Psychological model of ART adherence behaviors in persons living with HIV/AIDS in Mexico: a structural equation analysis

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AudienciaPúblico en generales_ES
CoberturaMéxicoes_ES
Fecha de ingreso2026-10-05T16:33:02Z
Fecha de publicación2017-01-01
ResumenOBJECTIVE: The objective of this study has been to test the ability of variables of a psychological model to predict antiretroviral therapy medication adherence behavior. METHODS: We have conducted a cross-sectional study among 172 persons living with HIV/AIDS (PLWHA), who completed four self-administered assessments: 1) the Psychological Variables and Adherence Behaviors Questionnaire, 2) the Stress-Related Situation Scale to assess the variable of Personality, 3) The Zung Depression Scale, and 4) the Duke-UNC Functional Social Support Questionnaire. Structural equation modeling was used to construct a model to predict medication adherence behaviors. RESULTS: Out of all the participants, 141 (82\%) have been considered 100\% adherent to antiretroviral therapy. Structural equation modeling has confirmed the direct effect that personality (decision-making and tolerance of frustration) has on motives to behave, or act accordingly, which was in turn directly related to medication adherence behaviors. In addition, these behaviors have had a direct and significant effect on viral load, as well as an indirect effect on CD4 cell count. The final model demonstrates the congruence between theory and data (x(2)/df. = 1.480, goodness of fit index = 0.97, adjusted goodness of fit index = 0.94, comparative fit index = 0.98, root mean square error of approximation = 0.05), accounting for 55.7\% of the variance. CONCLUSIONS: Th e results of this study support our theoretical model as a conceptual framework for the prediction of medication adherence behaviors in persons living with HIV/AIDS. Implications for designing, implementing, and evaluating intervention programs based on the model are to be discussed.es_ES
Doihttps://doi.org/10.11606/s1518-8787.2017051006926es_ES
URIhttps://riuat.uat.edu.mx/handle/123456789/4877
Idiomaenes_ES
EditorialREVISTA DE SAUDE PUBLICAes_ES
RelaciónRevista de Saude Publicaes_ES
URL relacionadohttps://doi.org/10.11606/s1518-8787.2017051006926es_ES
DerechosAcceso abierto (Metadatos de producción científica)es_ES
Licenciahttp://purl.org/coar/access_right/c_abf2es_ES
FuenteRevista de Saude Publica
Palabra claveHIV Long-Term Survivors Acquired, psychologyes_ES
Palabra claveMedication Adherencees_ES
Palabra claveImmunodeficiency Syndrome drug therapyes_ES
Palabra claveModels Psychologicales_ES
Palabra clavePatient Medication Knowledgees_ES
Palabra claveHealth Knowledge Attitudes Practicees_ES
TítuloPsychological model of ART adherence behaviors in persons living with HIV/AIDS in Mexico: a structural equation analysises_ES
TipoArtículoes_ES
ArbitradoHa sido Arbitradoes_ES
AutorYbarra Sagarduy, Jose Luis
AutorPina Lopez, Julio Alfonso
AutorGonzalez Remirez, Monica Teresa
AutorFierros Davila, Luis Enrique
AutorYbarra Sagarduy, Jose Luises_ES
AutorPina Lopez, Julio Alfonsoes_ES
AutorGonzalez Remirez, Monica Teresaes_ES
AutorFierros Davila, Luis Enriquees_ES
InstituciónUniversidad Autónoma de Tamaulipas
InstituciónUniversidad Autónoma de Tamaulipases_ES
URL relacionadahttps://doi.org/10.11606/s1518-8787.2017051006926
Tipo de artículoIndexado
Tipo de artículoIndexadoes_ES
Volumen51es_ES

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