Medication adherence and sexual risk behavior among HIV-infected adults: Implications for transmission of resistant virus

Robert H. Remien, Theresa M. Exner, Stephen F. Morin, Anke A. Ehrhardt, Mallory O. Johnson, Jackie Correale, Stephanie Marhefka, Sheri B. Kirshenbaum, Lance S. Weinhardt, Mary Jane Rotheram-Borus, Sheryl L Catz, Cheryl Gore-Felton, Margaret A. Chesney, Jeffrey Kelly

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

As more people are living long-term with HIV there are growing concerns about specific behaviors that can affect both personal and the public health. This study examined the relationship between antiretroviral therapy (ART) adherence and sexual risk behavior and their association with psychosocial and health factors among a diverse sample of 2,849 HIV-infected adults. Only 8.5% of the sample reported both non-adherence and sexual risk. Individuals were 46% more likely to report one of these risk outcomes when the other one was present and the presence of both outcomes was associated with an increased likelihood of having a detectable viral load. A simultaneous polytomous regression analysis revealed complex relationships among a range of psychosocial variables and the two primary behavioral risk outcomes. There is a need for targeted interventions and integration of mental health and substance use services into primary HIV care settings.

Original languageEnglish (US)
Pages (from-to)663-675
Number of pages13
JournalAIDS and Behavior
Volume11
Issue number5
DOIs
StatePublished - Sep 2007
Externally publishedYes

Fingerprint

Medication Adherence
Risk-Taking
Sexual Behavior
HIV
Viruses
HIV-2
Viral Load
Primary Health Care
Mental Health
Public Health
Regression Analysis
Psychology
Health
Therapeutics

Keywords

  • Adherence
  • HIV transmission
  • Prevention with positives
  • Resistant virus
  • Sexual risk

ASJC Scopus subject areas

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

Cite this

Remien, R. H., Exner, T. M., Morin, S. F., Ehrhardt, A. A., Johnson, M. O., Correale, J., ... Kelly, J. (2007). Medication adherence and sexual risk behavior among HIV-infected adults: Implications for transmission of resistant virus. AIDS and Behavior, 11(5), 663-675. https://doi.org/10.1007/s10461-006-9201-8

Medication adherence and sexual risk behavior among HIV-infected adults : Implications for transmission of resistant virus. / Remien, Robert H.; Exner, Theresa M.; Morin, Stephen F.; Ehrhardt, Anke A.; Johnson, Mallory O.; Correale, Jackie; Marhefka, Stephanie; Kirshenbaum, Sheri B.; Weinhardt, Lance S.; Rotheram-Borus, Mary Jane; Catz, Sheryl L; Gore-Felton, Cheryl; Chesney, Margaret A.; Kelly, Jeffrey.

In: AIDS and Behavior, Vol. 11, No. 5, 09.2007, p. 663-675.

Research output: Contribution to journalArticle

Remien, RH, Exner, TM, Morin, SF, Ehrhardt, AA, Johnson, MO, Correale, J, Marhefka, S, Kirshenbaum, SB, Weinhardt, LS, Rotheram-Borus, MJ, Catz, SL, Gore-Felton, C, Chesney, MA & Kelly, J 2007, 'Medication adherence and sexual risk behavior among HIV-infected adults: Implications for transmission of resistant virus', AIDS and Behavior, vol. 11, no. 5, pp. 663-675. https://doi.org/10.1007/s10461-006-9201-8
Remien, Robert H. ; Exner, Theresa M. ; Morin, Stephen F. ; Ehrhardt, Anke A. ; Johnson, Mallory O. ; Correale, Jackie ; Marhefka, Stephanie ; Kirshenbaum, Sheri B. ; Weinhardt, Lance S. ; Rotheram-Borus, Mary Jane ; Catz, Sheryl L ; Gore-Felton, Cheryl ; Chesney, Margaret A. ; Kelly, Jeffrey. / Medication adherence and sexual risk behavior among HIV-infected adults : Implications for transmission of resistant virus. In: AIDS and Behavior. 2007 ; Vol. 11, No. 5. pp. 663-675.
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