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3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis

OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION...

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Autores principales: Lambert, Crystal Chapman, McDavid, Chastity, Thomas, Tammi F., King, Kiko, Azuero, Andres, Holstad, Marcia, Raper, James L., Turan, Janet M., Mugavero, Michael J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798539/
http://dx.doi.org/10.1017/cts.2019.174
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author Lambert, Crystal Chapman
McDavid, Chastity
Thomas, Tammi F.
King, Kiko
Azuero, Andres
Holstad, Marcia
Raper, James L.
Turan, Janet M.
Mugavero, Michael J.
author_facet Lambert, Crystal Chapman
McDavid, Chastity
Thomas, Tammi F.
King, Kiko
Azuero, Andres
Holstad, Marcia
Raper, James L.
Turan, Janet M.
Mugavero, Michael J.
author_sort Lambert, Crystal Chapman
collection PubMed
description OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors.
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spelling pubmed-67985392019-10-28 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis Lambert, Crystal Chapman McDavid, Chastity Thomas, Tammi F. King, Kiko Azuero, Andres Holstad, Marcia Raper, James L. Turan, Janet M. Mugavero, Michael J. J Clin Transl Sci Education/Mentoring/Professional and Career Development OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors. Cambridge University Press 2019-03-27 /pmc/articles/PMC6798539/ http://dx.doi.org/10.1017/cts.2019.174 Text en © The Association for Clinical and Translational Science 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Education/Mentoring/Professional and Career Development
Lambert, Crystal Chapman
McDavid, Chastity
Thomas, Tammi F.
King, Kiko
Azuero, Andres
Holstad, Marcia
Raper, James L.
Turan, Janet M.
Mugavero, Michael J.
3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title_full 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title_fullStr 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title_full_unstemmed 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title_short 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis
title_sort 3242 stressful experiences and adherence to hiv care among black women living with hiv: a qualitative analysis
topic Education/Mentoring/Professional and Career Development
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798539/
http://dx.doi.org/10.1017/cts.2019.174
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