title: A Longitudinal Analysis of Antiretroviral Adherence Among Young Black Men Who Have Sex With Men.
abstract: OBJECTIVE
  Young black men who have sex with men (YBMSM) experience poorer antiretroviral therapy (ART) medication adherence relative to their white counterparts. However, few studies have longitudinally examined factors that may correlate with various classifications of ART adherence among this population, which was the primary aim of this study.
  
  
  METHODS
  Project nGage was a randomized controlled trial conducted across five Chicago clinics from 2012 to 2015. Survey and medical records data were collected at baseline and 3- and 12-month periods to assess whether psychological distress, HIV stigma, substance use, family acceptance, social support, and self-efficacy predicted ART medication adherence among 92 YBMSM ages 16-29 years.
  
  
  RESULTS
  Major results controlling for the potential effects of age, education level, employment, and intervention condition indicated that participants with high versus low medication adherence were less likely to report daily/weekly alcohol or marijuana use, had higher family acceptance, and exhibited greater self-efficacy.
  
  
  CONCLUSIONS
  These findings identity important factors that can be targeted in clinical and program interventions to help improve ART medication adherence for YBMSM.
authors.affiliation: School of Social Service Administration, University of Chicago, Chicago, Illinois; STI/HIV Intervention Network, University of Chicago, Chicago, Illinois; Third Coast Center for AIDS Research, University of Chicago and Northwestern University, Chicago, Illinois; Chicago Center for HIV Elimination, University of Chicago, Chicago, Illinois. Electronic address: d-voisin@uchicago.edu.
authors.forename: Dexter R
authors.initials: DR
authors.lastname: Voisin
authors.affiliation: Center for AIDS Intervention Research, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
authors.forename: Katherine
authors.initials: K
authors.lastname: Quinn
authors.affiliation: Department of Social Welfare, Chungwoon University, Hongseong, South Korea.
authors.forename: Dong Ha
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Third Coast Center for AIDS Research, University of Chicago and Northwestern University, Chicago, Illinois; Department of Medicine, University of Chicago, Chicago, Illinois; Department of Public Health Sciences, University of Chicago, Chicago, Illinois.
authors.forename: John
authors.initials: J
authors.lastname: Schneider
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001499:Bayes Theorem; D002641:Chicago / Q000453:epidemiology; D015897:Comorbidity; D005195:Family Relations / Q000208:ethnology / Q000523:psychology*; D015658:HIV Infections / Q000188:drug therapy / Q000208:ethnology / Q000523:psychology*; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D016013:Likelihood Functions; D008137:Longitudinal Studies; D008297:Male; D055118:Medication Adherence / Q000208:ethnology / Q000523:psychology*; D020377:Self Efficacy; D057545:Social Stigma; D012944:Social Support; D019966:Substance-Related Disorders / Q000208:ethnology / Q000523:psychology*; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: African-American; Family acceptance; HIV stigma; Medication adherence; Men who have sex with men; Psychological distress; Self-efficacy; Social support