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Published in: Journal of Religion and Health 6/2016

01-12-2016 | Original Paper

The Role of Mediators in the Indirect Effects of Religiosity on Therapeutic Compliance in African Migrant HIV-Positive Patients

Authors: Constance Mambet Doue, Nicolas Roussiau

Published in: Journal of Religion and Health | Issue 6/2016

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Abstract

This research investigates the indirect effects of religiosity (practice and belief) on therapeutic compliance in 81 HIV-positive patients who are migrants from sub-Saharan Africa (23 men and 58 women). Using analyses of mediation and standard multiple regression, including a resampling procedure by bootstrapping, the role of these mediators (magical-religious beliefs and nonuse of toxic substances) was tested. The results show that, through magical-religious beliefs, religiosity has a negative indirect effect, while with the nonuse of toxic substances, religious practice has a positive indirect effect. Beyond religiosity, the role of mediators is highlighted in the interaction with therapeutic compliance.
Literature
go back to reference Alvarez-del Arco, D., Monge, S., Azcoaga, A., Rio, I., Hernando, V., Gonzalez, C., et al. (2013). HIV testing and counselling for migrant populations living in high-income countries: A systematic review. The European Journal of Public Health, 23(6), 1039–1045.CrossRefPubMed Alvarez-del Arco, D., Monge, S., Azcoaga, A., Rio, I., Hernando, V., Gonzalez, C., et al. (2013). HIV testing and counselling for migrant populations living in high-income countries: A systematic review. The European Journal of Public Health, 23(6), 1039–1045.CrossRefPubMed
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.CrossRefPubMed Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.CrossRefPubMed
go back to reference Boa, T. R. (2010). La sorcellerie n’existe pas. Abidjan: Editions du CERAP. Boa, T. R. (2010). La sorcellerie n’existe pas. Abidjan: Editions du CERAP.
go back to reference Camilleri, C., & Malewska-Peyre, H. (1997). Socialization and identity strategies. In J. W. Berry, P. R. Dasen, & T. S. Saraswathi (Eds.), Handbook of cross-cultural psychology. Basic processes and human development (2nd ed., Vol. 2, pp. 41–67). Needham Heights, MA: Allyn & Bacon. Camilleri, C., & Malewska-Peyre, H. (1997). Socialization and identity strategies. In J. W. Berry, P. R. Dasen, & T. S. Saraswathi (Eds.), Handbook of cross-cultural psychology. Basic processes and human development (2nd ed., Vol. 2, pp. 41–67). Needham Heights, MA: Allyn & Bacon.
go back to reference Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100.CrossRefPubMed Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92–100.CrossRefPubMed
go back to reference Cazein, F., Pinget, R., Lot, F., Pillonel, J., Le Strat, Y., Sommen, C., et al. (2013). Découvertes de séropositivité VIH et SIDA-France, 2003–2011. Bulletin Epidémiologique Hebdomadaire, 28–29, 333–340. Cazein, F., Pinget, R., Lot, F., Pillonel, J., Le Strat, Y., Sommen, C., et al. (2013). Découvertes de séropositivité VIH et SIDA-France, 2003–2011. Bulletin Epidémiologique Hebdomadaire, 28–29, 333–340.
go back to reference Chesney, M. A., Morin, M., & Sherr, L. (2000). Adherence to HIV combination therapy. Social Science and Medicine, 50(11), 1599–1605.CrossRefPubMed Chesney, M. A., Morin, M., & Sherr, L. (2000). Adherence to HIV combination therapy. Social Science and Medicine, 50(11), 1599–1605.CrossRefPubMed
go back to reference Deconchy, J. P., & Hurteau, C. (1998). Non-contrôle cognitif (learned helplessness), épuisement cognitif et recours à des explications “irrationnelles”. In J. L. Beauvois, R. V. Joule & J. M. Monteil (Eds.), Perspectives cognitives et conduites sociales VI (pp. 103–126). Lausanne: Delachaux et Niestlé. Deconchy, J. P., & Hurteau, C. (1998). Non-contrôle cognitif (learned helplessness), épuisement cognitif et recours à des explications “irrationnelles”. In J. L. Beauvois, R. V. Joule & J. M. Monteil (Eds.), Perspectives cognitives et conduites sociales VI (pp. 103–126). Lausanne: Delachaux et Niestlé.
go back to reference Dickinson, D. (2013). Myths or theories? Alternative beliefs about HIV and AIDS in South African working class communities. African Journal of AIDS Research, 12(3), 121–130.CrossRefPubMed Dickinson, D. (2013). Myths or theories? Alternative beliefs about HIV and AIDS in South African working class communities. African Journal of AIDS Research, 12(3), 121–130.CrossRefPubMed
go back to reference Dozon, J. P. (2008). L’Afrique à Dieu et à Diable: états, ethnies et religions. Paris: Ellipses. Dozon, J. P. (2008). L’Afrique à Dieu et à Diable: états, ethnies et religions. Paris: Ellipses.
go back to reference Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health, Education and Behavior, 25(6), 700–720.CrossRef Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health, Education and Behavior, 25(6), 700–720.CrossRef
go back to reference Fetzer, Institute. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute. Fetzer, Institute. (1999). Multidimensional measurement of religiousness/spirituality for use in health research. Kalamazoo, MI: John E. Fetzer Institute.
go back to reference Flannelly, K. J., Ellison, C. G., & Strock, A. L. (2004). Methodologic issues in research on religion and health. Southern Medical Journal, 97(12), 1231–1241.CrossRefPubMed Flannelly, K. J., Ellison, C. G., & Strock, A. L. (2004). Methodologic issues in research on religion and health. Southern Medical Journal, 97(12), 1231–1241.CrossRefPubMed
go back to reference Fuhrer, R., & Rouillon, F. (1989). La version française de l’échelle CES-D (Center for Epidemiologic Studies—Depression Scale). Description et traduction de l’échelle d’autoévaluation. European Psychiatry, 4(3), 163–166. Fuhrer, R., & Rouillon, F. (1989). La version française de l’échelle CES-D (Center for Epidemiologic Studies—Depression Scale). Description et traduction de l’échelle d’autoévaluation. European Psychiatry, 4(3), 163–166.
go back to reference Goodger, B., Byles, J., Higganbotham, N., & Mishra, G. (1999). Assessment of a short scale to measure social support among older people. Australian and New Zealand Journal of Public Health, 23(3), 260–265.CrossRefPubMed Goodger, B., Byles, J., Higganbotham, N., & Mishra, G. (1999). Assessment of a short scale to measure social support among older people. Australian and New Zealand Journal of Public Health, 23(3), 260–265.CrossRefPubMed
go back to reference Hayes, A. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
go back to reference Jacoby-Koaly, M. H. (2011). Le fonctionnement scolaire à l’épreuve du magico-religieux: la question du sens d’une réalité culturelle dans le contexte guadeloupéen. Paris: Editions L’Harmattan. Jacoby-Koaly, M. H. (2011). Le fonctionnement scolaire à l’épreuve du magico-religieux: la question du sens d’une réalité culturelle dans le contexte guadeloupéen. Paris: Editions L’Harmattan.
go back to reference James, W. (1902). The varieties of religious experience. New York: The New American Library. James, W. (1902). The varieties of religious experience. New York: The New American Library.
go back to reference Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.CrossRef Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. Oxford: Oxford University Press.CrossRef
go back to reference Kouvouama, A. (2010). Les paradigmes des analyses socio-anthropologiques du religieux en Afrique francophone. In M. Hirschhorn & M. Tamba (Eds.), La sociologie francophone en Afrique: état des lieux et enjeux (pp. 287–304). Paris: Karthala éditions. Kouvouama, A. (2010). Les paradigmes des analyses socio-anthropologiques du religieux en Afrique francophone. In M. Hirschhorn & M. Tamba (Eds.), La sociologie francophone en Afrique: état des lieux et enjeux (pp. 287–304). Paris: Karthala éditions.
go back to reference Levin, J. S., & Chatters, L. M. (1998). Religion, health and psychological well-being in older adults findings from three national surveys. Journal of Aging and Health, 10(4), 504–531.CrossRefPubMed Levin, J. S., & Chatters, L. M. (1998). Religion, health and psychological well-being in older adults findings from three national surveys. Journal of Aging and Health, 10(4), 504–531.CrossRefPubMed
go back to reference Marks King, R., Vidrine, D. J., Danysh, H. E., Fletcher, F. E., McCurdy, S., Arduino, R. C., & Gritz, E. R. (2012). Factors associated with nonadherence to antiretroviral therapy in HIV-positive smokers. AIDS Patient Care and STDS, 26(8), 479–485.CrossRefPubMedCentral Marks King, R., Vidrine, D. J., Danysh, H. E., Fletcher, F. E., McCurdy, S., Arduino, R. C., & Gritz, E. R. (2012). Factors associated with nonadherence to antiretroviral therapy in HIV-positive smokers. AIDS Patient Care and STDS, 26(8), 479–485.CrossRefPubMedCentral
go back to reference Meredith, K. L., Jeffe, D. B., Mundy, L. M., & Fraser, V. J. (2001). Sources influencing patients in their HIV medication decisions. Health Education & Behavior, 28(1), 40–50.CrossRef Meredith, K. L., Jeffe, D. B., Mundy, L. M., & Fraser, V. J. (2001). Sources influencing patients in their HIV medication decisions. Health Education & Behavior, 28(1), 40–50.CrossRef
go back to reference Musick, M., & Worthen, M. (2010). Religion and physical health among US adults. In C. G. Ellison & R. A. Hummer (Eds.), Religion, families and health (pp. 248–272). New Brunswick: Rutgers University Press. Musick, M., & Worthen, M. (2010). Religion and physical health among US adults. In C. G. Ellison & R. A. Hummer (Eds.), Religion, families and health (pp. 248–272). New Brunswick: Rutgers University Press.
go back to reference Niehaus, I. (2013). Kuru, AIDS, and Witchcraft: Reconfiguring Culpability in Melanesia and Africa. Social Analysis, 57(3), 25–41.CrossRef Niehaus, I. (2013). Kuru, AIDS, and Witchcraft: Reconfiguring Culpability in Melanesia and Africa. Social Analysis, 57(3), 25–41.CrossRef
go back to reference Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9(6), 713–730.CrossRefPubMed Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9(6), 713–730.CrossRefPubMed
go back to reference Parsons, S. K., Cruise, P. L., Davenport, W. M., & Jones, V. (2006). Religious beliefs, practices and treatment adherence among individuals with HIV in the southern United States. AIDS Patient Care & STDS, 20(2), 97–111.CrossRef Parsons, S. K., Cruise, P. L., Davenport, W. M., & Jones, V. (2006). Religious beliefs, practices and treatment adherence among individuals with HIV in the southern United States. AIDS Patient Care & STDS, 20(2), 97–111.CrossRef
go back to reference Powell-Cope, G. M., White, J., Henkelman, E. J., & Turner, B. J. (2003). Qualitative and quantitative assessments of HAART adherence of substance-abusing women. AIDS Care, 15(2), 239–249.CrossRefPubMed Powell-Cope, G. M., White, J., Henkelman, E. J., & Turner, B. J. (2003). Qualitative and quantitative assessments of HAART adherence of substance-abusing women. AIDS Care, 15(2), 239–249.CrossRefPubMed
go back to reference Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers, 36(4), 717–731.CrossRef Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers, 36(4), 717–731.CrossRef
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptomatic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRefPubMed Preacher, K. J., & Hayes, A. F. (2008). Asymptomatic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891.CrossRefPubMed
go back to reference Seligman, M. E. P. (1975). Helplessness: On depression, development, and death. San Francisco: W. H. Freeman. Seligman, M. E. P. (1975). Helplessness: On depression, development, and death. San Francisco: W. H. Freeman.
go back to reference Tarquinio, C., Fischer, G. N., & Grégoire, A. (2000). La compliance chez des patients atteints par le VIH: Validation d’une échelle française et mesure de variables psychosociales. Revue Internationale de Psychologie Sociale, 13(2), 61–91. Tarquinio, C., Fischer, G. N., & Grégoire, A. (2000). La compliance chez des patients atteints par le VIH: Validation d’une échelle française et mesure de variables psychosociales. Revue Internationale de Psychologie Sociale, 13(2), 61–91.
go back to reference Tenkorang, E. Y. (2013). Myths and misconceptions about HIV transmission in Ghana: What are the drivers? Culture, Health & Sexuality, 15(3), 296–310.CrossRef Tenkorang, E. Y. (2013). Myths and misconceptions about HIV transmission in Ghana: What are the drivers? Culture, Health & Sexuality, 15(3), 296–310.CrossRef
go back to reference Tenkorang, E. Y., Gyimah, S. O., Maticka-Tyndale, E., & Adjei, J. (2011). Superstition, witchcraft and HIV prevention in sub-Saharan Africa: The case of Ghana. Culture, Health & Sexuality, 13(9), 1001–1014.CrossRef Tenkorang, E. Y., Gyimah, S. O., Maticka-Tyndale, E., & Adjei, J. (2011). Superstition, witchcraft and HIV prevention in sub-Saharan Africa: The case of Ghana. Culture, Health & Sexuality, 13(9), 1001–1014.CrossRef
Metadata
Title
The Role of Mediators in the Indirect Effects of Religiosity on Therapeutic Compliance in African Migrant HIV-Positive Patients
Authors
Constance Mambet Doue
Nicolas Roussiau
Publication date
01-12-2016
Publisher
Springer US
Published in
Journal of Religion and Health / Issue 6/2016
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-015-0155-x

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