title: Unmet core needs for self-determination in HIV-infected women of color in medical care.
abstract: The levels of satisfaction of the core self-determination needs (relatedness, autonomy and competence) among HIV-infected women of color as well as the association between need fulfillment and patient characteristics were examined. Having less than a high-school education was associated with lowest need satisfaction: autonomy (β = -1.90; 95%CI = -3.20, -0.60), relatedness (β = -2.70; 95%CI = -4.30, -1.10) and competency (β = -2.50; 95%CI = -3.60, -1.30). Each additional point increase in affective symptoms of depression was associated with decrements in need satisfaction (-.61 autonomy, -.68 relatedness and -.59 competency). Relatedness satisfaction was lower with higher responses on all three measures of violence (psychological abuse: β = -0.13, 95%CI = -0.19 to -0.07; adult traumatic experiences: β = -0.24, 95%CI = -0.35 to -0.13 and childhood traumatic experiences: β = -0.24, 95%CI = -0.40 to -0.08). Interventions that address core self-determination needs, and the characteristics that influence them, may enhance the motivation for self-care of HIV-infected women.
authors.affiliation: a Institute for Global Health and Infectious Diseases , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.|b Center for AIDS Research , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: E B
authors.initials: EB
authors.lastname: Quinlivan
authors.affiliation: c School of Community Health, College of Urban and Public Affairs , Portland State University , Portland , OR , USA.
authors.forename: L C
authors.initials: LC
authors.lastname: Messer
authors.affiliation: a Institute for Global Health and Infectious Diseases , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: K
authors.initials: K
authors.lastname: Roytburd
authors.affiliation: a Institute for Global Health and Infectious Diseases , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: A
authors.initials: A
authors.lastname: Blickman
mesh_terms: D000328:Adult; D003863:Depression / Q000523:psychology*; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D026684:Personal Autonomy; D010549:Personal Satisfaction; D012648:Self Care; D014754:Violence / Q000523:psychology
keywords: HIV; Women-of-color; autonomy; competence; relatedness; retention-in-care; self-determination theory