TABLE 3:
Factors Associated With Self-Reported 100% Dose Adherence, Past 3 Days Among Transgender Women Living with HIV and Receiving Care, Medical Monitoring Project, 2009- 2013
| Characteristic | Unadjusted PR (95%CI) | Reduced modela aPR (95%CI) |
|---|---|---|
| Age groups | ||
| 18-29 | 0.79 (0.61-1.02) | 0.81 (0.64-1.03) |
| 30-39 | 0.79 (0.65-0.96) | 0.76 (0.63-0.92) |
| 40 and over | Reference | Reference |
| Race/Ethnicity | ||
| Black | 0.96 (0.84-1.10) | |
| Non-black | Reference | |
| Educational attainment | ||
| <High School | 0.91 (0.76-1.09) | |
| High School diploma or equivalent | 0.99 (0.86-1.15) | |
| >High School | Reference | |
| Poverty levelb | ||
| Above poverty level | 1.11 (0.96-1.28) | |
| At or below poverty level | Reference | |
| Homelessness in past 12 months | ||
| No | Reference | |
| Yes | 0.82 (0.65-1.03) | |
| Incarcerated in past 12 months | ||
| No | Reference | |
| Yes | 0.65 (0.44-0.97) | |
| Health insurance coverage in past 12 months | ||
| No health coverage | 0.80 (0.63-1.02) | 0.80 (0.66-0.97) |
| Insured or had health coverage | Reference | Reference |
| Meets criteria for depression in past 2 weeksc | ||
| Not depressed | Reference | Reference |
| Depressed | 0.81 (0.67-0.98) | 0.82 (0.70-0.95) |
| Used any stimulant drugs in past 12 months | ||
| No | Reference | |
| Yes | 0.64 (0.46-0.91) | |
| Binge drinking in past 30 days | ||
| No | Reference | |
| Yes | 0.82 (0.65-1.03) | |
| Daily ART dose | ||
| One daily ART dose | 1.12 (0.99-1.26) | 1.19 (1.06-1.33) |
| Two or more daily ART doses | Reference | Reference |
| Bothered by side effects | ||
| Never/rarely | Reference | |
| More than half the time | 0.87 (0.68-1.12) | |
| How sure can take medicine as directed | ||
| Not at all/somewhat sure | 0.53 (0.34-0.84) | 0.59 (0.42-0.84) |
| Very/extremely sure | Reference | Reference |
| Sure medication has positive effect on health | ||
| Not at all/somewhat sure | 0.85 (0.64-1.11) | |
| Very/extremely sure | Reference | |
| Sure that if do not take medications as instructed HIV in body will become resistant | ||
| Not at all/somewhat sure | 0.77 (0.60-0.99) | |
| Very/extremely sure | Reference | |
| Satisfaction with social support | ||
| Very/somewhat dissatisfied | 0.90 (0.74-1.09) | |
| Very/extremely satisfied | Reference | |
| Time since HIV diagnosis | ||
| Less than 10 years | Reference | |
| 10 or more years | 1.08 (0.94-1.25) | |
Abbreviations: PR = prevalence ratio; aPR = Adjusted prevalence ratio; CI-= confidence interval
Note:
Reduced model includes age, health insurance, depression, daily ART dose, and self-efficacy for taking medication as directed
Poverty guidelines as defined by the Department of Health and Human Services (HHS); More information regarding the HHS poverty guidelines can be found at http://aspe.hhs.gov/poverty/faq.cfm.
Responses to the 8 items on the Patient Health Questionnaire (PHQ-8) were used to define “major depression” and “other depression,” according to criteria from the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV-TR). “Major depression” was defined as having at least 5 symptoms of depression, whereas “other depression” was defined as having 2–4 symptoms of depression. Those who had major or other depression were categorized as “Depressed.”