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Erschienen in: Annals of Behavioral Medicine 6/2015

01.12.2015 | Original Article

Social Network Characteristics Moderate the Association Between Stigmatizing Attributions About HIV and Non-adherence Among Black Americans Living with HIV: a Longitudinal Assessment

verfasst von: Laura M. Bogart, PhD, Glenn J. Wagner, PhD, Harold D. Green Jr., PhD, Matt G. Mutchler, PhD, David J. Klein, MS, Bryce McDavitt, PhD

Erschienen in: Annals of Behavioral Medicine | Ausgabe 6/2015

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Abstract

Background

Stigma may contribute to HIV-related disparities among HIV-positive Black Americans.

Purpose

We examined whether social network characteristics moderate stigma’s effects.

Methods

At baseline and 6 months post-baseline, 147 HIV-positive Black Americans on antiretroviral treatment completed egocentric social network assessments, from which we derived a structural social support capacity measure (i.e., ability to leverage support from the network, represented by the average interaction frequency between the participant and each alter). Stigma was operationalized with an indicator of whether any social network member had expressed stigmatizing attributions of blame or responsibility about HIV. Daily medication adherence was monitored electronically.

Results

In a multivariate regression, baseline stigma was significantly related to decreased adherence over time. The association between stigma and non-adherence was attenuated among participants who increased the frequency of their interactions with alters over time.

Conclusions

Well-connected social networks have the potential to buffer the effects of stigma.
Literatur
2.
Zurück zum Zitat Sabin CA, Smith CJ, Gumley H, et al. Late presenters in the era of highly active antiretroviral therapy: Uptake of and responses to antiretroviral therapy. AIDS. 2004; 18: 2145-2151.CrossRefPubMed Sabin CA, Smith CJ, Gumley H, et al. Late presenters in the era of highly active antiretroviral therapy: Uptake of and responses to antiretroviral therapy. AIDS. 2004; 18: 2145-2151.CrossRefPubMed
3.
Zurück zum Zitat Simoni JM, Huh D, Wilson IB, et al. Racial/ethnic disparities in ART adherence in the United States: Findings from the MACH14 study. J Acquir Immune Defic Syndr. 2012; 60: 466-472.PubMedCentralCrossRefPubMed Simoni JM, Huh D, Wilson IB, et al. Racial/ethnic disparities in ART adherence in the United States: Findings from the MACH14 study. J Acquir Immune Defic Syndr. 2012; 60: 466-472.PubMedCentralCrossRefPubMed
4.
Zurück zum Zitat Giordano TP, White AC, Sajja P, et al. Factors associated with the use of highly active antiretroviral therapy in patients newly entering care in an urban clinic. J Acquir Immune Defic Syndr. 2003; 32: 399-405.CrossRefPubMed Giordano TP, White AC, Sajja P, et al. Factors associated with the use of highly active antiretroviral therapy in patients newly entering care in an urban clinic. J Acquir Immune Defic Syndr. 2003; 32: 399-405.CrossRefPubMed
6.
Zurück zum Zitat Earnshaw VA, Bogart LM, Dovidio JF, Williams DR. Stigma and racial/ethnic HIV disparities: Moving towards resilience. Am Psychol. 2013; 68: 225-236.PubMedCentralCrossRefPubMed Earnshaw VA, Bogart LM, Dovidio JF, Williams DR. Stigma and racial/ethnic HIV disparities: Moving towards resilience. Am Psychol. 2013; 68: 225-236.PubMedCentralCrossRefPubMed
7.
Zurück zum Zitat Bogart LM, Wagner GJ, Galvan FH, Klein DJ. Longitudinal relationships between antiretroviral treatment adherence and discrimination due to HIV-serostatus, race, and sexual orientation among African-American men with HIV. Ann Behav Med. 2010; 40: 184-190.PubMedCentralCrossRefPubMed Bogart LM, Wagner GJ, Galvan FH, Klein DJ. Longitudinal relationships between antiretroviral treatment adherence and discrimination due to HIV-serostatus, race, and sexual orientation among African-American men with HIV. Ann Behav Med. 2010; 40: 184-190.PubMedCentralCrossRefPubMed
8.
Zurück zum Zitat Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006; 10: 473-482.PubMedCentralCrossRefPubMed Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006; 10: 473-482.PubMedCentralCrossRefPubMed
9.
Zurück zum Zitat Rajabiun S, Mallinson RK, McCoy K, et al. ‘Getting me back on track’: The role of outreach interventions in engaging and retaining people living with HIV/AIDS in medical care. AIDS Patient Care STDS. 2007; 21: S20-S29.CrossRefPubMed Rajabiun S, Mallinson RK, McCoy K, et al. ‘Getting me back on track’: The role of outreach interventions in engaging and retaining people living with HIV/AIDS in medical care. AIDS Patient Care STDS. 2007; 21: S20-S29.CrossRefPubMed
10.
Zurück zum Zitat Katz IT, Ryu AE, Onuegbu AG, et al. Impact of HIV-related stigma on treatment adherence: Systematic review and meta-synthesis. J Int AIDS Soc. 2013; 16: 18640.PubMedCentralCrossRefPubMed Katz IT, Ryu AE, Onuegbu AG, et al. Impact of HIV-related stigma on treatment adherence: Systematic review and meta-synthesis. J Int AIDS Soc. 2013; 16: 18640.PubMedCentralCrossRefPubMed
12.
Zurück zum Zitat Bogart LM, Cowgill BO, Kennedy D, et al. HIV-related stigma among people with HIV and their families: A qualitative analysis. AIDS Behav. 2008; 12: 244-254.CrossRefPubMed Bogart LM, Cowgill BO, Kennedy D, et al. HIV-related stigma among people with HIV and their families: A qualitative analysis. AIDS Behav. 2008; 12: 244-254.CrossRefPubMed
13.
Zurück zum Zitat Bogart LM, Chetty S, Giddy J, et al. Barriers to care among people living with HIV in South Africa: Contrasts between patient and healthcare provider perspectives. AIDS Care. 2013; 25: 843-853.PubMedCentralCrossRefPubMed Bogart LM, Chetty S, Giddy J, et al. Barriers to care among people living with HIV in South Africa: Contrasts between patient and healthcare provider perspectives. AIDS Care. 2013; 25: 843-853.PubMedCentralCrossRefPubMed
14.
Zurück zum Zitat Konkle-Parker DJ, Erlen JA, Dubbert PM. Barriers and facilitators to medication adherence in a southern minority population with HIV disease. J Assoc Nurses AIDS Care. 2008; 19: 98-104.PubMedCentralCrossRefPubMed Konkle-Parker DJ, Erlen JA, Dubbert PM. Barriers and facilitators to medication adherence in a southern minority population with HIV disease. J Assoc Nurses AIDS Care. 2008; 19: 98-104.PubMedCentralCrossRefPubMed
15.
Zurück zum Zitat Mbonu NC, van den Borne B, De Vries NK. Stigma of people with HIV/AIDS in Sub-Saharan Africa: A literature review. J Trop Med. 2009; 2009: 145891.PubMedCentralCrossRefPubMed Mbonu NC, van den Borne B, De Vries NK. Stigma of people with HIV/AIDS in Sub-Saharan Africa: A literature review. J Trop Med. 2009; 2009: 145891.PubMedCentralCrossRefPubMed
16.
Zurück zum Zitat Okoror TA, Falade CO, Olorunlana A, Walker EM, Okareh OT. Exploring the cultural context of HIV stigma on antiretroviral therapy adherence among people living with HIV/AIDS in southwest Nigeria. AIDS Patient Care STDS. 2013; 27: 55-64.CrossRefPubMed Okoror TA, Falade CO, Olorunlana A, Walker EM, Okareh OT. Exploring the cultural context of HIV stigma on antiretroviral therapy adherence among people living with HIV/AIDS in southwest Nigeria. AIDS Patient Care STDS. 2013; 27: 55-64.CrossRefPubMed
17.
Zurück zum Zitat Gilbert L, Walker L. ‘My biggest fear was that people would reject me once they knew my status…’: Stigma as experienced by patients in an HIV/AIDS clinic in Johannesburg, South Africa. Health Soc Care Community. 2010; 18: 139-146.CrossRefPubMed Gilbert L, Walker L. ‘My biggest fear was that people would reject me once they knew my status…’: Stigma as experienced by patients in an HIV/AIDS clinic in Johannesburg, South Africa. Health Soc Care Community. 2010; 18: 139-146.CrossRefPubMed
18.
Zurück zum Zitat Bogart LM, Landrine H, Galvan FH, Wagner GJ, Klein DJ. Perceived discrimination and physical health among HIV-positive Black and Latino men who have sex with men. AIDS Behav. 2013; 17: 1431-1441.PubMedCentralCrossRefPubMed Bogart LM, Landrine H, Galvan FH, Wagner GJ, Klein DJ. Perceived discrimination and physical health among HIV-positive Black and Latino men who have sex with men. AIDS Behav. 2013; 17: 1431-1441.PubMedCentralCrossRefPubMed
20.
21.
Zurück zum Zitat Brondolo E, Rieppi R, Kelly KP, Gerin W. Perceived racism and blood pressure: A review of the literature and conceptual and methodological critique. Ann Behav Med. 2003; 25: 55-65.CrossRefPubMed Brondolo E, Rieppi R, Kelly KP, Gerin W. Perceived racism and blood pressure: A review of the literature and conceptual and methodological critique. Ann Behav Med. 2003; 25: 55-65.CrossRefPubMed
22.
Zurück zum Zitat Landrine H, Klonoff EA. The schedule of racist events: A measure of racial discrimination and a study of its negative physical and mental health consequences. J Black Psychol. 1996; 22: 144-168.CrossRef Landrine H, Klonoff EA. The schedule of racist events: A measure of racial discrimination and a study of its negative physical and mental health consequences. J Black Psychol. 1996; 22: 144-168.CrossRef
23.
Zurück zum Zitat Janicke DM, Gray WN, Kahhan NA, et al. Brief report: The association between peer victimization, prosocial support, and treatment adherence in children and adolescents with inflammatory bowel disease. J Pediatr Psychol. 2009; 34: 769-773.CrossRefPubMed Janicke DM, Gray WN, Kahhan NA, et al. Brief report: The association between peer victimization, prosocial support, and treatment adherence in children and adolescents with inflammatory bowel disease. J Pediatr Psychol. 2009; 34: 769-773.CrossRefPubMed
24.
Zurück zum Zitat Wills TA, Ainette MG. Social Networks and Social Support. In: Baum A, Revenson TA, eds. Handbook of health psychology. New York: Taylor & Francis; 2012: 465-492. Wills TA, Ainette MG. Social Networks and Social Support. In: Baum A, Revenson TA, eds. Handbook of health psychology. New York: Taylor & Francis; 2012: 465-492.
25.
Zurück zum Zitat Newsom JT, Rook KS, Nishishiba M, Sorkin DH, Mahan TL. Understanding the relative importance of positive and negative social exchanges: Examining specific domains and appraisals. J Gerontol B Psychol Sci Soc Sci. 2005; 60: 304-P312.CrossRef Newsom JT, Rook KS, Nishishiba M, Sorkin DH, Mahan TL. Understanding the relative importance of positive and negative social exchanges: Examining specific domains and appraisals. J Gerontol B Psychol Sci Soc Sci. 2005; 60: 304-P312.CrossRef
26.
Zurück zum Zitat Newsom JT, Mahan TL, Rook KS, Krause N. Stable negative social exchanges and health. Health Psychol. 2008; 27: 78-86.CrossRefPubMed Newsom JT, Mahan TL, Rook KS, Krause N. Stable negative social exchanges and health. Health Psychol. 2008; 27: 78-86.CrossRefPubMed
27.
28.
Zurück zum Zitat McCarty C. Measuring structure in personal networks. J Soc Struct. 2002; 3: 1. McCarty C. Measuring structure in personal networks. J Soc Struct. 2002; 3: 1.
29.
Zurück zum Zitat McCarty C, Bernard H, Killworth P, Shelley GA, Johnsen EC. Eliciting representative samples of personal networks. Soc Networks. 1997; 19: 303-323.CrossRef McCarty C, Bernard H, Killworth P, Shelley GA, Johnsen EC. Eliciting representative samples of personal networks. Soc Networks. 1997; 19: 303-323.CrossRef
30.
Zurück zum Zitat Campbell K, Lee B. Name generators in surveys of personal networks. Soc Networks. 1991; 13: 203-221.CrossRef Campbell K, Lee B. Name generators in surveys of personal networks. Soc Networks. 1991; 13: 203-221.CrossRef
31.
Zurück zum Zitat McCarty C, Kilworth PD, Rennell J. Impact of methods for reducing respondent burden on personal network structural measures. Soc Networks. 2007; 29: 300-315.CrossRef McCarty C, Kilworth PD, Rennell J. Impact of methods for reducing respondent burden on personal network structural measures. Soc Networks. 2007; 29: 300-315.CrossRef
32.
Zurück zum Zitat Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. Am J Public Health. 2002; 92: 371-377.PubMedCentralCrossRefPubMed Herek GM, Capitanio JP, Widaman KF. HIV-related stigma and knowledge in the United States: Prevalence and trends, 1991–1999. Am J Public Health. 2002; 92: 371-377.PubMedCentralCrossRefPubMed
33.
Zurück zum Zitat Kalichman SC, Simbayi LC, Cloete A, Mthembu PP, Mkhonta RN, Ginindza T. Measuring AIDS stigmas in people living with HIV/AIDS: The Internalized AIDS-Related Stigma Scale. AIDS Care. 2009; 21: 87-93.CrossRefPubMed Kalichman SC, Simbayi LC, Cloete A, Mthembu PP, Mkhonta RN, Ginindza T. Measuring AIDS stigmas in people living with HIV/AIDS: The Internalized AIDS-Related Stigma Scale. AIDS Care. 2009; 21: 87-93.CrossRefPubMed
34.
Zurück zum Zitat Arnsten JH, Demas PA, Grant RW, et al. Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users. J Gen Intern Med. 2002; 17: 377-381.PubMedCentralCrossRefPubMed Arnsten JH, Demas PA, Grant RW, et al. Impact of active drug use on antiretroviral therapy adherence and viral suppression in HIV-infected drug users. J Gen Intern Med. 2002; 17: 377-381.PubMedCentralCrossRefPubMed
35.
Zurück zum Zitat Bangsberg DR, Hecht FM, Charlebois ED, et al. Adherence to protease inhibitors, HIV-1 viral load, and development of drug resistance in an indigent population. AIDS. 2000; 14: 357-366.CrossRefPubMed Bangsberg DR, Hecht FM, Charlebois ED, et al. Adherence to protease inhibitors, HIV-1 viral load, and development of drug resistance in an indigent population. AIDS. 2000; 14: 357-366.CrossRefPubMed
36.
Zurück zum Zitat Kobin AB, Sheth NU. Levels of adherence required for virologic suppression among newer antiretroviral medications. Ann Pharmacother. 2011; 45: 372-379.CrossRefPubMed Kobin AB, Sheth NU. Levels of adherence required for virologic suppression among newer antiretroviral medications. Ann Pharmacother. 2011; 45: 372-379.CrossRefPubMed
37.
Zurück zum Zitat Bangsberg DR. Less than 95% adherence to nonnucleoside reverse-transcriptase inhibitor therapy can lead to viral suppression. Clin Infect Dis. 2006; 43: 939-941.CrossRefPubMed Bangsberg DR. Less than 95% adherence to nonnucleoside reverse-transcriptase inhibitor therapy can lead to viral suppression. Clin Infect Dis. 2006; 43: 939-941.CrossRefPubMed
38.
Zurück zum Zitat Shuter J, Sarlo JA, Kanmaz TJ, Rode RA, Zingman BS. HIV-infected patients receiving lopinavir/ritonavir-based antiretroviral therapy achieve high rates of virologic suppression despite adherence rates less than 95%. J Acquir Immune Defic Syndr. 2007; 45: 4-8.CrossRefPubMed Shuter J, Sarlo JA, Kanmaz TJ, Rode RA, Zingman BS. HIV-infected patients receiving lopinavir/ritonavir-based antiretroviral therapy achieve high rates of virologic suppression despite adherence rates less than 95%. J Acquir Immune Defic Syndr. 2007; 45: 4-8.CrossRefPubMed
39.
Zurück zum Zitat Bogart LM, Wagner G, Galvan FH, Banks D. Conspiracy beliefs about HIV are related to antiretroviral treatment nonadherence among African American men with HIV. J Acquir Immune Defic Syndr. 2010; 53: 648-655.PubMedCentralPubMed Bogart LM, Wagner G, Galvan FH, Banks D. Conspiracy beliefs about HIV are related to antiretroviral treatment nonadherence among African American men with HIV. J Acquir Immune Defic Syndr. 2010; 53: 648-655.PubMedCentralPubMed
40.
Zurück zum Zitat Berg KM, Demas PA, Howard AA, Schoenbaum EE, Gourevitch MN, Arnsten JH. Gender differences in factors associated with adherence to antiretroviral therapy. J Gen Intern Med. 2004; 19: 1111-1117.PubMedCentralCrossRefPubMed Berg KM, Demas PA, Howard AA, Schoenbaum EE, Gourevitch MN, Arnsten JH. Gender differences in factors associated with adherence to antiretroviral therapy. J Gen Intern Med. 2004; 19: 1111-1117.PubMedCentralCrossRefPubMed
41.
Zurück zum Zitat Meyer JP, Zelenev A, Wickersham JA, Williams CT, Teixeira PA, Altice FL. Gender disparities in HIV treatment outcomes following release from jail: Results from a multicenter study. Am J Public Health. 2014; 104: 434-441.PubMedCentralCrossRefPubMed Meyer JP, Zelenev A, Wickersham JA, Williams CT, Teixeira PA, Altice FL. Gender disparities in HIV treatment outcomes following release from jail: Results from a multicenter study. Am J Public Health. 2014; 104: 434-441.PubMedCentralCrossRefPubMed
42.
Zurück zum Zitat Palepu A, Tyndall MW, Chan K, Wood E, Montaner JS, Hogg RS. Initiating highly active antiretroviral therapy and continuity of HIV care: The impact of incarceration and prison release on adherence and HIV treatment outcomes. Antivir Ther. 2004; 9: 713-719.PubMed Palepu A, Tyndall MW, Chan K, Wood E, Montaner JS, Hogg RS. Initiating highly active antiretroviral therapy and continuity of HIV care: The impact of incarceration and prison release on adherence and HIV treatment outcomes. Antivir Ther. 2004; 9: 713-719.PubMed
43.
Zurück zum Zitat Maman S, Abler L, Parker L, et al. A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings. Soc Sci Med. 2009; 68: 2271-2278.PubMedCentralCrossRefPubMed Maman S, Abler L, Parker L, et al. A comparison of HIV stigma and discrimination in five international sites: The influence of care and treatment resources in high prevalence settings. Soc Sci Med. 2009; 68: 2271-2278.PubMedCentralCrossRefPubMed
44.
Zurück zum Zitat Green HD, Hoover MA, Wagner GJ, Ryan GW, Ssegujja E. Measuring agreement between egos and alters: Understanding informant accuracy in personal network studies. Field Methods. 2013; 26: 126-140.CrossRef Green HD, Hoover MA, Wagner GJ, Ryan GW, Ssegujja E. Measuring agreement between egos and alters: Understanding informant accuracy in personal network studies. Field Methods. 2013; 26: 126-140.CrossRef
45.
Zurück zum Zitat Rice E, Milburn NG, Rotheram-Borus MJ. Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles. AIDS Care. 2007; 19: 697-704.PubMedCentralCrossRefPubMed Rice E, Milburn NG, Rotheram-Borus MJ. Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles. AIDS Care. 2007; 19: 697-704.PubMedCentralCrossRefPubMed
46.
Zurück zum Zitat Valente TW, Vlahov D. Selective risk taking among needle exchange participants: Implications for supplemental interventions. Am J Public Health. 2001; 91: 406-411.PubMedCentralCrossRefPubMed Valente TW, Vlahov D. Selective risk taking among needle exchange participants: Implications for supplemental interventions. Am J Public Health. 2001; 91: 406-411.PubMedCentralCrossRefPubMed
47.
Zurück zum Zitat Costenbader EC, Astone NM, Latkin CA. The dynamics of injection drug users’ personal networks and HIV risk behaviors. Addiction. 2006; 101: 1003-1013.CrossRefPubMed Costenbader EC, Astone NM, Latkin CA. The dynamics of injection drug users’ personal networks and HIV risk behaviors. Addiction. 2006; 101: 1003-1013.CrossRefPubMed
48.
Zurück zum Zitat El-Bassel N, Gilbert L, Wu E, Chang M. A social network profile and HIV risk among men on methadone: Do social networks matter? J Urban Health. 2006; 83: 602-613.PubMedCentralCrossRefPubMed El-Bassel N, Gilbert L, Wu E, Chang M. A social network profile and HIV risk among men on methadone: Do social networks matter? J Urban Health. 2006; 83: 602-613.PubMedCentralCrossRefPubMed
49.
Zurück zum Zitat Williams CT, Latkin CA. Neighborhood socioeconomic status, personal network attributes, and use of heroin and cocaine. Am J Prev Med. 2007; 32: S203-S210.PubMedCentralCrossRefPubMed Williams CT, Latkin CA. Neighborhood socioeconomic status, personal network attributes, and use of heroin and cocaine. Am J Prev Med. 2007; 32: S203-S210.PubMedCentralCrossRefPubMed
50.
Zurück zum Zitat Stangl AL, Lloyd JK, Brady LM, Holland CE, Baral S. A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: How far have we come? J Int AIDS Soc. 2013; 16: 18734.PubMedCentralCrossRefPubMed Stangl AL, Lloyd JK, Brady LM, Holland CE, Baral S. A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: How far have we come? J Int AIDS Soc. 2013; 16: 18734.PubMedCentralCrossRefPubMed
Metadaten
Titel
Social Network Characteristics Moderate the Association Between Stigmatizing Attributions About HIV and Non-adherence Among Black Americans Living with HIV: a Longitudinal Assessment
verfasst von
Laura M. Bogart, PhD
Glenn J. Wagner, PhD
Harold D. Green Jr., PhD
Matt G. Mutchler, PhD
David J. Klein, MS
Bryce McDavitt, PhD
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 6/2015
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9724-1

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