The Role of Multiple Identities in Adherence to Medical Appointments Among Gay/Bisexual Male Adolescents Living with HIV

被引：36
|
作者：
Harper, Gary W. [1 ]
Fernandez, Isabel M. [2 ]
Bruce, Douglas [3 ]
Hosek, Sybil G. [4 ]
Jacobs, Robin J. [5 ,6 ]
机构：
[1] Depaul Univ, Dept Psychol, Chicago, IL 60614 USA
[2] Nova SE Univ, Dept Publ Hlth, Coll Osteopath Med, Ft Lauderdale, FL 33314 USA
[3] Depaul Univ, Master Publ Hlth Program, Chicago, IL 60614 USA
[4] John H Stroger Jr Hosp Cook Cty, Dept Psychiat, Chicago, IL USA
[5] Nova SE Univ, Dept Psychiat & Behav Med, Coll Osteopath Med, Ft Lauderdale, FL 33314 USA
[6] Nova SE Univ, Dept Prevent Med, Coll Osteopath Med, Ft Lauderdale, FL 33314 USA
来源：
AIDS AND BEHAVIOR | 2013年 / 17卷 / 01期
关键词：
Adolescents; Gay; Identity; Adherence; Engagement in care; HIV; HUMAN-IMMUNODEFICIENCY-VIRUS; DIVERSE ETHNOCULTURAL GROUPS; HIGH-RISK YOUTH; ETHNIC-IDENTITY; PRIMARY-CARE; UNITED-STATES; MENTAL-HEALTH; PSYCHOSOCIAL FACTORS; ANCILLARY SERVICES; AFRICAN-AMERICAN;
D O I：
10.1007/s10461-011-0071-3
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Adolescents living with HIV require engagement with care providers in order to access the critical medical and psychosocial services they need. The current study sought to explore developmental determinants of adherence to medical appointments as one aspect of engagement in care among a geographically diverse sample of 200 gay/bisexual male adolescents (16-24 years) living with HIV, with a specific focus on ethnic identity, sexual orientation identity, and identity as a young man living with HIV. Ethnic identity affirmation (OR = 0.6; 95% CI: 0.3, 0.9), morality of homosexuality (OR = 1.7; 95% CI: 1.2, 2.5), and HIV-positive identity salience (OR = 1.5; 95% CI: 0.9, 2.4) were associated with significantly higher risk for missed appointments in the past 3 months. These findings highlight the importance of attending to developmental factors, such as the development of multiple identities, when attempting to increase engagement in care for gay/bisexual male adolescents living with HIV.
引用
收藏
页码：213 / 223
页数：11
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