Skip to main content

Advertisement

Log in

Measuring ART Adherence Among Young Adults with Perinatally Acquired HIV: Comparison Between Self-report, Telephone-Based Pill Count, and Objective Pharmacologic Measures

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Tenofovir diphosphate (TVF-DP) can be quantified in red blood cells (RBCs) and dried blood spots (DBS) and can objectively measure ART adherence and predict viral suppression. Data on the association of TFV-DP with viral load are very limited in adolescents and young adults (AYA) living with perinatally-acquired HIV (PHIV), as are data comparing TFV-DP to other measures of ART adherence, such as self-report and unannounced telephone pill count. Viral load and ART adherence (self-report, TFV-DP and unannounced telephone pill count) were assessed and compared among 61 AYAPHIV recruited from an ongoing longitudinal study (CASAH) in New York City.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data Availability

The datasets generated and/or analyzed for preparation of this manuscript are available from the corresponding author on reasonable request.

Code Availability

Not applicable.

References

  1. Kagee A, Nel A. Assessing the association between self-report items for HIV pill adherence and biological measures. AIDS Care. 2012;24(11):1448–52. https://doi.org/10.1080/09540121.2012.687816.

    Article  PubMed  Google Scholar 

  2. Eisinger RW, Dieffenbach CW, Fauci AS. HIV viral load and transmissibility of HIV infection: undetectable equals untransmittable. JAMA. 2019;321(5):451–2. https://doi.org/10.1001/jama.2018.21167.

    Article  PubMed  Google Scholar 

  3. UNAIDS. Global HIV & AIDS statistics—Fact sheet | UNAIDS. UNAIDS. 2022. https://www.unaids.org/en/resources/fact-sheet. Accessed 20 Dec 2022.

  4. Da W, Li X, Qiao S, Zhou Y, Shen Z. Evaluation of self-report adherence measures and their associations with detectable viral load among people living with HIV (PLHIV) in China. PLoS ONE. 2018;13(8):e0203032. https://doi.org/10.1371/journal.pone.0203032.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Bucek A, Raymond J, Leu CS, et al. Preliminary validation of an unannounced telephone pill count protocol to measure medication adherence among young adults with perinatal HIV infection. J Assoc Nurses AIDS Care. 2020;31(1):35–41. https://doi.org/10.1097/JNC.0000000000000082.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Zheng JH, Rower C, McAllister K, Castillo-Mancilla J, Klein B, Meditz A, Guida LA, Kiser JJ, Bushman LR, Anderson PL. Application of an intracellular assay for determination of tenofovir-diphosphate and emtricitabine-triphosphate from erythrocytes using dried blood spots. J Pharm Biomed Anal. 2016;122:16–20. https://doi.org/10.1016/j.jpba.2016.01.038.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Castillo-Mancilla JR, Morrow M, Coyle RP, et al. Tenofovir diphosphate in dried blood spots is strongly associated with viral suppression in individuals with human immunodeficiency virus infections. Clin Infect Dis. 2019;68(8):1335–42. https://doi.org/10.1093/cid/ciy708.

    Article  CAS  PubMed  Google Scholar 

  8. Jennings L, Robbins RN, Nguyen N, et al. Tenofovir diphosphate in dried blood spots predicts future viremia in persons with HIV taking antiretroviral therapy in South Africa. AIDS. 2022;36(7):933–40. https://doi.org/10.1097/QAD.0000000000003185.

    Article  CAS  PubMed  Google Scholar 

  9. Abrams EJ, Mellins CA, Bucek A, et al. Behavioral health and adult milestones in young adults with perinatal HIV infection or exposure. Pediatrics. 2018;142(3):e20180938. https://doi.org/10.1542/peds.2018-0938.

    Article  PubMed  Google Scholar 

  10. Wilson IB, Tie Y, Padilla M, Rogers WH, Beer L. Performance of a short, self-report adherence scale in a probability sample of persons using HIV antiretroviral therapy in the United States. AIDS. 2020;34(15):2239–47. https://doi.org/10.1097/QAD.0000000000002689.

    Article  PubMed  Google Scholar 

  11. IBM Corp. IBM SPSS statistics for Windows, version 25.0. Armonk: IBM Corp; 2017.

    Google Scholar 

Download references

Funding

This research was supported by the National Institute of Mental Health (R01 MH069133 PI Mellins; P30 MH043520 PI Remien; and T32 MH19139 PI Sandfort).

Author information

Authors and Affiliations

Authors

Contributions

RNR, LK, and NN wrote a first draft of the manuscript. LK performed the research. CAM, EJA, AW, and CD designed the research study. CD managed the data. CSL analyzed the data. AW, EJA, PLA, and JRC-M provided critical comments and insight. All authors contributed to interpreting the results, reviewing and revising, and all authors have approved the final manuscript.

Corresponding author

Correspondence to R. N. Robbins.

Ethics declarations

Conflict of interest

Not applicable.

Ethical Approval

All study procedures covered in this manuscript were conducted with approval of the New York State Psychiatric Institute’s Institutional Review Board.

Consent to Participate

All study participants provided informed consent and did not participate in any procedures they did not explicitly agree to.

Consent for Publication

In providing their informed consent to participate, study participants were made aware that all data they contribute to the project could be used in publications.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Robbins, R.N., Kluisza, L., Nguyen, N. et al. Measuring ART Adherence Among Young Adults with Perinatally Acquired HIV: Comparison Between Self-report, Telephone-Based Pill Count, and Objective Pharmacologic Measures. AIDS Behav 27, 3927–3931 (2023). https://doi.org/10.1007/s10461-023-04107-y

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-023-04107-y

Keywords

Navigation