title: Conceptualisations of masculinity and self-reported medication adherence among HIV-positive Latino men in Los Angeles, California, USA.
abstract: HIV-positive Latino men have been found to have poorer medication adherence compared to Whites. This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. A total of 208 HIV-positive men reported the number of doses of antiretroviral medication missed in the previous seven days (dichotomised at 100% adherence versus less). Conceptualisations of masculinity consisted of traditional machismo (e.g., power and aggressive attitudes, which are normally associated with negative stereotypes of machismo) and caballerismo (e.g., fairness, respect for elders and the importance of family). Multivariate logistic regression was used to identify factors associated with adherence. The mean adherence was 97% (SD = 6.5%; range = 57-100%). In all, 77% of the participants reported 100% adherence in the previous seven days. Caballerismo was associated with a greater likelihood (OR = 1.77; 95% CI: 1.08-2.92; p = 0.03) and machismo with a lower likelihood (OR = 0.60; 95% CI: 0.38-0.95; p = 0.03) of medication adherence. In addition, higher medication side-effects were found to be associated with a lower likelihood (OR = 0.59; 95% CI: 0.43-0.81; p = 0.001) of medication adherence. These findings reinforce the importance of identifying cultural factors that may affect medication adherence among HIV-positive Latino men resident in the USA.
authors.affiliation: a Bienestar Human Services , Los Angeles , California , USA.
authors.forename: Frank H
authors.initials: FH
authors.lastname: Galvan
authors.forename: Laura M
authors.initials: LM
authors.lastname: Bogart
authors.forename: Glenn J
authors.initials: GJ
authors.lastname: Wagner
authors.forename: David J
authors.initials: DJ
authors.lastname: Klein
authors.forename: Ying-Tung
authors.initials: YT
authors.lastname: Chen
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D003466:Cultural Characteristics; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology; D006297:Health Services Accessibility; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D057228:Masculinity; D055118:Medication Adherence / Q000208:ethnology* / Q000523:psychology*; D008875:Middle Aged; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000208:ethnology
chemical_list: D019380:Anti-HIV Agents
keywords: HIV; Latinos; machismo; masculinity; medication adherence
references.citation: PLoS One. 2007 Jun 20;2(6):e552
references.pmid: 17579723
references.citation: AIDS Behav. 2012 Feb;16(2):461-8
references.pmid: 21181252
references.citation: J Transcult Nurs. 2006 Apr;17(2):129-38
references.pmid: 16595400
references.citation: AIDS Patient Care STDS. 2002 Dec;16(12):599-608
references.pmid: 12542933
references.citation: AIDS Care. 2013;25(3):356-63
references.pmid: 22835082
references.citation: J Gen Intern Med. 2009 Sep;24(9):1065-72
references.pmid: 19609624
references.citation: Acta Med Port. 2011 Dec;24 Suppl 2:539-48
references.pmid: 22849945
references.citation: AIDS Care. 2005 Jul;17(5):601-9
references.pmid: 16036246
references.citation: J Acquir Immune Defic Syndr. 2001 Dec 15;28(5):445-9
references.pmid: 11744832
references.citation: J Antimicrob Chemother. 2012 May;67(5):1063-74
references.pmid: 22294645
references.citation: J Acquir Immune Defic Syndr. 2004 Feb 1;35(2):203-4
references.pmid: 14722455
references.citation: J Pers Soc Psychol. 2012 Jul;103(1):1-19
references.pmid: 22448888
references.citation: Clin Infect Dis. 1999 Oct;29(4):824-30
references.pmid: 10589897
references.citation: Psychosom Med. 2010 Oct;72(8):810-6
references.pmid: 20716711
references.citation: J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S64-71
references.pmid: 18089986
references.citation: J Infect Dis. 2013 Jul;208(1):40-9
references.pmid: 23204161
references.citation: AIDS Behav. 2012 Aug;16(6):1622-9
references.pmid: 21800182
references.citation: Soc Sci Med. 2000 May;50(10):1385-401
references.pmid: 10741575
references.citation: J Couns Psychol. 2011 Jul;58(3):358-67
references.pmid: 21534655
references.citation: AIDS Patient Care STDS. 2000 Jan;14(1):47-58
references.pmid: 12240882
references.citation: J Acquir Immune Defic Syndr. 2012 Dec 1;61(4):490-8
references.pmid: 22932322
references.citation: Alcohol Clin Exp Res. 2002 Nov;26(11):1686-91
references.pmid: 12436057
references.citation: J Acquir Immune Defic Syndr. 2010 Apr;53(5):648-55
references.pmid: 19952767
references.citation: AIDS Behav. 2009 Feb;13(1):60-5
references.pmid: 18690532
references.citation: J Acquir Immune Defic Syndr. 2002 Dec 15;31 Suppl 3:S123-7
references.pmid: 12562034
references.citation: Subst Abus. 2011 Oct;32(4):252-61
references.pmid: 22014256
references.citation: AIDS Behav. 2006 May;10(3):227-45
references.pmid: 16783535
references.citation: AIDS Patient Care STDS. 2009 Nov;23(11):903-14
references.pmid: 19642921
references.citation: J Assoc Nurses AIDS Care. 2012 Nov-Dec;23(6):511-20
references.pmid: 22421097
references.citation: AIDS Care. 2014 Jan;26(1):107-15
references.pmid: 23800360
references.citation: Top Antivir Med. 2011 Nov;19(4):143-7
references.pmid: 22156216
references.citation: J Acquir Immune Defic Syndr. 2006 Dec 1;43 Suppl 1:S79-87
references.pmid: 17133207
references.citation: J Assoc Nurses AIDS Care. 2012 Nov-Dec;23(6):531-8
references.pmid: 22525858
references.citation: J Acquir Immune Defic Syndr. 2009 Oct 1;52(2):290-3
references.pmid: 19521251
references.citation: AIDS Behav. 2006 May;10(3):247-8
references.pmid: 16783536
references.citation: West J Nurs Res. 2005 Dec;27(8):1023-39
references.pmid: 16275696
references.citation: J Gen Intern Med. 2001 Sep;16(9):606-13
references.pmid: 11556941