AIDS and Behavior

, Volume 11, Issue 5, pp 663–675

Medication Adherence and Sexual Risk Behavior among HIV-Infected Adults: Implications for Transmission of Resistant Virus

Authors

    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Theresa M. Exner
    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Stephen F. Morin
    • Center for AIDS Prevention StudiesUniversity of California, San Francisco
  • Anke A. Ehrhardt
    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Mallory O. Johnson
    • Center for AIDS Prevention StudiesUniversity of California, San Francisco
  • Jackie Correale
    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Stephanie Marhefka
    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Sheri B. Kirshenbaum
    • HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia University
  • Lance S. Weinhardt
    • Center for AIDS Intervention ResearchMedical College of Wisconsin
  • Mary Jane Rotheram-Borus
    • Center for Community HealthUniversity of California, Los Angeles
  • Sheryl L. Catz
    • Group Health Center for Health Studies
  • Cheryl Gore-Felton
    • Department of Psychiatry & Behavioral SciencesStanford University School of Medicine
  • Margaret A. Chesney
    • Center for AIDS Prevention StudiesUniversity of California, San Francisco
  • Jeffrey Kelly
    • Center for AIDS Intervention ResearchMedical College of Wisconsin
  • The NIMH Healthy Living Project Team
Original Paper

DOI: 10.1007/s10461-006-9201-8

Cite this article as:
Remien, R.H., Exner, T.M., Morin, S.F. et al. AIDS Behav (2007) 11: 663. doi:10.1007/s10461-006-9201-8

Abstract

As more people are living long-term with HIV there are growing concerns about specific behaviors that can affect both personal and the public health. This study examined the relationship between antiretroviral therapy (ART) adherence and sexual risk behavior and their association with psychosocial and health factors among a diverse sample of 2,849 HIV-infected adults. Only 8.5% of the sample reported both non-adherence and sexual risk. Individuals were 46% more likely to report one of these risk outcomes when the other one was present and the presence of both outcomes was associated with an increased likelihood of having a detectable viral load. A simultaneous polytomous regression analysis revealed complex relationships among a range of psychosocial variables and the two primary behavioral risk outcomes. There is a need for targeted interventions and integration of mental health and substance use services into primary HIV care settings.

Keywords

Prevention with positivesHIV transmissionResistant virusAdherenceSexual risk

Copyright information

© Springer Science+Business Media, LLC 2006