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Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya

Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relat...

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Autores principales: Burger, Rachel L., Cohen, Craig R., Mocello, A. Rain, Dworkin, Shari L., Frongillo, Edward A., Weke, Elly, Butler, Lisa M., Thirumurthy, Harsha, Bukusi, Elizabeth A., Weiser, Sheri D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908627/
https://www.ncbi.nlm.nih.gov/pubmed/36001201
http://dx.doi.org/10.1007/s10461-022-03775-6
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author Burger, Rachel L.
Cohen, Craig R.
Mocello, A. Rain
Dworkin, Shari L.
Frongillo, Edward A.
Weke, Elly
Butler, Lisa M.
Thirumurthy, Harsha
Bukusi, Elizabeth A.
Weiser, Sheri D.
author_facet Burger, Rachel L.
Cohen, Craig R.
Mocello, A. Rain
Dworkin, Shari L.
Frongillo, Edward A.
Weke, Elly
Butler, Lisa M.
Thirumurthy, Harsha
Bukusi, Elizabeth A.
Weiser, Sheri D.
author_sort Burger, Rachel L.
collection PubMed
description Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relationship Power Scale (SRPS) and ART adherence, physical and mental health, adjusting for sociodemographic and social factors. SRPS consists of two subscales: relationship control (RC) and decision-making dominance. Women in the highest and middle tertiles for RC had a 7.49 point and 8.88 point greater Medical Outcomes Study-HIV mental health score, and a 0.27 and 0.29 lower odds of depression, respectively, compared to women in the lowest tertile. We did not find associations between SPRS or its subscales and ART adherence. Low sexual relationship power, specifically low RC, may be associated with poor mental health among WWH. Intervention studies aimed to improve RC among WWH should be studied to determine their effect on improving mental health.
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spelling pubmed-99086272023-02-09 Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya Burger, Rachel L. Cohen, Craig R. Mocello, A. Rain Dworkin, Shari L. Frongillo, Edward A. Weke, Elly Butler, Lisa M. Thirumurthy, Harsha Bukusi, Elizabeth A. Weiser, Sheri D. AIDS Behav Original Paper Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relationship Power Scale (SRPS) and ART adherence, physical and mental health, adjusting for sociodemographic and social factors. SRPS consists of two subscales: relationship control (RC) and decision-making dominance. Women in the highest and middle tertiles for RC had a 7.49 point and 8.88 point greater Medical Outcomes Study-HIV mental health score, and a 0.27 and 0.29 lower odds of depression, respectively, compared to women in the lowest tertile. We did not find associations between SPRS or its subscales and ART adherence. Low sexual relationship power, specifically low RC, may be associated with poor mental health among WWH. Intervention studies aimed to improve RC among WWH should be studied to determine their effect on improving mental health. Springer US 2022-08-24 2023 /pmc/articles/PMC9908627/ /pubmed/36001201 http://dx.doi.org/10.1007/s10461-022-03775-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Burger, Rachel L.
Cohen, Craig R.
Mocello, A. Rain
Dworkin, Shari L.
Frongillo, Edward A.
Weke, Elly
Butler, Lisa M.
Thirumurthy, Harsha
Bukusi, Elizabeth A.
Weiser, Sheri D.
Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title_full Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title_fullStr Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title_full_unstemmed Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title_short Relationship Power, Antiretroviral Adherence, and Physical and Mental Health Among Women Living with HIV in Rural Kenya
title_sort relationship power, antiretroviral adherence, and physical and mental health among women living with hiv in rural kenya
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908627/
https://www.ncbi.nlm.nih.gov/pubmed/36001201
http://dx.doi.org/10.1007/s10461-022-03775-6
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