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

  • Robert H. Remien
  • Theresa M. Exner
  • Stephen F. Morin
  • Anke A. Ehrhardt
  • Mallory O. Johnson
  • Jackie Correale
  • Stephanie Marhefka
  • Sheri B. Kirshenbaum
  • Lance S. Weinhardt
  • Mary Jane Rotheram-Borus
  • Sheryl L. Catz
  • Cheryl Gore-Felton
  • Margaret A. Chesney
  • Jeffrey Kelly
  • The NIMH Healthy Living Project Team
Original Paper

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 positives HIV transmission Resistant virus Adherence Sexual risk 

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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Robert H. Remien
    • 1
  • Theresa M. Exner
    • 1
  • Stephen F. Morin
    • 2
  • Anke A. Ehrhardt
    • 1
  • Mallory O. Johnson
    • 2
  • Jackie Correale
    • 1
  • Stephanie Marhefka
    • 1
  • Sheri B. Kirshenbaum
    • 1
  • Lance S. Weinhardt
    • 3
  • Mary Jane Rotheram-Borus
    • 4
  • Sheryl L. Catz
    • 5
  • Cheryl Gore-Felton
    • 6
  • Margaret A. Chesney
    • 2
  • Jeffrey Kelly
    • 3
  • The NIMH Healthy Living Project Team
  1. 1.HIV Center for Clinical and Behavioral StudiesNY State Psychiatric Institute and Columbia UniversityNew YorkUSA
  2. 2.Center for AIDS Prevention StudiesUniversity of California, San FranciscoSan FranciscoUSA
  3. 3.Center for AIDS Intervention ResearchMedical College of WisconsinMilwaukeeUSA
  4. 4.Center for Community HealthUniversity of California, Los AngelesLos AngelesUSA
  5. 5.Group Health Center for Health StudiesSeattleUSA
  6. 6.Department of Psychiatry & Behavioral SciencesStanford University School of MedicineStanfordUSA

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