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The Association of HIV-Related Stigma to HIV Medication Adherence: A Systematic Review and Synthesis of the Literature

Sweeney, Shannon M. ; Vanable, Peter A.

AIDS and behavior, 2016-01, Vol.20 (1), p.29-50 [Periódico revisado por pares]

New York: Springer US

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Título:
The Association of HIV-Related Stigma to HIV Medication Adherence: A Systematic Review and Synthesis of the Literature
Autor: Sweeney, Shannon M. ; Vanable, Peter A.
Assuntos: Acquired immune deficiency syndrome ; Adhesion ; AIDS ; Anti-Retroviral Agents - therapeutic use ; Antiretroviral agents ; Antiretroviral therapy ; Data collection ; Discrimination (Psychology) ; Domains ; Drug therapy ; Drugs ; Empirical analysis ; Empowerment ; Health ; Health Psychology ; HIV ; HIV Infections - drug therapy ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Literature reviews ; Medication Adherence - psychology ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health ; Public Health ; Self disclosure ; Self Efficacy ; Social Stigma ; Stigma ; Stigmas (botany) ; Substantive Review ; Synthesis ; Systematic review ; Vulnerability
É parte de: AIDS and behavior, 2016-01, Vol.20 (1), p.29-50
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Descrição: This paper provides a review of the quantitative literature on HIV-related stigma and medication adherence, including: (1) synthesis of the empirical evidence linking stigma to adherence, (2) examination of proposed causal mechanisms of the stigma and adherence relationship, and (3) methodological critique and guidance for future research. We reviewed 38 studies reporting either cross-sectional or prospective analyses of the association of HIV-related stigma to medication adherence since the introduction of antiretroviral therapies (ART). Although there is substantial empirical evidence linking stigma to adherence difficulties, few studies provided data on psychosocial mechanisms that may account for this relationship. Proposed mechanisms include: (a) enhanced vulnerability to mental health difficulties, (b) reduction in self-efficacy, and (c) concerns about inadvertent disclosure of HIV status. Future research should strive to assess the multiple domains of stigma, use standardized measures of adherence, and include prospective analyses to test mediating variables.
Editor: New York: Springer US
Idioma: Inglês

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The Association of HIV-Related Stigma to HIV Medication Adherence: A Systematic Review and Synthesis of the Literature

Sweeney, Shannon M. ; Vanable, Peter A.

New York: Springer US

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