Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America

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dc.contributor.authorPhillips, J. Craig
dc.contributor.authorWebel, Allison
dc.contributor.authorDawson Rose, Carol
dc.contributor.authorCorless, Inge
dc.contributor.authorSullivan, Kathleen M
dc.contributor.authorVoss, Joachim
dc.contributor.authorwantland, dean
dc.contributor.authorNokes, Kathleen
dc.contributor.authorBrion, John
dc.contributor.authorChen, Wei-ti
dc.contributor.authorIipinge, Scholastika
dc.contributor.authorSanzero Eller, Lucille
dc.contributor.authorTyer-Viola, Lynda
dc.contributor.authorRivero-Mendez, Marta
dc.contributor.authorNicholas, Patrice
dc.contributor.authorJohnson, Mallory O.
dc.contributor.authorMaryland, Mary
dc.contributor.authorKemppainen, Jeanne
dc.contributor.authorPortillo, Carmen
dc.contributor.authorchaiphibalsarisdi, puangtip
dc.contributor.authorKirksey, Kenn
dc.contributor.authorSefcik, Elizabeth
dc.contributor.authorReid, Paula
dc.contributor.authorCuca, Yvette
dc.contributor.authorHuang, Emily
dc.contributor.authorHolzemer, William
dc.contributor.authorPhillips, J. Craig
dc.contributor.authorWebel, Allison
dc.contributor.authorDawson Rose, Carol
dc.contributor.authorCorless, Inge
dc.contributor.authorSullivan, Kathleen M
dc.contributor.authorVoss, Joachim
dc.contributor.authorwantland, dean
dc.contributor.authorNokes, Kathleen
dc.contributor.authorBrion, John
dc.contributor.authorChen, Wei-ti
dc.contributor.authorIipinge, Scholastika
dc.contributor.authorSanzero Eller, Lucille
dc.contributor.authorTyer-Viola, Lynda
dc.contributor.authorRivero-Mendez, Marta
dc.contributor.authorNicholas, Patrice
dc.contributor.authorJohnson, Mallory O.
dc.contributor.authorMaryland, Mary
dc.contributor.authorKemppainen, Jeanne
dc.contributor.authorPortillo, Carmen
dc.contributor.authorchaiphibalsarisdi, puangtip
dc.contributor.authorKirksey, Kenn
dc.contributor.authorSefcik, Elizabeth
dc.contributor.authorReid, Paula
dc.contributor.authorCuca, Yvette
dc.contributor.authorHuang, Emily
dc.contributor.authorHolzemer, William
dc.creator.orcidhttps://orcid.org/0000-0002-7538-5780en_US
dc.creator.orcidhttps://orcid.org/0000-0001-6066-1853en_US
dc.creator.orcidhttps://orcid.org/0000-0003-0438-2037en_US
dc.creator.orcidhttps://orcid.org/0000-0002-8072-6244en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4277-187Xen_US
dc.creator.orcidhttps://orcid.org/0000-0001-9026-4189en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4592-3525en_US
dc.creator.orcidhttps://orcid.org/0000-0002-9785-6467en_US
dc.creator.orcidhttps://orcid.org/0000-0003-1883-8509en_US
dc.creator.orcidhttps://orcid.org/0000-0002-8997-3671en_US
dc.creator.orcidhttps://orcid.org/0000-0001-8710-6139en_US
dc.creator.orcidhttps://orcid.org/0000-0001-9519-7587en_US
dc.creator.orcidhttps://orcid.org/0000-0003-4106-6498en_US
dc.creator.orcidhttps://orcid.org/0000-0002-2741-7821en_US
dc.creator.orcidhttps://orcid.org/0000-0002-5744-6279en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4251-6801en_US
dc.creator.orcidhttps://orcid.org/0000-0002-3551-8016en_US
dc.creator.orcidhttps://orcid.org/0000-0002-3687-9817en_US
dc.creator.orcidhttps://orcid.org/0000-0002-5674-4741en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4400-9432en_US
dc.creator.orcidhttps://orcid.org/0000-0002-7538-5780
dc.creator.orcidhttps://orcid.org/0000-0001-6066-1853
dc.creator.orcidhttps://orcid.org/0000-0003-0438-2037
dc.creator.orcidhttps://orcid.org/0000-0002-8072-6244
dc.creator.orcidhttps://orcid.org/0000-0002-4277-187X
dc.creator.orcidhttps://orcid.org/0000-0001-9026-4189
dc.creator.orcidhttps://orcid.org/0000-0002-4592-3525
dc.creator.orcidhttps://orcid.org/0000-0002-9785-6467
dc.creator.orcidhttps://orcid.org/0000-0003-1883-8509
dc.creator.orcidhttps://orcid.org/0000-0002-8997-3671
dc.creator.orcidhttps://orcid.org/0000-0001-8710-6139
dc.creator.orcidhttps://orcid.org/0000-0001-9519-7587
dc.creator.orcidhttps://orcid.org/0000-0003-4106-6498
dc.creator.orcidhttps://orcid.org/0000-0002-2741-7821
dc.creator.orcidhttps://orcid.org/0000-0002-5744-6279
dc.creator.orcidhttps://orcid.org/0000-0002-4251-6801
dc.creator.orcidhttps://orcid.org/0000-0002-3551-8016
dc.creator.orcidhttps://orcid.org/0000-0002-3687-9817
dc.creator.orcidhttps://orcid.org/0000-0002-5674-4741
dc.creator.orcidhttps://orcid.org/0000-0002-4400-9432
dc.date.accessioned2022-04-01T19:15:12Z
dc.date.available2022-04-01T19:15:12Z
dc.date.issued2013-08-08
dc.date.issued2013-08-08
dc.description.abstractBackground Human rights approaches to manage HIV and efforts to decriminalize HIV exposure/transmission globally offer hope to persons living with HIV (PLWH). However, among vulnerable populations of PLWH, substantial human rights and structural challenges (disadvantage and injustice that results from everyday practices of a well-intentioned liberal society) must be addressed. These challenges span all ecosocial context levels and in North America (Canada and the United States) can include prosecution for HIV nondisclosure and HIV exposure/transmission. Our aims were to: 1) Determine if there were associations between the social structural factor of criminalization of HIV exposure/transmission, the individual factor of perceived social capital (resources to support one’s life chances and overcome life’s challenges), and HIV antiretroviral therapy (ART) adherence among PLWH and 2) describe the nature of associations between the social structural factor of criminalization of HIV exposure/transmission, the individual factor of perceived social capital, and HIV ART adherence among PLWH. Methods We used ecosocial theory and social epidemiology to guide our study. HIV related criminal law data were obtained from published literature. Perceived social capital and HIV ART adherence data were collected from adult PLWH. Correlation and logistic regression were used to identify and characterize observed associations. Results Among a sample of adult PLWH (n = 1873), significant positive associations were observed between perceived social capital, HIV disclosure required by law, and self-reported HIV ART adherence. We observed that PLWH who have higher levels of perceived social capital and who live in areas where HIV disclosure is required by law reported better average adherence. In contrast, PLWH who live in areas where HIV transmission/exposure is a crime reported lower 30-day medication adherence. Among our North American participants, being of older age, of White or Hispanic ancestry, and having higher perceived social capital, were significant predictors of better HIV ART adherence. Conclusions Treatment approaches offer clear advantages in controlling HIV and reducing HIV transmission at the population level. These advantages, however, will have limited benefit for adherence to treatments without also addressing the social and structural challenges that allow HIV to continue to spread among society’s most vulnerable populations.en_US
dc.description.sponsorshipThis project was supported in part by: NIH UL1 RR024131; NIHT32NR007081; NIH KL2RR024990; NIH R15NR011130; NIH K24MH087220; International Pilot Award, University of Washington Center for AIDS Research; University of British Columbia School of Nursing Helen Shore Fund; Duke University School of Nursing Office of Research Affairs; MGH Institute for Health Professions; Rutgers College of Nursing; PSC-CUNY Award, Hunter College, City University of New York; University of Washington, School of Nursing, Research and Intramural Funding Program. The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or any other funders.en_US
dc.identifier.citationPhillips, J.C., Webel, A., Rose, C.D., Corless, I.B., Sullivan, K.M., Voss, J., Wantland, D., Nokes, K., Brion, J., Chen, W.T. and Iipinge, S., 2013. Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America. BMC public health, 13(1), pp.1-16.en_US
dc.identifier.doihttps://doi.org/10.1186/1471-2458-13-736
dc.identifier.doihttps://doi.org/10.1186/1471-2458-13-736
dc.identifier.urihttps://hdl.handle.net/1969.6/90393
dc.identifier.urihttps://hdl.handle.net/1969.6/90393
dc.language.isoen_USen_US
dc.publisherBMCen_US
dc.rightsAttribution 2.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/*
dc.subjectEcosocial theoryen_US
dc.subjectHIV/AIDSen_US
dc.subjectHIV-related prosecutionen_US
dc.subjectJurisprudenceen_US
dc.subjectSexual minorityen_US
dc.subjectVulnerable populationsen_US
dc.titleAssociations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North Americaen_US
dc.typeArticleen_US

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