TY - JOUR
T1 - Pain and medication adherence in adult cigarette smokers living with HIV
T2 - a cross-sectional observational study
AU - Willoughby, Melody
AU - Weinberger, Andrea H.
AU - Shuter, Jonathan
AU - Seng, Elizabeth K.
N1 - Publisher Copyright:
© 2020 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021
Y1 - 2021
N2 - The present study examines relationships between pain, mental health symptoms, and medication adherence in adult smokers living with HIV. Sixty-eight adult HIV-positive smokers taking antiretroviral medication completed a survey measuring medication adherence, mental health symptoms, and pain. The presence of pain, OR = 3.81, 95% CI (1.19, 12.14), higher pain severity, OR = 1.22, 95% CI (1.05, 1.41), and higher anxiety, OR = 1.09, 95% CI (1.03, 1.14) were associated with inferior medication adherence (MMAS-8 score <6). Anxiety mediated the relationships between presence of pain (ab =.56, BCa CI (0.05, 1.61)) and pain severity (ab =.09, BCa CI (0.01, 0.24)) and medication adherence. The results of this study suggest that pain and anxiety are factors that significantly contribute to medication nonadherence and thus are important areas of assessment by clinicians treating adult smokers living with HIV.
AB - The present study examines relationships between pain, mental health symptoms, and medication adherence in adult smokers living with HIV. Sixty-eight adult HIV-positive smokers taking antiretroviral medication completed a survey measuring medication adherence, mental health symptoms, and pain. The presence of pain, OR = 3.81, 95% CI (1.19, 12.14), higher pain severity, OR = 1.22, 95% CI (1.05, 1.41), and higher anxiety, OR = 1.09, 95% CI (1.03, 1.14) were associated with inferior medication adherence (MMAS-8 score <6). Anxiety mediated the relationships between presence of pain (ab =.56, BCa CI (0.05, 1.61)) and pain severity (ab =.09, BCa CI (0.01, 0.24)) and medication adherence. The results of this study suggest that pain and anxiety are factors that significantly contribute to medication nonadherence and thus are important areas of assessment by clinicians treating adult smokers living with HIV.
KW - HIV
KW - Medication adherence
KW - anxiety
KW - depression
KW - pain
UR - http://www.scopus.com/inward/record.url?scp=85096557654&partnerID=8YFLogxK
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U2 - 10.1080/09540121.2020.1849530
DO - 10.1080/09540121.2020.1849530
M3 - Article
C2 - 33233919
AN - SCOPUS:85096557654
SN - 0954-0121
VL - 33
SP - 1422
EP - 1429
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 11
ER -
