Rates and correlates of HIV treatment adherence among late middle-aged and older adults living with HIV disease

Sheryl L Catz, T. G. Heckman, A. Kochman, M. DiMarco

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

A growing number of older adults in the USA are contracting new HIV infections, and more persons living with HIV are living longer due to medical treatment advances. New treatments for HIV disease can improve immune functioning and decrease AIDS-related mortality. However, older persons living with HIV may not respond well to treatment and may experience difficulties adhering to complex medication regimens. One hundred and thirteen late middle-aged and older adults living with HIV (aged 47-69 years) were administered measures of demographic, medical and psychological characteristics. Eighty-four of these patients were currently prescribed antiretroviral medication for treatment of HIV, and this sub-set of participants completed brief self-report measures of medication adherence. Nearly one-third (31%) of older adults reported skipping medication doses in the past week. Education level, satisfaction with patient-provider relationships, physical well-being, alcohol use, perceptions of life stressor burden, anxiety and somatization distinguished patients reporting consistent versus inconsistent adherence. Less education, poorer relationships with physicians, greater alcohol use and higher levels of somatization uniquely predicted adherence problems in a multivariate model. Reasons for nonadherence most frequently cited by older adults are presented and recommendations are offered regarding adherence-related domains that should be monitored and addressed among older adults receiving HIV care.

Original languageEnglish (US)
Pages (from-to)47-58
Number of pages12
JournalPsychology, Health and Medicine
Volume6
Issue number1
StatePublished - 2001
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

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