Seth C. Kalichman|Tamar Grebler
Stress and Poverty Predictors of Treatment Adherence Among People With Low-Literacy Living With HIV/AIDS
University of Connecticut|University of Connecticut
objective examine association social health povertyrelated stressors relation antiretroviral therapy adherence sample people lowliteracy living hivaids southeastern united states emotional distress among common factors associated hiv treatment adherence typical barriers adherence may overshadowed poverty experiences disadvantaged populations people living hivaids people lowerliteracy skills methods one hundred eightyeight men women living hivaids demonstrated poor health literacy completed measures social healthrelated stress indicators extreme poverty well factors associated nonadherence hiv treatment adherence monitored prospectively using unannounced pill counts results twothirds sample demonstrated adherence 85 pills taken multivariable analyses showed food insufficiency hunger predicted antiretroviral therapy nonadherence depression internalized stigma substance use hivrelated social stressors conclusions interventions hiv treatment nonadherence socially disadvantaged persons developed countries reconceptualized directly address poverty especially food insufficiency hunger moral public health imperative art antiretroviral therapy cesd centers epidemiologic studies depression pi protease inhibitor tofhla test functional health literacy adults