title: Medication Adherence in 13- to 24-Year-Old Youth Living With HIV.
abstract: Despite advances in HIV medicine, adherence presents as a barrier to effective treatment for youth. We designed this study to assess medication knowledge, adherence, and factors affecting adherence in youth with HIV. Participants were 72 youth ages 13 to 24 years with perinatally or behaviorally acquired HIV. Demographic data were collected and a self-report adherence interview was administered. Interviews were audio-recorded to allow for qualitative data analysis. Self-reported adherence varied depending on the framing of questions, with participants reporting greater adherence when asked how many doses they had missed within the past 7 days compared to results from a 7-day recall interview. At least 74% of the sample said they sometimes forgot to take their medication. A taxonomic approach to the qualitative analysis revealed internal and external facilitators and barriers to adherence. Findings suggest a need for education and provider support to include strategies to improve adherence.
authors.forename: Tiffany
authors.initials: T
authors.lastname: Chenneville
authors.forename: Marielle
authors.initials: M
authors.lastname: Machacek
authors.forename: Audra
authors.initials: A
authors.lastname: St John Walsh
authors.forename: Patricia
authors.initials: P
authors.lastname: Emmanuel
authors.forename: Carina
authors.initials: C
authors.lastname: Rodriguez
mesh_terms: D000293:Adolescent; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires; D019562:Viral Load; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D019380:Anti-HIV Agents
keywords: HIV; antiretroviral; medication adherence; patient care; youth