Caregivers’ Support Network Characteristics Associated with Viral Suppression among HIV Care Recipients
Informal care receipt is associated with health outcomes among people living with HIV. Less is known about how caregivers’ own social support may affect their care recipient’s health. We examined associations between network characteristics of informal caregivers and HIV viral suppression among former or current drug using care recipients. We analyzed data from 258 caregiver-recipient dyads from the Beacon study, of whom 89% of caregivers were African American and 59% were female. In adjusted logistic regression analysis, care recipients had lower odds of being virally suppressed if their caregiver was female, was caring for youth involved in the criminal justice system, and had network members who used illicit drugs. Caregivers’ greater numbers of non-kin in their support network was positively associated with viral suppression among care recipients. The findings reveal contextual factors affecting ART outcomes and the need for interventions to support caregivers, especially HIV caregiving women with high-risk youth.
KeywordsInformal HIV caregiving Black/African American HIV/AIDS Viral load suppression Social support networks
The study team gratefully acknowledges the study participants’ time and openness during this research.
This study was supported by the National Institute on Drug Abuse (R01 DA13142-01A1 and R01 DA019413), and the National Institute of Nursing Research (R01 NR14050-01), and the National Center for Complementary and Integrative Health (5K01AT009049-02). This research was also supported by the Johns Hopkins Center for AIDS Research (1P30AI094189).
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 2.Centers for Disease Control and Prevention (CDC). Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 US dependent areas—2012. HIV surveillance supplemental report 2014;19(3).Google Scholar
- 4.Maryland Department of Health and Mental Hygiene, Prevention and Health Promotion Administration, Center for HIV Surveillance, Epidemiology and Evaluation Infectious Disease Bureau. Baltimore City HIV/AIDS epidemiological profile fourth quarter 2012. Maryland Department of Health and Mental Hygiene. 2012. http://phpa.dhmh.maryland.gov/OIDEOR/CHSE/Shared%20Documents/Baltimore-City.pdf. Accessed 17 March 2015.
- 5.U.S. Census Bureau. 2009–2013 American Community Survey 5-Year Profiles 2015; 2015; Available at: http://www.census.gov/search-results.html?q=baltimore+city+poverty&page=1&stateGeo=none&searchtype=web&search.x=0&search.y=0. Accessed 25 Oct 2015.
- 6.Drug Strategies. Smart Steps: Treating Baltimore’s Drug Problem. 2000. http://www.drugstrategies.com/wp-content/uploads/2014/05/baltimore.pdf. Accessed 27 May 2016.
- 7.Justice Policy Institute and the Prison Policy Initiative. The right investment? Corrections spending in Baltimore City. 2015. http://www.justicepolicy.org/uploads/justicepolicy/documents/rightinvestment_design_2.23.15_final.pdf. Accessed 17 Mar 2015.
- 17.Knowlton AR, Arnsten JH, Gourevitch MN, Eldred L, Wilkinson JD, Rose CD, et al. Microsocial environmental influences on highly active antiretroviral therapy outcomes among active injection drug users: the role of informal caregiving and household factors. J Acquir Immune Defic Syndr. 2007;1(46 Suppl 2):S110–9.CrossRefGoogle Scholar
- 30.Ruiz DS, Kopak A. The consequences of parental incarceration for African American mothers, children, and grandparent caregivers. J Pan Afr Stud. 2014;7(6):9.Google Scholar
- 33.Knowlton AR, Mitchell MM, Robinson AC, Nguyen TQ, Isenberg S, Denison J. Informal HIV caregiver proxy reports of care recipients’ treatment adherence: relationship factors associated with concordance with recipients’ viral suppression. AIDS Behav. 2015;19(11):2123–9.CrossRefPubMedPubMedCentralGoogle Scholar
- 38.Barrera M. A method for the assessment of social support networks in community survey research. Connections. 1980;3(3):8–13.Google Scholar
- 39.SPSS I. IBM SPSS statistics for Windows, version 20.0. 2011.Google Scholar