Soo Bin Kim, Seung Bae Cho, Hyogyun Choi, Sehun Lim
Educational value of spinal injection therapy videos in Korean YouTube for back pain patients
Anesthesia and pain medicine
adherence hiv antiretroviral therapy art critical determinant hiv1 rna viral suppression health outcomes generally accepted hivrelated stigma correlated factors may undermine art adherence relationship art adherence well established therefore undertook review systematically assess relationship hivrelated stigma art adherencewe searched nine electronic databases published unpublished literature language restrictions first screened titles abstracts studies potentially contained data art adherence reviewed full text studies identify articles reported data relationship art adherence either hivrelated stigma serostatus disclosure used method metasynthesis summarize findings qualitative studiesour search protocol yielded 14854 initial records eliminating duplicates screening titles abstracts retrieved full text 960 journal articles dissertations unpublished conference abstracts review included 75 studies conducted among 26715 hivpositive persons living 32 countries worldwide less representation work eastern europe central asia among 34 qualitative studies metasynthesis identified five distinct thirdorder labels inductive process categorized themes organized conceptual model spanning intrapersonal interpersonal structural levels hivrelated stigma undermined art adherence compromising general psychological processes adaptive coping social support also identified psychological processes specific hivpositive persons driven predominant stigmatizing attitudes undermined adherence internalized stigma concealment adaptive coping social support critical determinants participants ability overcome structural economic barriers associated poverty order successfully adhere art among 41 quantitative studies 24 33 crosssectional studies 71 reported positive finding hiv stigma art nonadherence 6 7 longitudinal studies 86 reported null finding pearsons 277 p0005we found hivrelated stigma compromised participants abilities successfully adhere art interventions reduce stigma target multiple levels influence intrapersonal interpersonal structural order maximum effectiveness improving art adherence