College of Osteopathic Medicine Faculty Articles

Title

The Role of Multiple Identities in Adherence to Medical Appointments Among Gay/Bisexual Male Adolescents Living with HIV

ISBN or ISSN

1090-7165

Publication Title

AIDS and Behavior

Volume

17

Issue

1

Publication Date / Copyright Date

1-1-2013

First Page

213

Last Page

223

DOI Number

10.1007/s10461-011-0071-3

Abstract

Abstract Adolescents living with HIV require engagement with care providers in order to access the critical medical and psychosocial services they need. The current study sought to explore developmental determinants of adherence to medical appointments as one aspect of engagement in care among a geographically diverse sample of 200 gay/bisexual male adolescents (16–24 years) living with HIV, with a specific focus on ethnic identity, sexual orientation identity, and identity as a young man living with HIV. Ethnic identity affirmation (OR = 0.6; 95% CI: 0.3, 0.9), morality of homosexuality (OR = 1.7; 95% CI: 1.2, 2.5), and HIV-positive identity salience (OR = 1.5; 95% CI: 0.9, 2.4) were associated with significantly higher risk for missed appointments in the past 3 months. These findings highlight the importance of attending to developmental factors, such as the development of multiple identities, when attempting to increase engagement in care for gay/bisexual male adolescents living with HIV.

Disciplines

Medical Specialties | Medicine and Health Sciences | Osteopathic Medicine and Osteopathy

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mariafer/intellcont/Harper_The Role of Multiple Identities in Adherence to medical appointment among gay bisexual male adolescents living with hiv-1.pdf

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