AIDS and Behavior

, Volume 19, Issue 11, pp 2123–2129

Informal HIV Caregiver Proxy Reports of Care Recipients’ Treatment Adherence: Relationship Factors Associated with Concordance with Recipients’ Viral Suppression

  • Amy R. Knowlton
  • Mary M. Mitchell
  • Allysha C. Robinson
  • Trang Q. Nguyen
  • Sarina Isenberg
  • Julie Denison
Original Paper

Abstract

To explore the role of informal caregivers in adherence, we compared adherence reports by caregivers to those of care recipients. We identified individual-level and relationship factors associated with agreement between caregivers’ reports of recipients’ adherence and assessed viral suppression. Participants were care recipients, who were on ART and had ever injected drugs, and their caregivers (N = 258 dyads). Nearly three-fourths of caregivers’ reports of recipients’ ART adherence agreed with recipients’ viral suppression status. Agreement was associated with recipient age and expressing affection or gratitude to the caregiver, caregiver’s having been close to someone who died of HIV/AIDS, and caregiver’s fear of caregiving-related HIV (re)infection, while it was negatively associated with recipient’s limited physical functioning. Our findings support the utility of caregiver proxy reports of care recipients’ ART adherence and suggest ways to identify and promote HIV caregiver attention to and support of this vulnerable population’s ART adherence.

Keywords

Informal HIV caregiving Black/African American Injection drug/substance abuse Antiretroviral therapy adherence Measurement concordance/agreement 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Amy R. Knowlton
    • 1
  • Mary M. Mitchell
    • 1
  • Allysha C. Robinson
    • 1
  • Trang Q. Nguyen
    • 1
  • Sarina Isenberg
    • 1
  • Julie Denison
    • 2
  1. 1.Department of Health, Behavior and SocietyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  2. 2.Department of International HealthJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA

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