Informal HIV Caregiver Proxy Reports of Care Recipients’ Treatment Adherence: Relationship Factors Associated with Concordance with Recipients’ Viral Suppression

Amy R. Knowlton, Mary M. Mitchell, Allysha C. Robinson, Trang Q. Nguyen, Sarina Isenberg, Julie Denison

Research output: Contribution to journalArticlepeer-review

Abstract

To explore the role of informal caregivers in adherence, we compared adherence reports by caregivers to those of care recipients. We identified individual-level and relationship factors associated with agreement between caregivers’ reports of recipients’ adherence and assessed viral suppression. Participants were care recipients, who were on ART and had ever injected drugs, and their caregivers (N = 258 dyads). Nearly three-fourths of caregivers’ reports of recipients’ ART adherence agreed with recipients’ viral suppression status. Agreement was associated with recipient age and expressing affection or gratitude to the caregiver, caregiver’s having been close to someone who died of HIV/AIDS, and caregiver’s fear of caregiving-related HIV (re)infection, while it was negatively associated with recipient’s limited physical functioning. Our findings support the utility of caregiver proxy reports of care recipients’ ART adherence and suggest ways to identify and promote HIV caregiver attention to and support of this vulnerable population’s ART adherence.

Original languageEnglish (US)
Pages (from-to)2123-2129
Number of pages7
JournalAIDS and behavior
Volume19
Issue number11
DOIs
StatePublished - Nov 1 2015

Keywords

  • Antiretroviral therapy adherence
  • Black/African American
  • Informal HIV caregiving
  • Injection drug/substance abuse
  • Measurement concordance/agreement

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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