FAMILY CONFLICT NON-NEGOTIATION AND HIV DISCLOSURE ASSOCIATED WITH ART ADHERENCE IN A DISADVANTAGED POPULATION

Mary M Mitchell, Tuo Yen Tseng, Dulce Cruz-Oliver, Zachary Catanzarite, Eric Hansen, Amy R. Knowlton

Research output: Contribution to journalArticlepeer-review

Abstract

Adherence to antiretroviral therapy (ART) is vital for reducing racial and gender disparities in morbidity and mortality among people living with HIV/AIDS (PLWH). Little research attention has been given to aspects of family functioning affecting ART adherence among PLWH vulnerable to disparities. Data were from n = 313 participants (93% African American) in the BEACON study, which recruited injection-drug-using PLWH on ART. Using factor analysis and longitudinal structural equation modeling, we found that current substance use and negative family conflict tactics (i.e., non-negotiation) predicted PLWH’s lower probability of ART adherence at 12-month follow-up; and greater HIV disclosure to support network members predicted a higher probability of adherence. These findings suggest the importance of family and other support network members in this vulnerable population’s ART adherence. Social network-focused interventions promoting prosocial response to conflict and negotiation skills are important for improving vulnerable PLWH’s HIV outcomes and reducing health disparities.

Original languageEnglish (US)
Pages (from-to)158-167
Number of pages10
JournalAIDS Education and Prevention
Volume34
Issue number2
DOIs
StatePublished - Apr 2022

Keywords

  • African American or Black race/eth-nicity
  • HIV/AIDS
  • antiretroviral therapy (ART) adherence
  • family
  • interpersonal conflict
  • social disparities
  • social support networks

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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