Table 2.
Explanatory Model of Effects of Poor Communication/Mistrust with Health Providers on HIV-Related and Psychosocial Outcomes
| HIV-related outcomes | Poor communication with HP (n = 317) |
Mistrust with HP (n = 315) |
||||
|---|---|---|---|---|---|---|
| Overalla | Blacka | Hispanicb | Overalla | Blacka | Hispanicb | |
| CD4c | −6.84 (−13.71 to 0.03) | −10.21 (−19.24 to −1.19) | −4.49 (−17.05 to 8.06) | −2.23 (−5.13 to 0.68) | −4.51 (−8.09 to −0.92) | 1.73 (−3.39 to 7.35) |
| R2d | 5.52% | 8.24% | 8.77% | 4.99% | 8.78% | 8.62% |
| Viral loadc | −4.49 (−17.05 to 8.06) | 1.98 (−1.62 to 5.58) | −4.50 (−10.14 to 1.14) | 0.70 (−0.52 to 1.91) | 1.27 (−0.17 to 2.71) | −1.83 (−4.21 to 0.55) |
| R2d | 8.77% | 3.78% | 11.83% | 2.51% | 4.87% | 11.56% |
| Adherencee | 3.05 (1.54 to 6.04) | 5.62 (2.54 to 12.45) | 0.84 (0.07 to 10.04) | 2.04 (1.50 to 2.78) | 2.90 (2.03 to 4.14) | 2.25 (0.89 to 5.65) |
| Pesudo (Nagelkerke)dR2 | 9.80% | 23.60% | 20.30% | 13.20% | 30.6% | 23.2% |
| HIV symptomc | 10.25 (7.16 to 13.35) | 12.25 (8.20 to 16.31) | 7.92 (2.07 to 13.77) | 2.72 (1.34 to 4.09) | 2.82 (1.11 to 4.54) | 2.06 (−0.63 to 4.76) |
| R2d | 15.69% | 19.39% | 18.08% | 8.21% | 9.06% | 13.30% |
| Psychosocial outcomes | Overallf | Blackf | Hispanicg | Overallh | Blackh | Hispanici |
|---|---|---|---|---|---|---|
| Anxietyc |
0.26 (0.08 to 0.45) |
0.34 (0.09 to 0.58) |
0.33 (−0.03 to 0.69) |
0.011 (−0.07 to 0.09) |
0.06 (−0.03 to 0.15) |
−0.04 (−0.21 to 0.12) |
|
R2d |
41.63% |
44.07% |
39.46% |
40.33% |
42.44% |
39.17% |
| Depressionc |
0.23 (−0.03 to 0.49) |
0.21 (−0.11 to 0.54) |
0.33 (−0.18 to 0.85) |
0.07 (−0.03 to 0.18) |
0.09 (−0.03 to 0.22) |
0.04 (−0.19 to 0.27) |
|
R2d |
42.53% |
47.68% |
35.07% |
42.36% |
47.87% |
35.05% |
| Discriminationc |
2.02 (0.62 to 3.41) |
1.49 (−0.33 to 3.32) |
3.71 (1.12 to 6.31) |
0.61 (0.04 to 1.19) |
0.52 (−0.17 to 1.22) |
1.07 (−0.14 to 2.28) |
|
R2d |
12.44% |
15.26% |
17.25% |
11.45% |
15.28% |
12.53% |
| Internalized stigma (overall)c |
0.27 (−0.06 to 0.60) |
−0.02 (−0.44 to 0.39) |
0.83 (0.20 to 1.47) |
0.06 (−0.07 to 0.20) |
0.07 (−0.08 to 0.23) |
0.04 (−0.26 to 0.33) |
|
R2d |
15.92% |
14.99% |
27.25% |
17.31% |
16.36% |
23.41% |
| Stereotype |
0.10 (−0.29 to 0.49) |
−0.09 (−0.60 to 0.42) |
0.48 (−0.24 to 1.19) |
0.06 (−0.10 to 0.21) |
0.04 (−0.16 to 0.23) |
0.08 (−0.24 to 0.40) |
|
R2d |
7.63% |
6.10% |
13.15% |
7.71% |
6.10% |
11.57% |
| Disclosure concerns |
0.45 (−0.12 to 1.02) |
0.02 (−0.74 to 0.77) |
1.15 (0.13 to 2.18) |
0.22 (−0.01 to 0.45) |
0.28 (0.00 to 0.57) |
0.05 (−0.42 to 0.53) |
|
R2d |
14.48% |
12.87% |
23.14% |
14.82% |
14.59% |
18.57% |
| Social relationship |
0.19 (−0.31 to 0.68) |
0.10 (−0.55 to 0.76) |
0.10 (−0.84 to 1.04) |
−0.08 (−0.28 to 0.11) |
−0.05 (−0.30 to 0.20) |
−0.28 (−0.70 to 0.13) |
|
R2d |
15.08% |
14.49% |
19.65% |
15.12% |
14.52% |
21.32% |
| Self-acceptance |
0.45 (−0.001 to 0.90) |
−0.16 (−0.72 to 0.40) |
1.48 (0.65 to 2.30) |
0.07 (−0.11 to 0.25) |
0.07 (−0.14 to 0.28) |
0.17 (−0.23 to 0.56) |
|
R2d |
13.41% |
12.42% |
31.30% |
12.46% |
12.47% |
21.42% |
| Maladaptive-copingc |
0.09 (−0.79 to 0.96) |
−0.33 (−1.51 to 0.86) |
1.06 (−0.47 to 2.58) |
−0.05 (−0.41 to 0.31) |
−0.04 (−0.49 to 0.41) |
−0.03 (−0.67 to 0.72) |
| R2d | 5.23% | 8.21% | 4.74% | 5.25% | 8.12% | 3.06% |
Each explanatory model adjusts for each different set of covariates based upon the directed acyclic graphs.
Model controls age, income, social support, years since diagnosis, and HIV knowledge.
Model controls age, income, social support, years since diagnosis, language barrier and HIV knowledge.
Reported coefficients from linear regression models.
R2 is the variance explained by the specific individual variable from the model.
Using Zero-inflated Poisson Regression to model the outcome variable with inflated zeros, reported incidence rate ratio.
Model controls age, income, social support, years since diagnosis, and HIV symptoms.
Model controls age, income, social support, years since diagnosis, language barrier and HIV symptoms.
Model controls age, income, social support, years since diagnosis, HIV conspiracy theory, and HIV symptoms.
Model controls age, income, social support, years since diagnosis, HIV conspiracy theory, language barrier, and HIV symptoms.