Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV
Context and Aim: Adherence to antiretroviral treatment (ART) among men who have sex with men (MSM) living with HIV poses a public health challenge. Although studies in developed countries emphasize the role of psychosocial factors in ART adherence, there is limited research on this association among...
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| Format: | Article |
| Language: | Portuguese |
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Instituto Superior Miguel Torga
2024-10-01
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| Series: | Revista Portuguesa de Investigação Comportamental e Social |
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| Online Access: | https://rpics.ismt.pt/index.php/ISMT/article/view/335 |
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| author | Felipe Alckmin-Carvalho Ângelo Brandelli Costa Bárbara Giusti Lucia Yasuko Izumi Nichiata |
| author_facet | Felipe Alckmin-Carvalho Ângelo Brandelli Costa Bárbara Giusti Lucia Yasuko Izumi Nichiata |
| author_sort | Felipe Alckmin-Carvalho |
| collection | DOAJ |
| description | Context and Aim: Adherence to antiretroviral treatment (ART) among men who have sex with men (MSM) living with HIV poses a public health challenge. Although studies in developed countries emphasize the role of psychosocial factors in ART adherence, there is limited research on this association among Brazilian MSM living with HIV. This study examined the impact of depression, anxiety, internalized homonegativity, and HIV-related stigma on ART adherence in a sample of this population. Method: A cross-sectional study recruited 43 MSM living with HIV (Mage = 34.93, SD = 7.90) through social media. Instruments included sociodemographic and clinical questionnaires, the Questionnaire for Assessment of Adherence to Antiretroviral Treatment, the Beck Depression Scale, the Trait-State Anxiety Inventory, the Internalized Homophobia Scale, and the HIV Stigmatization Scale. Results: Twelve participants (27.9%) showed inadequate ART adherence, and 18 (41.8%) reported signs and symptoms of depression at clinical level. Depression was negatively and moderately correlated with ART adherence. HIV-related stigma was positively and moderately correlated with depression, trait anxiety, and homonegativity. Depression significantly impacted ART adherence, explaining 13.4% of the variance. Conclusions: Our results highlight the need for regular depression screening and affirmative interventions to support MSM living with HIV, addressing stigma, and promoting adherence to ART. |
| format | Article |
| id | doaj-art-4d63b69abc3047b3bf285ee0d8e5f5bf |
| institution | OA Journals |
| issn | 2183-4938 |
| language | Portuguese |
| publishDate | 2024-10-01 |
| publisher | Instituto Superior Miguel Torga |
| record_format | Article |
| series | Revista Portuguesa de Investigação Comportamental e Social |
| spelling | doaj-art-4d63b69abc3047b3bf285ee0d8e5f5bf2025-08-20T02:17:46ZporInstituto Superior Miguel TorgaRevista Portuguesa de Investigação Comportamental e Social2183-49382024-10-0110210.31211/rpics.2024.10.2.335Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIVFelipe Alckmin-Carvalho0Ângelo Brandelli Costa1Bárbara Giusti2Lucia Yasuko Izumi Nichiata3Universidade de São PauloPontifícia Universidade Católica do Rio Grande do SulUniversidade de São PauloUniversidade de São PauloContext and Aim: Adherence to antiretroviral treatment (ART) among men who have sex with men (MSM) living with HIV poses a public health challenge. Although studies in developed countries emphasize the role of psychosocial factors in ART adherence, there is limited research on this association among Brazilian MSM living with HIV. This study examined the impact of depression, anxiety, internalized homonegativity, and HIV-related stigma on ART adherence in a sample of this population. Method: A cross-sectional study recruited 43 MSM living with HIV (Mage = 34.93, SD = 7.90) through social media. Instruments included sociodemographic and clinical questionnaires, the Questionnaire for Assessment of Adherence to Antiretroviral Treatment, the Beck Depression Scale, the Trait-State Anxiety Inventory, the Internalized Homophobia Scale, and the HIV Stigmatization Scale. Results: Twelve participants (27.9%) showed inadequate ART adherence, and 18 (41.8%) reported signs and symptoms of depression at clinical level. Depression was negatively and moderately correlated with ART adherence. HIV-related stigma was positively and moderately correlated with depression, trait anxiety, and homonegativity. Depression significantly impacted ART adherence, explaining 13.4% of the variance. Conclusions: Our results highlight the need for regular depression screening and affirmative interventions to support MSM living with HIV, addressing stigma, and promoting adherence to ART.https://rpics.ismt.pt/index.php/ISMT/article/view/335Male HomosexualityHuman Immunodeficiency VirusMedication AdherencePsychopathologySocial StigmaCross-sectional Study |
| spellingShingle | Felipe Alckmin-Carvalho Ângelo Brandelli Costa Bárbara Giusti Lucia Yasuko Izumi Nichiata Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV Revista Portuguesa de Investigação Comportamental e Social Male Homosexuality Human Immunodeficiency Virus Medication Adherence Psychopathology Social Stigma Cross-sectional Study |
| title | Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV |
| title_full | Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV |
| title_fullStr | Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV |
| title_full_unstemmed | Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV |
| title_short | Psychosocial factors influencing treatment adherence in Brazilian gay men living with HIV |
| title_sort | psychosocial factors influencing treatment adherence in brazilian gay men living with hiv |
| topic | Male Homosexuality Human Immunodeficiency Virus Medication Adherence Psychopathology Social Stigma Cross-sectional Study |
| url | https://rpics.ismt.pt/index.php/ISMT/article/view/335 |
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