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. 2015 Feb;29(2):77-85.
doi: 10.1089/apc.2014.0117.

Psychosocial influences on engagement in care among HIV-positive young black gay/bisexual and other men who have sex with men

Sophia A Hussen  1 , Gary W Harper, Jose A Bauermeister, Lisa B Hightow-Weidman; Adolescent Medicine Trials Network for HIV/AIDS Interventions
Collaborators, Affiliations

Psychosocial influences on engagement in care among HIV-positive young black gay/bisexual and other men who have sex with men

Sophia A Hussen et al. AIDS Patient Care STDS. 2015 Feb.

Abstract

Young black gay/bisexual and other men who have sex with men (YB-GBMSM) living with HIV are at risk for poor engagement in HIV care. Relatively little is known about factors that impact engagement outcomes at various stages along the HIV care continuum in this specific population. The purpose of this analysis was to examine associations between various psychosocial factors and likelihood of engagement at each stage of the care continuum, among a geographically diverse sample of 132 YB-GBMSM living with HIV. Negative self-image, a component of HIV stigma, had an inverse association with early care seeking after HIV diagnosis (OR=1.05; 95% CI 1.01-1.10). Negative self-image was also inversely associated with adherence to medical appointments (OR=0.95; 95% CI 0.91-0.99), while employment (OR=0.30; 95% CI 0.12-0.75) and ethnic identity affirmation (OR=0.28; 95% CI 0.12-0.68) were both positively associated with appointment adherence. HIV-positive identity salience was associated with a higher likelihood of being on antiretroviral therapy (OR=1.06; 95% CI 1.02, 1.09). These findings highlight the importance of processes related to identity development, as both barriers and facilitators of engagement in care for HIV-positive YB-GBMSM.

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<b>FIG. 1.</b>
FIG. 1.
Social Action Theory conceptual framework.
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References

    1. Centers for Disease Control and Prevention. Vital signs–HIV infection, testing, and risk behaviors among youths–United States. Morbid Mortal Weekly Rep 2012;61:971–976 - PubMed
    1. Prejean J, Song R, Hernandez A, et al. and Hall HIGroup HIVIS. Estimated HIV incidence in the united states, 2006–2009. PloS One 2011;6:e17502. - PMC - PubMed
    1. The White House Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. 2010
    1. The White House Office of the Press Secretary. Executive order–HIV care continuum initiative. 2013
    1. Gardner EM, McLees MP, Steiner JF, Del Rio C, Burman WJ. The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clin Infect Dis 2011;52:793–800 - PMC - PubMed

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