Document Detail


Work-related barriers and facilitators to antiretroviral therapy adherence in persons living with HIV infection.
MedLine Citation:
PMID:  20091340     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Little is known about how the structure of work affects adherence to HIV antiretroviral therapy. We surveyed participants in an adherence intervention study to learn more about job characteristics, including measures of psychological demand and control, and job accommodations. Adherence was assessed using the Medication Event Monitoring System. Of 156 trial subjects, 69 were employed, and these 69 made 229 study visits. Psychological demands and control were unrelated to adherence, but the presence of workplace accommodations was significantly associated with adherence (P < 0.05). In multivariable models adjusting for clustering, those who reported having received an accommodation were 12% more adherent than those who did not receive an accommodation. Adherence was unrelated to experiencing side effects affecting work performance. Having the ability to institute job accommodations was more important to adherence than the psychosocial structure of the work. These potential benefits of requesting modifications need to be weighed against the possible risks of workplace disclosure.
Authors:
Gilberto Torres-Madriz; Debra Lerner; Robin Ruthazer; William H Rogers; Ira B Wilson
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  AIDS and behavior     Volume:  15     ISSN:  1573-3254     ISO Abbreviation:  AIDS Behav     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-28     Completed Date:  2011-12-30     Revised Date:  2013-10-24    
Medline Journal Info:
Nlm Unique ID:  9712133     Medline TA:  AIDS Behav     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1475-82     Citation Subset:  IM    
Affiliation:
The Department of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, MA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anti-HIV Agents / adverse effects,  therapeutic use*
Cross-Sectional Studies
Drug Monitoring
Employment* / psychology
Female
HIV Infections / drug therapy*,  psychology*
Humans
Male
Massachusetts
Middle Aged
Patient Compliance*
Questionnaires
Socioeconomic Factors
Workplace / psychology
Grant Support
ID/Acronym/Agency:
5 T32 AI0055412-03/AI/NIAID NIH HHS; 5T32 AI007438-15/AI/NIAID NIH HHS; K24 MH092242/MH/NIMH NIH HHS; K24 RR020300/RR/NCRR NIH HHS; P30AI042853/AI/NIAID NIH HHS; R01 DA015679/DA/NIDA NIH HHS; R01DA015679/DA/NIDA NIH HHS; R21MH073420/MH/NIMH NIH HHS; UL1 RR025752/RR/NCRR NIH HHS; UL1 RR025752/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Anti-HIV Agents
Comments/Corrections

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