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Racial disparities in the association between resilience and ART adherence among people living with HIV: the mediating role of depression.

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Title: Racial disparities in the association between resilience and ART adherence among people living with HIV: the mediating role of depression.
Authors: Brown, Monique J., Wu, Miao, Zeng, Chengbo, Harrison, Sayward, Haider, Mohammad Rifat, Li, Xiaoming
Source: AIDS Care. Dec2022, Vol. 34 Issue 12, p1555-1564. 10p. 2 Diagrams, 3 Charts.
Subjects: HIV infections, Black people, Antiretroviral agents, Race, Drugs, Mental depression, Questionnaires, Patient compliance, Path analysis (Statistics), Psychology of HIV-positive persons, Psychological resilience, African Americans
Geographic Terms: South Carolina
Abstract: Research examining the mediating role of depressive symptoms in the association between resilience and antiretroviral therapy (ART) adherence is lacking. Therefore, this study aims to examine the mediating role of depression between resilience and ART adherence, as well as to explore whether this relationship varies across racial background. A total of 327 people living with HIV and on ART in South Carolina were surveyed about their ART adherence and mental health, including resilience and depressive symptoms. Path analyses were conducted to determine the direct and indirect effects between resilience, depressive symptoms, and ART adherence. After adjusting for age, gender, income, education, employment and time since diagnosis, among Black individuals, resilience was negatively associated with depressive symptoms (β = -−0.248, p < 0.001); depressive symptoms were negatively associated with ART adherence (β = −0.166, p = 0.020); however, resilience was not significantly associated with ART adherence. Among White individuals, there was no statistically significant association. The indirect effect between resilience and ART adherence through depressive symptoms was statistically significant (β = 0.041, p = 0.040) for Black individuals, while not statistically significant for White individuals (β = 0.024, p = 0.578). Interventions aimed at improving ART adherence, which attenuate depressive symptoms through accentuating resilience may be especially beneficial for Black populations living with HIV. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Racial disparities in the association between resilience and ART adherence among people living with HIV: the mediating role of depression.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Dec2022, Vol. 34 Issue 12, p1555-1564. 10p. 2 Diagrams, 3 Charts.
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  Data: Research examining the mediating role of depressive symptoms in the association between resilience and antiretroviral therapy (ART) adherence is lacking. Therefore, this study aims to examine the mediating role of depression between resilience and ART adherence, as well as to explore whether this relationship varies across racial background. A total of 327 people living with HIV and on ART in South Carolina were surveyed about their ART adherence and mental health, including resilience and depressive symptoms. Path analyses were conducted to determine the direct and indirect effects between resilience, depressive symptoms, and ART adherence. After adjusting for age, gender, income, education, employment and time since diagnosis, among Black individuals, resilience was negatively associated with depressive symptoms (β = -−0.248, p &lt; 0.001); depressive symptoms were negatively associated with ART adherence (β = −0.166, p = 0.020); however, resilience was not significantly associated with ART adherence. Among White individuals, there was no statistically significant association. The indirect effect between resilience and ART adherence through depressive symptoms was statistically significant (β = 0.041, p = 0.040) for Black individuals, while not statistically significant for White individuals (β = 0.024, p = 0.578). Interventions aimed at improving ART adherence, which attenuate depressive symptoms through accentuating resilience may be especially beneficial for Black populations living with HIV. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2022.2049194
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1555
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Black people
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Path analysis (Statistics)
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Psychological resilience
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: South Carolina
        Type: general
    Titles:
      – TitleFull: Racial disparities in the association between resilience and ART adherence among people living with HIV: the mediating role of depression.
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            NameFull: Brown, Monique J.
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            NameFull: Wu, Miao
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            NameFull: Zeng, Chengbo
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            NameFull: Harrison, Sayward
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            – D: 01
              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
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              Value: 34
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