Moderated Effects of Latinx Ethnicity for a Stepped-Care, Technology and Counseling-Based Intervention (Positive STEPS) on Antiretroviral Adherence and Viral Load Suppression Among Youths With HIV, United States, 2018‒2023.
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| Title: | Moderated Effects of Latinx Ethnicity for a Stepped-Care, Technology and Counseling-Based Intervention (Positive STEPS) on Antiretroviral Adherence and Viral Load Suppression Among Youths With HIV, United States, 2018‒2023. |
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| Authors: | Yonko, Elizabeth A., Garofalo, Robert, Mimiaga, Matthew J. |
| Source: | American Journal of Public Health. 2026 Suppl 1, Vol. 116, pS36-S41. 6p. |
| Subjects: | Patient compliance, Viral load, Secondary analysis, Research funding, Hispanic Americans, HIV-positive persons, HIV infections, Problem solving, Highly active antiretroviral therapy, Technology, Drugs, Counseling, Health equity, Immunosuppression |
| Geographic Terms: | United States |
| Abstract: | We report findings from a secondary analysis examining moderated effects by Latinx ethnicity of an efficacious, stepped-care, technology and counseling–based intervention—Positive Strategies to Enhance Problem-Solving Skills (Positive STEPS)—to improve antiretroviral adherence and viral load suppression among adolescents and young adults with HIV in the United States. Latinx participants randomized to the Positive STEPS arm, relative to a standard-of-care control, experienced equal or greater improvements in antiretroviral adherence and viral load suppression compared with their non-Latinx peers. These findings suggest that Positive STEPS addresses unique behavioral and psychosocial barriers to HIV treatment adherence and viral load suppression among Latinx adolescents and young adults. ClinicalTrials.gov identifier: NCT03092531 (Am J Public Health. 2026;116(S1):S36–S41. https://doi.org/10.2105/AJPH.2025.308341) [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | We report findings from a secondary analysis examining moderated effects by Latinx ethnicity of an efficacious, stepped-care, technology and counseling–based intervention—Positive Strategies to Enhance Problem-Solving Skills (Positive STEPS)—to improve antiretroviral adherence and viral load suppression among adolescents and young adults with HIV in the United States. Latinx participants randomized to the Positive STEPS arm, relative to a standard-of-care control, experienced equal or greater improvements in antiretroviral adherence and viral load suppression compared with their non-Latinx peers. These findings suggest that Positive STEPS addresses unique behavioral and psychosocial barriers to HIV treatment adherence and viral load suppression among Latinx adolescents and young adults. ClinicalTrials.gov identifier: NCT03092531 (Am J Public Health. 2026;116(S1):S36–S41. https://doi.org/10.2105/AJPH.2025.308341) [ABSTRACT FROM AUTHOR] |
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| ISSN: | 00900036 |
| DOI: | 10.2105/AJPH.2025.308341 |
