Pain and medication adherence in adult cigarette smokers living with HIV: a cross-sectional observational study.
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| Title: | Pain and medication adherence in adult cigarette smokers living with HIV: a cross-sectional observational study. |
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| Authors: | Willoughby, Melody, Weinberger, Andrea H., Shuter, Jonathan, Seng, Elizabeth K. |
| Source: | AIDS Care. Nov 2021, Vol. 33 Issue 11, p1422-1429. 8p. 2 Diagrams, 2 Charts. |
| Subjects: | HIV-positive persons, HIV infections, Pain, Scientific observation, Confidence intervals, Cross-sectional method, Antiretroviral agents, Surveys, Drugs, Patient compliance, Smoking, Odds ratio, Anxiety, Mental illness, Adults |
| Abstract: | 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. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | 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. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2020.1849530 |
