Prediction of adherence to antiretroviral therapy: Can patients' gender play some role? An Italian pilot study

A. Ubbiali, D. Donati, C. Chiorri, V. Bregani, E. Cattaneo, C. Maffei, R. Visintini

Research output: Contribution to journalArticlepeer-review

Abstract

Recent literature has shown that adherence to HAART is a multi-faceted phenomenon, which involves both behavioural and psychological features. Therefore, the results obtained so far, though promising, have not yet unambiguously identified the factors that could predict non-adherence. Since any support for strengthening the adherence should take into account the HIV+ patients' perception of both their state of health and their relational style, this study tried to identify some psychological characteristics involved in the adherence phenomenon. A self-administered battery of tests including the Attachment Style Questionnaire (ASQ) and the Multidimensional Health Locus of Control Form-C (MHLC-C) was administered to an Italian sample. Results showed significant gender differences between non-adherent and adherent subjects. Specifically, the psychological profile of non-adherent males seemed focused less on relational aspects and perceived relevance of physicians and of 'significant other people', whilst that of non-adherent females seemed more 'relationship-oriented'. This study means to encourage clinicians to plan specific, gender-focused support for enhancing adherence.

Original languageEnglish
Pages (from-to)571-575
Number of pages5
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume20
Issue number5
DOIs
Publication statusPublished - May 2008

Keywords

  • Adherence
  • Adult attachment style
  • Gender differences
  • Locus of control

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Social Sciences (miscellaneous)
  • Health(social science)
  • Health Professions(all)

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