title: Applying the theory of planned behavior to explore HAART adherence among HIV-positive immigrant Latinos: elicitation interview results.
abstract: OBJECTIVE
  This study explored influences on intention to adhere to highly active antiretroviral therapy (HAART) among immigrant Latinos living with HIV/AIDS in the southeastern USA.
  
  
  METHODS
  Our community-based participatory research (CBPR) partnership completed individual in-depth interviews with 25 immigrant Latinos, based on the theory of planned behavior (TPB), to explore beliefs toward HAART adherence and HIV testing.
  
  
  RESULTS
  Participants identified (a) seven outcomes of treatment adherence (e.g., "feeling good" and "controlling the virus"), (b) six groups of persons influencing adherence (e.g., family, partner/spouse), and (c) nine impediments to adherence (e.g., appointment scheduling, side effects of treatment). Fear of deportation, perceived costs of services, and barriers to communication emerged as impediments to both HAART adherence and HIV testing.
  
  
  CONCLUSIONS
  The findings suggest the utility of TPB in identifying factors to enhance HAART adherence among immigrant Latinos. Future research should explore the extent to which these identified TPB components quantitatively influence adherence intention and immunological and virological outcomes.
  
  
  CONCLUSIONS
  Culturally congruent interventions for immigrant Latinos may need to focus on facilitators of adherence, influential referent groups, and destigmatizing HIV/AIDS.
authors.affiliation: Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Vissman
authors.forename: Kenneth C
authors.initials: KC
authors.lastname: Hergenrather
authors.forename: Gabriela
authors.initials: G
authors.lastname: Rojas
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Langdon
authors.forename: Aimee M
authors.initials: AM
authors.lastname: Wilkin
authors.forename: Scott D
authors.initials: SD
authors.lastname: Rhodes
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active / Q000523:psychology; D055812:Community-Based Participatory Research; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000188:drug therapy* / Q000208:ethnology / Q000523:psychology*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence / Q000523:psychology*; D008875:Middle Aged; D015144:Southeastern United States
chemical_list: D019380:Anti-HIV Agents