Women of Reproductive Age Living with HIV in Argentina: Unique Challenges for Reengagement in Care

Diego Cecchini, Maria Luisa Alcaide, Violeta de Jesus Rodriguez, Lissa Nicole Mandell, John Michael Abbamonte, Isabel Cassetti, Pedro Cahn, Omar Sued, Stephen Marshall Weiss, Deborah Lynne Jones

Research output: Contribution to journalArticle

Abstract

This study evaluated the reasons for not taking antiretroviral treatment (ART) among women of reproductive age who are disengaged from HIV care (have missed pharmacy pickups and physician visits), with the goal of identifying strategies for reengagement in HIV care. Participants were cisgender women (n = 162), 18 to 49 years of age, and who completed sociodemographic, medical history, reasons why they were not taking ART, mental health, motivation, and self-efficacy assessments. Latent class analysis was used for analysis. Women who reported avoidance-based coping (avoid thinking about HIV) had higher depression (U = 608.5, z = −2.7, P =.007), lower motivation (U = 601, z = −2.8, P =.006), and lower self-efficacy (U = 644.5, z = −2.4, P =.017) than those not using this maladaptive strategy. As women living with HIV experience a disproportionate burden of poor health outcomes, interventions focused on the management of depression may improve HIV outcomes and prevent HIV transmission.

Original languageEnglish (US)
JournalJournal of the International Association of Providers of AIDS Care
Volume18
DOIs
StatePublished - Jan 1 2019

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Argentina
HIV
Self Efficacy
Motivation
Depression
Mental Health
Physicians
Health
Therapeutics

Keywords

  • HIV
  • South America
  • women

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

Cite this

Women of Reproductive Age Living with HIV in Argentina : Unique Challenges for Reengagement in Care. / Cecchini, Diego; Alcaide, Maria Luisa; Rodriguez, Violeta de Jesus; Mandell, Lissa Nicole; Abbamonte, John Michael; Cassetti, Isabel; Cahn, Pedro; Sued, Omar; Weiss, Stephen Marshall; Jones, Deborah Lynne.

In: Journal of the International Association of Providers of AIDS Care, Vol. 18, 01.01.2019.

Research output: Contribution to journalArticle

Cecchini, Diego ; Alcaide, Maria Luisa ; Rodriguez, Violeta de Jesus ; Mandell, Lissa Nicole ; Abbamonte, John Michael ; Cassetti, Isabel ; Cahn, Pedro ; Sued, Omar ; Weiss, Stephen Marshall ; Jones, Deborah Lynne. / Women of Reproductive Age Living with HIV in Argentina : Unique Challenges for Reengagement in Care. In: Journal of the International Association of Providers of AIDS Care. 2019 ; Vol. 18.
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