Social support as a predictor of early diagnosis, linkage, retention, and adherence to HIV care: Results from the steps study

J. Daniel Kelly; Christine Hartman; James Graham; Michael A. Kallen; Thomas P. Giordano

doi:10.1016/j.jana.2013.12.002

Social support as a predictor of early diagnosis, linkage, retention, and adherence to HIV care: Results from the steps study

J. Daniel Kelly, Christine Hartman, James Graham, Michael A. Kallen, Thomas P. Giordano

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

108 Scopus citations

Abstract

Social support predicts adherence to antiretroviral therapy (ART) in some settings but has not been well studied in persons newly diagnosed with HIV infection as a predictor of success through the cascade of HIV care. One hundred sixty-eight persons newly diagnosed with HIV completed the Medical Outcomes Study Social Support Survey at diagnosis, and 129 were successfully followed for more than 12 months. Outcomes were earlier diagnosis of HIV infection, linkage to care, retention in care, ART use by 1 year, and adherence to ART. Higher social support scores (either overall or on a subscale) were associated with earlier HIV diagnosis, timely linkage to care, and adherence to ART. Social support did not predict use of ART or retention in HIV care. Success navigating some of the steps of HIV care is more likely with social support, but it is not sufficient to ensure success across the continuum of care.

Original language	English (US)
Pages (from-to)	405-413
Number of pages	9
Journal	Journal of the Association of Nurses in AIDS Care
Volume	25
Issue number	5
DOIs	https://doi.org/10.1016/j.jana.2013.12.002
State	Published - Sep 2014

Funding

This study was supported by National Institute of Mental Health grant R34MH074360 , Agency for Healthcare Research and Quality grant U18HS016093 , the Baylor/UT Houston Center for AIDS Research grant P30AI036211 , the Houston Health Services Research & Development Center of Excellence ( HFP90-020 ), and the facilities and resources of the Harris County Hospital District and the Michael E. DeBakey VA Medical Center.

Keywords

Adherence
HIV
Public health
Retention in care
Social support

ASJC Scopus subject areas

Advanced and Specialized Nursing

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jana.2013.12.002

Cite this

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title = "Social support as a predictor of early diagnosis, linkage, retention, and adherence to HIV care: Results from the steps study",

abstract = "Social support predicts adherence to antiretroviral therapy (ART) in some settings but has not been well studied in persons newly diagnosed with HIV infection as a predictor of success through the cascade of HIV care. One hundred sixty-eight persons newly diagnosed with HIV completed the Medical Outcomes Study Social Support Survey at diagnosis, and 129 were successfully followed for more than 12 months. Outcomes were earlier diagnosis of HIV infection, linkage to care, retention in care, ART use by 1 year, and adherence to ART. Higher social support scores (either overall or on a subscale) were associated with earlier HIV diagnosis, timely linkage to care, and adherence to ART. Social support did not predict use of ART or retention in HIV care. Success navigating some of the steps of HIV care is more likely with social support, but it is not sufficient to ensure success across the continuum of care.",

keywords = "Adherence, HIV, Public health, Retention in care, Social support",

author = "Kelly, {J. Daniel} and Christine Hartman and James Graham and Kallen, {Michael A.} and Giordano, {Thomas P.}",

note = "Funding Information: This study was supported by National Institute of Mental Health grant R34MH074360 , Agency for Healthcare Research and Quality grant U18HS016093 , the Baylor/UT Houston Center for AIDS Research grant P30AI036211 , the Houston Health Services Research & Development Center of Excellence ( HFP90-020 ), and the facilities and resources of the Harris County Hospital District and the Michael E. DeBakey VA Medical Center. ",

year = "2014",

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doi = "10.1016/j.jana.2013.12.002",

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AU - Kelly, J. Daniel

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AU - Graham, James

AU - Kallen, Michael A.

AU - Giordano, Thomas P.

N1 - Funding Information: This study was supported by National Institute of Mental Health grant R34MH074360 , Agency for Healthcare Research and Quality grant U18HS016093 , the Baylor/UT Houston Center for AIDS Research grant P30AI036211 , the Houston Health Services Research & Development Center of Excellence ( HFP90-020 ), and the facilities and resources of the Harris County Hospital District and the Michael E. DeBakey VA Medical Center.

PY - 2014/9

Y1 - 2014/9

N2 - Social support predicts adherence to antiretroviral therapy (ART) in some settings but has not been well studied in persons newly diagnosed with HIV infection as a predictor of success through the cascade of HIV care. One hundred sixty-eight persons newly diagnosed with HIV completed the Medical Outcomes Study Social Support Survey at diagnosis, and 129 were successfully followed for more than 12 months. Outcomes were earlier diagnosis of HIV infection, linkage to care, retention in care, ART use by 1 year, and adherence to ART. Higher social support scores (either overall or on a subscale) were associated with earlier HIV diagnosis, timely linkage to care, and adherence to ART. Social support did not predict use of ART or retention in HIV care. Success navigating some of the steps of HIV care is more likely with social support, but it is not sufficient to ensure success across the continuum of care.

AB - Social support predicts adherence to antiretroviral therapy (ART) in some settings but has not been well studied in persons newly diagnosed with HIV infection as a predictor of success through the cascade of HIV care. One hundred sixty-eight persons newly diagnosed with HIV completed the Medical Outcomes Study Social Support Survey at diagnosis, and 129 were successfully followed for more than 12 months. Outcomes were earlier diagnosis of HIV infection, linkage to care, retention in care, ART use by 1 year, and adherence to ART. Higher social support scores (either overall or on a subscale) were associated with earlier HIV diagnosis, timely linkage to care, and adherence to ART. Social support did not predict use of ART or retention in HIV care. Success navigating some of the steps of HIV care is more likely with social support, but it is not sufficient to ensure success across the continuum of care.

KW - Adherence

KW - HIV

KW - Public health

KW - Retention in care

KW - Social support

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Social support as a predictor of early diagnosis, linkage, retention, and adherence to HIV care: Results from the steps study

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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