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HIV-Infected Gay Men and Adherence to HIV Antiretroviral Therapies

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Understanding Prevention for HIV Positive Gay Men

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Abstract

Advances in antiretroviral medications have resulted in precipitous declines in HIV-associated morbidity and mortality; however, high levels of adherence are crucial to the success of HIV therapies. This chapter reviews the current state of knowledge regarding antiretroviral therapy (ART) adherence among HIV-infected gay, bisexual, and other MSM in the US, documenting the rates of ART adherence among diverse groups of MSM, contextual issues that affect adherence, and implications for secondary prevention. Findings suggest that adherence to HIV antiretroviral medications is highly variable and may differ as a result of measurement and the broader psychosocial and contextual issues affecting the lives of gay men. These issues include access to medical care, mental health (e.g., depression), substance use, treatment beliefs, complexity of treatment regimen, and the patient-provider relationship. To improve ART adherence among HIV-infected gay men, future interventions should be culturally appropriate and designed to address the complex array of factors influencing adherence among this population.

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Authors and Affiliations

  1. Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA

    Jaclyn M. White Hughto

  2. The Fenway Institute, Fenway Health, Boston, MA, USA

    Jaclyn M. White Hughto & Matthew J. Mimiaga

  3. Joint Doctoral Program in Clinical Psychology, University of California, San Diego (UCSD)/San Diego State University (SDSU), San Diego, CA, USA

    Janna R. Gordon

  4. Departments of Epidemiology and Behavioral & Social Health Sciences, Brown School of Public Health, Providence, RI, USA

    Matthew J. Mimiaga

  5. Department of Psychiatry & Human Behavior, Alpert Medical School, Brown University, Providence, RI, USA

    Matthew J. Mimiaga

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  3. Matthew J. Mimiaga
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Correspondence to Jaclyn M. White Hughto .

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  1. Department of Human Development, College of Community and Public Affairs (CCPA), State University of New York at Binghamton, Binghamton, NY, USA

    Leo Wilton

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White Hughto, J.M., Gordon, J.R., Mimiaga, M.J. (2017). HIV-Infected Gay Men and Adherence to HIV Antiretroviral Therapies. In: Wilton, L. (eds) Understanding Prevention for HIV Positive Gay Men. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0203-0_7

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