AIDS Research and Treatment (Jan 2014)
Engagement with Care, Substance Use, and Adherence to Therapy in HIV/AIDS
- Patrice K. Nicholas,
- Suzanne Willard,
- Clinton Thompson,
- Carol Dawson-Rose,
- Inge B. Corless,
- Dean J. Wantland,
- Elizabeth F. Sefcik,
- Kathleen M. Nokes,
- Kenn M. Kirksey,
- Mary Jane Hamilton,
- William L. Holzemer,
- Carmen J. Portillo,
- Marta Rivero Mendez,
- Linda M. Robinson,
- Maria Rosa,
- Sarie P. Human,
- Yvette Cuca,
- Emily Huang,
- Mary Maryland,
- John Arudo,
- Lucille Sanzero Eller,
- Mark A. Stanton,
- MaryKate Driscoll,
- Joachim G. Voss,
- Shahnaz Moezzi
Affiliations
- Patrice K. Nicholas
- Global Health and Academic Partnerships, Division of Global Health Equity and Center for Nursing Excellence, Brigham and Women’s Hospital, MGH Institute of Health Professions, 36 1st Avenue, Boston, MA 02129, USA
- Suzanne Willard
- Advanced Practice Program, College of Nursing, Rutgers, The State University of New Jersey, Ackerson Hall, Room 362, 180 University Avenue, Newark, NJ 07102, USA
- Clinton Thompson
- College of Public Health, The George Washington University, 2121 I Street NW, Washington, DC 20052, USA
- Carol Dawson-Rose
- Community Health Systems, University of California San Francisco School of Nursing, 2 Koret Way, N505, P.O. Box 0608, San Francisco, CA 94143-0608, USA
- Inge B. Corless
- MGH Institute of Health Professions, 36 1st Avenue, Boston, MA 02129, USA
- Dean J. Wantland
- College of Nursing, Rutgers, The State University of New Jersey, Ackerson Hall, Room 330, 180 University Avenue, Newark, NJ 07102, USA
- Elizabeth F. Sefcik
- College of Nursing and Health Sciences, Texas A&M University-Corpus Christi, 6300 Ocean Drive, Unit 5805, Corpus Christi, TX 78411, USA
- Kathleen M. Nokes
- Hunter-Bellevue School of Nursing, Hunter College, City University of New York, 425 East 25 Street, P.O. Box 874, New York, NY 10010, USA
- Kenn M. Kirksey
- Nursing Strategic Initiatives, Harris Health System, Lyndon B. Johnson General Hospital, 5656 Kelley Street, Houston, TX 77026, USA
- Mary Jane Hamilton
- College of Nursing & Health Science, Texas A&M University-Corpus Christi, 6300 Ocean Drive, Corpus Christi, TX 78412, USA
- William L. Holzemer
- College of Nursing, Rutgers, The State University of New Jersey, Ackerson Hall, Room 330, 180 University Avenue, Newark, NJ 07102, USA
- Carmen J. Portillo
- Community Health Systems, University of California San Francisco School of Nursing, 2 Koret Way, N505, P.O. Box 0608, San Francisco, CA 94143-0608, USA
- Marta Rivero Mendez
- School of Nursing, University of Puerto Rico Medical Sciences Campus, P.O. Box 365067, San Juan, PR 00936-5067, USA
- Linda M. Robinson
- San Diego State University School of Nursing, 5500 Campanile Drive, San Diego, CA 92182-4158, USA
- Maria Rosa
- Institute for Hispanic Health, National Council of La Raza, 1126 16th Street, Washington, DC 20036, USA
- Sarie P. Human
- MPH Programme, Department of Health Studies, University of South Africa, Pretoria 0003, South Africa
- Yvette Cuca
- Community Health Systems, University of California San Francisco School of Nursing, 2 Koret Way, N505, P.O. Box 0608, San Francisco, CA 94143-0608, USA
- Emily Huang
- Community Health Systems, University of California San Francisco School of Nursing, 2 Koret Way, N505, P.O. Box 0608, San Francisco, CA 94143-0608, USA
- Mary Maryland
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago (UIC), 845 S. Damen Avenue, M/C 802, Chicago, IL 60302, USA
- John Arudo
- Clinical Nursing and Health Informatics, School of Nursing & Midwifery, Masinde Muliro University of Science and Technology, P.O. Box 190, Kakamega 50100, Kenya
- Lucille Sanzero Eller
- College of Nursing, Rutgers, The State University of New Jersey, Ackerson Hall, Room 328, 180 University Avenue, Newark, NJ 07102, USA
- Mark A. Stanton
- Clemson University, Clemson, SC 29634, USA
- MaryKate Driscoll
- Labs of Cognitive Neuroscience, Department of Developmental Medicine, Children’s Hospital Medical Center and Brigham and Women’s Hospital, 1 Autumn Street, 6th Floor, Boston, MA 02215, USA
- Joachim G. Voss
- Global Health Department, Behavioral Nursing & Health Systems, University of Washington, Health Sciences Building, Box 3572 66, Seattle, WA 98195, USA
- Shahnaz Moezzi
- University of Utah, 201 Presidents Circle, Salt Lake City, UT 84112, USA
- DOI
- https://doi.org/10.1155/2014/675739
- Journal volume & issue
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Vol. 2014
Abstract
Engagement with care for those living with HIV is aimed at establishing a strong relationship between patients and their health care provider and is often associated with greater adherence to therapy and treatment (Flickinger, Saha, Moore, and Beach, 2013). Substance use behaviors are linked with lower rates of engagement with care and medication adherence (Horvath, Carrico, Simoni, Boyer, Amico, and Petroli, 2013). This study is a secondary data analysis using a cross-sectional design from a larger randomized controlled trial (n=775) that investigated the efficacy of a self-care symptom management manual for participants living with HIV. Participants were recruited from countries of Africa and the US. This study provides evidence that substance use is linked with lower self-reported engagement with care and adherence to therapy. Data on substance use and engagement are presented. Clinical implications of the study address the importance of utilizing health care system and policy factors to improve engagement with care.
