与坚持抗逆转录病毒治疗之间的关系。目的2将调查青少年儿童的应对方式与更广泛的HIV相关医疗行为的关系。目标3将探讨不同传播方式、性别、种族、心理社会相关因素或年龄的应对方式在IHY中的差异。这些发现将导致未来对干预措施进行临床试验，这些干预措施适合青少年的发育，以促进持续的艾滋病毒护理和药物坚持。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The increase of HIV infected adolescents and young adults in the United States is a significant problem, especially in urban areas. Despite the existence of effective antiretroviral therapy, non-adherence leads to diminished health outcomes in approximately half of the patients for whom it is prescribed. This issue presents a considerable challenge to treatment and results in significant public health implications. This study will investigate whether the coping styles of an urban population of young people living with HIV (YPLH) can predict their adherence to care. Using primary data collection and analysis, Aim 1 of this study will determine the relationship between maladaptive coping and adherence to ARV in YPLH. Aim 2 will investigate the relationship of coping in YPLH to broader HIV-related healthcare behaviors. Aim 3 will explore how coping styles among IHY differ according to mode of transmission, gender, ethnicity, psychosocial correlates or age. Findings will lead to future clinical trials on interventions of developmentally appropriate, adolescent-specific strategies to foster sustained HIV care and medication adherence.