The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women’s Interagency HIV Study

Aruna Chandran, Lorie Benning, Rashelle J. Musci, Tracey E. Wilson, Joel Milam, Adebola Adedimeji, Carrigan Parish, Adaora A. Adimora, Jennifer Cocohoba, Mardge H. Cohen, Marcia Holstad, Seble Kassaye, Mirjam Colette Kempf, Elizabeth T. Golub

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Social support is associated with HIV-related health outcomes. However, few studies have explored this longitudinally. We assessed psychometric properties of the Medical Outcomes Study’s Social Support Survey among women in the Women’s Interagency HIV Study, and explored the longitudinal effects of social support on HIV medication adherence (HIV-positive women) and healthcare utilization (HIV-positive and negative women). The 15 questions loaded into two factors, with Cronbach’s Alpha > 0.95. Over 3 years, perceived emotional support was associated with optimal medication adherence (OR 1.19, 95% CI 1.10–1.28) and healthcare utilization (OR 1.16, 95% CI 1.05–1.27), and tangible social support with adherence only (OR 1.18, 95% CI 1.08–1.27) when controlling for covariates, including core sociodemographic characteristics and depressive symptoms. Interventions to further understand the drivers of sub-types of social support as well as enhance sustained social support may assist with optimizing care of women with and at risk for HIV.

Original languageEnglish (US)
Pages (from-to)2014-2024
Number of pages11
JournalAIDS and Behavior
Volume23
Issue number8
DOIs
StatePublished - Aug 15 2019

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Keywords

  • Adherence
  • HIV
  • Healthcare utilization
  • Social support
  • WIHS

ASJC Scopus subject areas

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

Cite this

Chandran, A., Benning, L., Musci, R. J., Wilson, T. E., Milam, J., Adedimeji, A., Parish, C., Adimora, A. A., Cocohoba, J., Cohen, M. H., Holstad, M., Kassaye, S., Kempf, M. C., & Golub, E. T. (2019). The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women’s Interagency HIV Study. AIDS and Behavior, 23(8), 2014-2024. https://doi.org/10.1007/s10461-018-2308-x