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Tytuł pozycji:

Factors Associated with HIV Disclosure Status Among iENGAGE Cohort of New to HIV Care Patients.

Tytuł :
Factors Associated with HIV Disclosure Status Among iENGAGE Cohort of New to HIV Care Patients.
Autorzy :
Modi RA; Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.
McGwin GL , Jr; Department of Epidemiology, and University of Alabama at Birmingham, Birmingham, Alabama.
Willig JH; Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Westfall AO; Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Griffin RL; Department of Epidemiology, and University of Alabama at Birmingham, Birmingham, Alabama.
Amico R; Department of Health Behavior and Education, University of Connecticut, Storrs, Connecticut.
Martin KD; Department of Epidemiology, and University of Alabama at Birmingham, Birmingham, Alabama.
Raper JL; Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Keruly JC; Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Golin CE; Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Zinski A; Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Napravnik S; Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Crane HM; Department of Medicine, University of Washington, Seattle, Washington.
Mugavero MJ; Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
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Źródło :
AIDS patient care and STDs [AIDS Patient Care STDS] 2020 May; Vol. 34 (5), pp. 213-227.
Typ publikacji :
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural
Język :
English
Imprint Name(s) :
Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1996-
MeSH Terms :
Patient Care*
Self Disclosure*
Truth Disclosure*
Anti-HIV Agents/*therapeutic use
HIV Infections/*drug therapy
Adaptation, Physiological ; Adult ; Antiretroviral Therapy, Highly Active ; Cohort Studies ; Counseling ; Cross-Sectional Studies ; Female ; HIV Infections/psychology ; Health Services Needs and Demand ; Humans ; Male ; Middle Aged ; Surveys and Questionnaires
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Grant Information :
R01 AI103661 United States AI NIAID NIH HHS
Contributed Indexing :
Keywords: HIV disclosure*; coping*; iENGAGE*; new to HIV care*; unmet needs*
Substance Nomenclature :
0 (Anti-HIV Agents)
Entry Date(s) :
Date Created: 20200513 Date Completed: 20200907 Latest Revision: 20200907
Update Code :
20201023
PubMed Central ID :
PMC7232702
DOI :
10.1089/apc.2019.0271
PMID :
32396474
Czasopismo naukowe
HIV disclosure is an important behavior with implications for HIV treatment and prevention but understudied among new to HIV care patients who face unique challenges adjusting to a new diagnosis. This study evaluated the factors associated with HIV disclosure status and patterns of HIV disclosure among new to HIV care patients. A cross-sectional study was conducted evaluating the iENGAGE (integrating ENGagement and Adherence Goals upon Entry) cohort. Participants were enrolled in this randomized behavioral trial between December 2013 and June 2016. The primary and secondary outcomes included HIV disclosure status (Yes/No) and patterns of disclosure (Broad, Selective and Nondisclosure), respectively. Logistic and Multinomial Logistic Regression were used to evaluate the association of participant factors with HIV disclosure and patterns of HIV disclosure, respectively. Of 371 participants, the average age was 37 ± 12 years, 79.3% were males, and 62.3% were African Americans. A majority of participants (78.4%) disclosed their HIV status at baseline, 63.1% were broad disclosers and 15.2% were selective disclosers. In multivariable regression, black race, emotional support, and unmet needs predicted any HIV and broad disclosure, whereas males, emotional support, active coping, and acceptance were associated with selective disclosure. Interventions to promote early disclosure should focus on coping strategies and unmet needs, particularly among black and male people living with HIV initiating care.

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