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AIDS and Behavior
Erschienen in: AIDS and Behavior 4/2024

31.07.2023 | Original Paper

Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV: The Role of Food Insecurity and Alcohol Misuse

verfasst von: Hugo Perazzo, Juliana L. Gonçalves, Sandra W. Cardoso, Beatriz Grinsztejn, Valdilea G. Veloso, Paula M. Luz

Erschienen in: AIDS and Behavior | Ausgabe 4/2024

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Abstract

Daily adherence to antiretroviral therapy (ART) increases the length and quality of life of people living with HIV (PLHIV). We explored whether socioeconomic status directly impacts ART adherence and whether part of the effect is mediated by pathways through alcohol misuse or food insecurity. A cross-sectional study was conducted in Rio de Janeiro/Brazil (November/2019 to March/2020) with PLHIV aged ≥ 18 years. Validated instruments were used to measure alcohol use, food insecurity, and ART adherence. Using structural equation modeling we assessed the direct and indirect effects of variables on ART adherence. Participants reported significant challenges: hunger: 12%, alcohol use: 64%, and missing ART doses: 24%. Results showed that lower socioeconomic status increased poor adherence and that this effect was mediated through higher food insecurity. Alcohol misuse also increased poor adherence through a strong direct effect. Providing socio-economic support coupled with interventions to mitigate alcohol’s harmful impact can aid HIV care.
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Metadaten
Titel
Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV: The Role of Food Insecurity and Alcohol Misuse
verfasst von
Hugo Perazzo
Juliana L. Gonçalves
Sandra W. Cardoso
Beatriz Grinsztejn
Valdilea G. Veloso
Paula M. Luz
Publikationsdatum
31.07.2023
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 4/2024
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-023-04141-w

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