Recent Stressful Life Events, Lifetime Traumatic Events, Missed Visits, and Antiretroviral Adherence Among Black Women With HIV in the Southeastern United States: A Cross-sectional Study.

J Assoc Nurses AIDS Care

Crystal Chapman Lambert is an Associate Professor, University of Alabama, School of Nursing, Birmingham, Alabama, USA; Nicole C. Wright is an Associate Professor, University of Alabama, School of Public Health, Birmingham, Alabama, USA; Latesha Elopre is an Assistant Professor, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; Pariya Fazeli is an Associate Professor, University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama, USA; Marcia Holstad is a Research Professor, Emory University, School of Nursing, Atlanta, Georgia, USA; Kiko King is a Research Assistant, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; James L. Raper is a Professor, Department of Infectious Diseases and School of Nursing, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; Janet Turan is a Professor, Department of Health Care Organization and Policy, University of Alabama at Birmingham, School of Public Health, Birmingham, Alabama, USA; Michael J. Mugavero is Professor, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA.

Published: April 2023

Lifetime traumatic events are prevalent among people with HIV and consistently associated with deleterious HIV outcomes. Yet, little is known about the impact of recent stressful events on health outcomes among Black women with HIV (WWH). This cross-sectional study assessed the prevalence of recent stressful events and lifetime traumatic events and their association with HIV outcomes in Black WWH ( n = 200) in the Southeastern United States. We evaluated the association between stressful events and HIV outcomes using chi-square tests and unadjusted and adjusted logistic regression analyses. In the unadjusted analyses, missed visits were associated with higher odds of recent stressful events (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.04-1.16) and lifetime traumatic events (OR 1.15, 95% CI 1.05-1.26). In the adjusted analysis, exposure to recent stressful events was independently associated with missed visits (adjusted OR 1.08, 95% CI 1.01-1.15). Interventions addressing recent stressful events are warranted.

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http://dx.doi.org/10.1097/JNC.0000000000000355DOI Listing

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