Abstract
Seropositive injecting drug users (n = 135) participating in methadone maintenance treatment were assessed for HIV treatment behaviors, psychosocial adjustment, and HIV- and medication-specific attitudes and beliefs. Acceptance was associated with greater beliefs in zidovudine (ZDV) efficacy and ZDV as a source of control and hope. Higher ZDV control/hope beliefs were associated with both higher adherence and longer treatment duration. Lower adherence was associated with symptomatic disease stage, and alcohol/drug coping. Female gender and public assistance were associated with shorter duration of treatment. ZDV side effects and distrust of government HIV policy and HIV medications were not uncommon, but were not clearly associated with treatment behaviors. The results suggest that viewing HIV treatment as a source of control and hope may function as a motivator of treatment behaviors. This and other HIV-specific beliefs, gender issues, disease status, and psychosocial adjustment are important areas for further intervention and research.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 283-291 |
| Number of pages | 9 |
| Journal | AIDS and Behavior |
| Volume | 2 |
| Issue number | 4 |
| State | Published - 1998 |
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Keywords
- Adherence
- Compliance
- HIV
ASJC Scopus subject areas
- Psychiatry and Mental health
- Public Health, Environmental and Occupational Health
Cite this
The relationship of HIV treatment acceptance and adherence to psyschosocial factors among injecting drug users. / Demas, P.; Schoenbaum, Ellie; Hirky, A. E.; Wills, T. A.; Doll, L. S.; Hartel, D. M.; Klein, R. S.
In: AIDS and Behavior, Vol. 2, No. 4, 1998, p. 283-291.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The relationship of HIV treatment acceptance and adherence to psyschosocial factors among injecting drug users
AU - Demas, P.
AU - Schoenbaum, Ellie
AU - Hirky, A. E.
AU - Wills, T. A.
AU - Doll, L. S.
AU - Hartel, D. M.
AU - Klein, R. S.
PY - 1998
Y1 - 1998
N2 - Seropositive injecting drug users (n = 135) participating in methadone maintenance treatment were assessed for HIV treatment behaviors, psychosocial adjustment, and HIV- and medication-specific attitudes and beliefs. Acceptance was associated with greater beliefs in zidovudine (ZDV) efficacy and ZDV as a source of control and hope. Higher ZDV control/hope beliefs were associated with both higher adherence and longer treatment duration. Lower adherence was associated with symptomatic disease stage, and alcohol/drug coping. Female gender and public assistance were associated with shorter duration of treatment. ZDV side effects and distrust of government HIV policy and HIV medications were not uncommon, but were not clearly associated with treatment behaviors. The results suggest that viewing HIV treatment as a source of control and hope may function as a motivator of treatment behaviors. This and other HIV-specific beliefs, gender issues, disease status, and psychosocial adjustment are important areas for further intervention and research.
AB - Seropositive injecting drug users (n = 135) participating in methadone maintenance treatment were assessed for HIV treatment behaviors, psychosocial adjustment, and HIV- and medication-specific attitudes and beliefs. Acceptance was associated with greater beliefs in zidovudine (ZDV) efficacy and ZDV as a source of control and hope. Higher ZDV control/hope beliefs were associated with both higher adherence and longer treatment duration. Lower adherence was associated with symptomatic disease stage, and alcohol/drug coping. Female gender and public assistance were associated with shorter duration of treatment. ZDV side effects and distrust of government HIV policy and HIV medications were not uncommon, but were not clearly associated with treatment behaviors. The results suggest that viewing HIV treatment as a source of control and hope may function as a motivator of treatment behaviors. This and other HIV-specific beliefs, gender issues, disease status, and psychosocial adjustment are important areas for further intervention and research.
KW - Adherence
KW - Compliance
KW - HIV
UR - http://www.scopus.com/inward/record.url?scp=0031697511&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031697511&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0031697511
VL - 2
SP - 283
EP - 291
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 4
ER -