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AIDS and Behavior
Published in: AIDS and Behavior 6/2012

01-08-2012 | Original Paper

Primary Relationships, HIV Treatment Adherence, and Virologic Control

Authors: Mallory O. Johnson, Samantha E. Dilworth, Jonelle M. Taylor, Lynae A. Darbes, Megan L. Comfort, Torsten B. Neilands

Published in: AIDS and Behavior | Issue 6/2012

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Abstract

To identify factors associated with antiretroviral therapy (ART) adherence and virologic control among HIV-positive men on ART in primary relationships, data were collected from 210 male couples (420 men). Dyadic actor–partner analyses investigated associations with three levels of adherence-related dependent variables: self-efficacy (ASE), self-reported adherence, and virologic control. Results indicated that higher patient ASE was related to his own positive beliefs about medications, higher relationship autonomy and intimacy, and fewer depressive symptoms. Fewer depressive symptoms and less relationship satisfaction in the partner were linked to higher ASE in the patient. Better self-reported adherence was related to the patient’s positive appraisal of the relationship and the partner’s positive treatment efficacy beliefs. Greater medication concerns of both patient and partner were associated with less adherence. The partner’s higher relationship commitment was associated with lower viral load in the patient. Findings suggest that depressive symptoms, treatment beliefs, and relationship quality factors of both partners may influence adherence-related outcomes.
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Metadata
Title
Primary Relationships, HIV Treatment Adherence, and Virologic Control
Authors
Mallory O. Johnson
Samantha E. Dilworth
Jonelle M. Taylor
Lynae A. Darbes
Megan L. Comfort
Torsten B. Neilands
Publication date
01-08-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0021-0

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