Transition to Adulthood and Antiretroviral Adherence Among HIV-Positive Young Black Men Who Have Sex With Men

Datos Bibliográficos

ID11020588
AutoresSophia Ahmed Hussen (0000-0002-5726-1637, Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...), Karen Andes (Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...), Karen L Andes (Emory University), Danielle Gilliard (Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...), Rana Chakraborty (0000-0002-6585-0087, Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...), Carlos Del Rio (0000-0002-0153-3517, Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...), David J Malebranche (Sophia A. Hussen, Karen Andes, and Carlos del Rio are with the Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Sophia A. Hussen and Carlos del Rio are also with the Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine. Danielle Gilliard is with the Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University. Rana Chakraborty is with the Department of Pediatrics,...)
Año2015
Volumen105
Número4
Páginas725-731
Fecha de publicación2015-04-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.301905
PMID24922167
PMCIDPMC4358185
OpenAlexW1986555995
IdiomaEN
Citas recibidas10
Referencias citadas36

Objectives. We conducted a qualitative study of HIV-positive young Black men who have sex with men (YBMSM) to explore their experiences of living with HIV and adhering to antiretroviral medications (ARVs) within the developmental context of their transition to adulthood. Methods. We conducted life history interviews with 20 HIV-positive YBMSM in Atlanta, Georgia, engaged in outpatient HIV care. We addressed these questions: (1) How do YBMSM living with HIV experience the transition to adulthood? and (2) What are the important sociocontextual influences on ARV adherence for YBMSM? Results. Successful transition to adulthood and optimal ARV adherence were inextricably linked. HIV’s detrimental impact on development was moderated by the degree of physical illness at diagnosis. Many participants described resilient trajectories while coping with HIV. Adherence problems occurred primarily among participants who were not meeting their developmental goals. Conclusions. Our findings support the need for early diagnosis and linkage to care, as well as the need to develop holistic, resilience-based interventions focusing on transition to adulthood. These findings have implications for individual clinical outcomes as well as ARV-based prevention efforts among YBMSM

Context (archaeology) · Coping (psychology) · Family medicine · Human immunodeficiency virus (HIV) · Men who have sex with men · Psychiatry · Psychological intervention · Young adult · HIV Research and Treatment · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Gerontology