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.

Keywords

  • HIV
  • South America
  • women

ASJC Scopus subject areas

  • Immunology
  • Dermatology
  • Infectious Diseases

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