Evidence map›Paper›PMID 28351158›Full record

ArticleAIDS care2017

Stressful and traumatic life events as disruptors to antiretroviral therapy adherence.

Julie K O'Donnell, Bradley N Gaynes, Stephen R Cole, Andrew Edmonds, Nathan M Thielman, E Byrd Quinlivan, Amy Heine, Rhiddi Modi, Brian W Pence

Open access · greenAbstract read
In one paragraph

Article in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Julie K O'Donnella Department of Epidemiology , Gillings School of Global Public Health, University of North Carolina , Chapel Hill , USA.
Bradley N Gaynesb Department of Psychiatry , University of North Carolina, School of Medicine , Chapel Hill , USA.
Stephen R Colea Department of Epidemiology , Gillings School of Global Public Health, University of North Carolina , Chapel Hill , USA.
Andrew Edmondsa Department of Epidemiology , Gillings School of Global Public Health, University of North Carolina , Chapel Hill , USA.
Nathan M Thielmanc Center for Health Policy , Duke Global Health Institute, Duke University , Durham , USA.
E Byrd Quinlivand Institute for Global Health and Infectious Diseases , Center for AIDS Research, University of North Carolina , Chapel Hill , USA.
Amy Heinee Institute for Global Health and Infectious Diseases , University of North Carolina , Chapel Hill , USA.
Rhiddi Modif Division of Infectious Diseases , University of Alabama, Birmingham School of Medicine , Birmingham , USA.
Brian W Pencea Department of Epidemiology , Gillings School of Global Public Health, University of North Carolina , Chapel Hill , USA.
University of North Carolina at Chapel Hill · USDuke Institute for Health Innovation · USJohns Hopkins University Center for AIDS ResearchUniversity of Alabama at Birmingham · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Training in Infectious Disease Epidemiology (TIDE)T32AI070114 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Brian W Pence · 2007 to 2026
$4.0M
Improving HAART Adherence in Depressed HIV Clinic Patients: A Real-World RCTR01MH086362 · NIMH · DUKE UNIVERSITY · PI PENCE, BRIAN W · 2009 to 2013
$3.5M
NIAID NIH HHS P30 AI050410NIAID NIH HHS T32 AI070114NIMH NIH HHS R01 MH086362
6 · The paper itself

Abstract

Stressful and traumatic life events (STLEs) are common among HIV-infected individuals and may affect health behaviors such as adherence to antiretroviral (ARV) therapy, with important implications for treatment outcomes. We examined the association between STLEs and ARV adherence among 289 US-based participants enrolled between 7/1/2010 and 9/1/2013 in a study of depression treatment for HIV-infected patients. Participants received monthly telephone calls to assess STLEs and pill count-based ARV adherence. Inverse probability of observation weighting was combined with multiple imputation to address missing data. Participants were mostly male (71%) and black (63%), with a median age of 45 years. Median monthly adherence was 96% (interquartile range (IQR): 85-100%). Participants experienced a mean of 2.48 STLEs (range: 0-14) in the previous month. The presence of ≥2 STLEs was associated with a mean change in adherence of -3.67% (95% confidence interval (CI): -7.12%, -0.21%) and decreased likelihood of achieving ≥95% adherence (risk ratio (95% CI) = 0.82 (0.71, 0.95)). For each additional STLE, the mean adherence change was -0.90% (95% CI: -1.79%, 0.00%). STLEs were associated with poorer ARV adherence, including decreased likelihood of adhering to ≥95% of ARV doses. This level of adherence has a critical role in regimen effectiveness and prevention of resistance.

Indexed as

Drug MonitoringAdolescentAdultAgedAnti-HIV AgentsFemaleHIV InfectionsHumansLife Change EventsMaleMedication AdherenceMiddle AgedOdds RatioStress, PsychologicalTreatment OutcomeUnited StatesAnti-HIV AgentsAntiretroviralHIVmedication adherencemental healthstressful events

Identifiers

PMID28351158
PMCPMC6538389
OpenAlexW2600441703

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.