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AIDS and Behavior
Published in: AIDS and Behavior 3/2018

01-03-2018 | Original Paper

Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression Among People Living with HIV Infection in St. Petersburg, Russia

Authors: Yuri A. Amirkhanian, Jeffrey A. Kelly, Wayne J. DiFranceisco, Anna V. Kuznetsova, Sergey S. Tarima, Alexey A. Yakovlev, Vladimir B. Musatov

Published in: AIDS and Behavior | Issue 3/2018

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Abstract

Over 1 million HIV infections have been diagnosed in Russia, and HIV care uptake and viral suppression are very low. 241 HIV-positive individuals in St. Petersburg were enrolled through social networks, provided blood for viral load testing, and completed measures of medication-taking adherence, readiness, and self-efficacy; psychosocial well-being; and substance use. Outcomes included attending an HIV care appointment in the past 6 months, >90% ART adherence, and undetectable viral load. 26% of participants had no recent care appointment, 18% had suboptimal adherence, and 56% had detectable viral load. Alcohol use consistently predicted all adverse health outcomes. Having no recent care visit was additionally associated with being single and greater past-month drug injection frequency. Poor adherence was additionally predicted by lower medication-taking self-efficacy and lower anxiety. Detectable viral load was additionally related to younger age. Comprehensive interventions to improve HIV care in Russia must address substance abuse, anxiety, and medication-taking self-efficacy.
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Metadata
Title
Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression Among People Living with HIV Infection in St. Petersburg, Russia
Authors
Yuri A. Amirkhanian
Jeffrey A. Kelly
Wayne J. DiFranceisco
Anna V. Kuznetsova
Sergey S. Tarima
Alexey A. Yakovlev
Vladimir B. Musatov
Publication date
01-03-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 3/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1638-9

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