Impact of pre-diagnosis awareness of HIV-related stigma and dispositional coping on linkage to HIV care among newly diagnosed HIV+ Peruvian patients

Yamilé Molina, Angela Ulrich, Anna C. Greer, Angela Primbas, Grace Wandell, Hugo Sanchez, Carolyn Bain, Kelika A. Konda, Jesse L. Clark, Robert De la Grecca, Manuel V. Villarán, Siavash Pasalar, Javier R. Lama, Ann C. Duerr

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A substantial body of literature has characterized how psychosocial factors, including HIV-related stigma and coping, are associated with HIV testing and HIV care utilization post-diagnosis. Less is known about if certain psychosocial characteristics pre-diagnosis may also predict linkage to care among individuals who receive an HIV-positive diagnosis. We examined if pre-diagnosis awareness/perception about HIV-related stigma and dispositional coping styles predicted linkage to HIV care within three months post-diagnosis with a secondary analysis of 604 patients from a randomized controlled trial (Sabes Study). Awareness/perception about HIV-related stigma, dispositional maladaptive and adaptive coping were measured before patients underwent an HIV test. Linkage to care was measured as receipt of care within three months of receiving the diagnosis. After adjusting for covariates, individuals who reported greater dispositional maladaptive coping pre-diagnosis had lower odds of linking to care, OR = 0.82, 95%CI [0.67, 1.00], p =.05. There was also a non-significant inverse association between dispositional adaptive coping pre-diagnosis and linkage to care. These preliminary data suggest the need for further longitudinal research and highlight the potential utility of pre-diagnosis psychosocial assessment and tailored counseling when providing positive HIV diagnosis results.

Original languageEnglish (US)
Pages (from-to)848-856
Number of pages9
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume31
Issue number7
DOIs
StatePublished - Jul 3 2019

Bibliographical note

Funding Information:
This study was funded by National Institute on Drug Abuse [RO1 DA032106; PI: Ann Duerr]. Dr. Molina?s efforts were supported by the National Cancer Institute [grant numbers: K01CA193918 and R25CA092408]. This research was supported by an International Pilot Award made to Dr. De la Grecca from the University of Washington Center for AIDS Research (CFAR), an NIH funded program [P30AI027757] which is supported by the following NIH Institutes and Centers (NIAID, NCI, NIMH, NIDA, NICHD, NHLBI, NIA). We thank Mr. Wesley Peart for technical editing. We acknowledge ART drug donation from Gilead Sciences Inc. and Merck & Co Inc.

Funding Information:
This study was funded by National Institute on Drug Abuse [RO1 DA032106; PI: Ann Duerr]. Dr. Molina’s efforts were supported by the National Cancer Institute [grant numbers: K01CA193918 and R25CA092408]. This research was supported by an International Pilot Award made to Dr. De la Grecca from the University of Washington Center for AIDS Research (CFAR), an NIH funded program [P30AI027757] which is supported by the following NIH Institutes and Centers (NIAID, NCI, NIMH, NIDA, NICHD, NHLBI, NIA).

Keywords

  • HIV stigma
  • Latinos
  • coping
  • linkage to care

Fingerprint Dive into the research topics of 'Impact of pre-diagnosis awareness of HIV-related stigma and dispositional coping on linkage to HIV care among newly diagnosed HIV+ Peruvian patients'. Together they form a unique fingerprint.

Cite this