Internet Health information seeking behavior and antiretroviral adherence in persons living with HIV/AIDS

Lipika Samal, Somnath (Som) Saha, Geetanjali Chander, Philip (Todd) Korthuis, Rashmi K. Sharma, Victoria Sharp, Jonathan Cohn, Richard D. Moore, Mary Catherine Beach

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

While the Internet has the potential to educate persons living with HIV/AIDS (PLWHA), websites may contain inaccurate information and increase the risk of nonadherence with antiretroviral therapy (ART). The objectives of our study were to determine the extent to which PLWHA engage in Internet health information seeking behavior (IHISB) and to determine whether IHISB is associated with ART adherence. We conducted a survey of adult, English-speaking HIV-infected patients at four HIV outpatient clinic sites in the United States (Baltimore, Maryland; Detroit, Michigan; New York, and Portland, Oregon) between December 2004 and January 2006. We assessed IHISB by asking participants how much information they had received from the Internet since acquiring HIV. The main outcome was patient-reported ART adherence over the past three days. Data were available on IHISB for 433 patients, 334 of whom were on ART therapy. Patients had a mean age of 45 (standard error [SE] 0.45) years and were mostly male (66%), African American (58%), and had attained a high school degree (73%). Most (55%) reported no IHISB, 18% reported some, and 27% reported "a fair amount" or "a great deal." Patients who reported higher versus lower levels of IHISB were significantly younger, had achieved a higher level of education, and had higher medication self-efficacy. In unadjusted analyses, higher IHISB was associated with ART adherence (odds ratio [OR], 2.96, 95% confidence interval [CI] 1.27-6.94). This association persisted after adjustment for age, gender, race, education, clinic site, and medication self-efficacy (adjusted odds ratio [AOR] 2.76, 95% CI 1.11-6.87). Our findings indicate that IHISB is positively associated with ART adherence even after controlling for potentially confounding variables. Future studies should investigate the ways in which Internet health information may promote medication adherence among PLWHA.

Original languageEnglish (US)
Pages (from-to)445-449
Number of pages5
JournalAIDS Patient Care and STDs
Volume25
Issue number7
DOIs
StatePublished - Jul 1 2011

Fingerprint

Information Seeking Behavior
Internet
Acquired Immunodeficiency Syndrome
HIV
Health
Self Efficacy
Therapeutics
Odds Ratio
Confidence Intervals
Education
Baltimore
Confounding Factors (Epidemiology)
Medication Adherence
Ambulatory Care Facilities
African Americans
Health Status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Internet Health information seeking behavior and antiretroviral adherence in persons living with HIV/AIDS. / Samal, Lipika; Saha, Somnath (Som); Chander, Geetanjali; Korthuis, Philip (Todd); Sharma, Rashmi K.; Sharp, Victoria; Cohn, Jonathan; Moore, Richard D.; Beach, Mary Catherine.

In: AIDS Patient Care and STDs, Vol. 25, No. 7, 01.07.2011, p. 445-449.

Research output: Contribution to journalArticle

Samal, Lipika ; Saha, Somnath (Som) ; Chander, Geetanjali ; Korthuis, Philip (Todd) ; Sharma, Rashmi K. ; Sharp, Victoria ; Cohn, Jonathan ; Moore, Richard D. ; Beach, Mary Catherine. / Internet Health information seeking behavior and antiretroviral adherence in persons living with HIV/AIDS. In: AIDS Patient Care and STDs. 2011 ; Vol. 25, No. 7. pp. 445-449.
@article{de605e969a704cb486e1b13a09b56162,
title = "Internet Health information seeking behavior and antiretroviral adherence in persons living with HIV/AIDS",
abstract = "While the Internet has the potential to educate persons living with HIV/AIDS (PLWHA), websites may contain inaccurate information and increase the risk of nonadherence with antiretroviral therapy (ART). The objectives of our study were to determine the extent to which PLWHA engage in Internet health information seeking behavior (IHISB) and to determine whether IHISB is associated with ART adherence. We conducted a survey of adult, English-speaking HIV-infected patients at four HIV outpatient clinic sites in the United States (Baltimore, Maryland; Detroit, Michigan; New York, and Portland, Oregon) between December 2004 and January 2006. We assessed IHISB by asking participants how much information they had received from the Internet since acquiring HIV. The main outcome was patient-reported ART adherence over the past three days. Data were available on IHISB for 433 patients, 334 of whom were on ART therapy. Patients had a mean age of 45 (standard error [SE] 0.45) years and were mostly male (66{\%}), African American (58{\%}), and had attained a high school degree (73{\%}). Most (55{\%}) reported no IHISB, 18{\%} reported some, and 27{\%} reported {"}a fair amount{"} or {"}a great deal.{"} Patients who reported higher versus lower levels of IHISB were significantly younger, had achieved a higher level of education, and had higher medication self-efficacy. In unadjusted analyses, higher IHISB was associated with ART adherence (odds ratio [OR], 2.96, 95{\%} confidence interval [CI] 1.27-6.94). This association persisted after adjustment for age, gender, race, education, clinic site, and medication self-efficacy (adjusted odds ratio [AOR] 2.76, 95{\%} CI 1.11-6.87). Our findings indicate that IHISB is positively associated with ART adherence even after controlling for potentially confounding variables. Future studies should investigate the ways in which Internet health information may promote medication adherence among PLWHA.",
author = "Lipika Samal and Saha, {Somnath (Som)} and Geetanjali Chander and Korthuis, {Philip (Todd)} and Sharma, {Rashmi K.} and Victoria Sharp and Jonathan Cohn and Moore, {Richard D.} and Beach, {Mary Catherine}",
year = "2011",
month = "7",
day = "1",
doi = "10.1089/apc.2011.0027",
language = "English (US)",
volume = "25",
pages = "445--449",
journal = "AIDS Patient Care and STDs",
issn = "1087-2914",
publisher = "Mary Ann Liebert Inc.",
number = "7",

}

TY - JOUR

T1 - Internet Health information seeking behavior and antiretroviral adherence in persons living with HIV/AIDS

AU - Samal, Lipika

AU - Saha, Somnath (Som)

AU - Chander, Geetanjali

AU - Korthuis, Philip (Todd)

AU - Sharma, Rashmi K.

AU - Sharp, Victoria

AU - Cohn, Jonathan

AU - Moore, Richard D.

AU - Beach, Mary Catherine

PY - 2011/7/1

Y1 - 2011/7/1

N2 - While the Internet has the potential to educate persons living with HIV/AIDS (PLWHA), websites may contain inaccurate information and increase the risk of nonadherence with antiretroviral therapy (ART). The objectives of our study were to determine the extent to which PLWHA engage in Internet health information seeking behavior (IHISB) and to determine whether IHISB is associated with ART adherence. We conducted a survey of adult, English-speaking HIV-infected patients at four HIV outpatient clinic sites in the United States (Baltimore, Maryland; Detroit, Michigan; New York, and Portland, Oregon) between December 2004 and January 2006. We assessed IHISB by asking participants how much information they had received from the Internet since acquiring HIV. The main outcome was patient-reported ART adherence over the past three days. Data were available on IHISB for 433 patients, 334 of whom were on ART therapy. Patients had a mean age of 45 (standard error [SE] 0.45) years and were mostly male (66%), African American (58%), and had attained a high school degree (73%). Most (55%) reported no IHISB, 18% reported some, and 27% reported "a fair amount" or "a great deal." Patients who reported higher versus lower levels of IHISB were significantly younger, had achieved a higher level of education, and had higher medication self-efficacy. In unadjusted analyses, higher IHISB was associated with ART adherence (odds ratio [OR], 2.96, 95% confidence interval [CI] 1.27-6.94). This association persisted after adjustment for age, gender, race, education, clinic site, and medication self-efficacy (adjusted odds ratio [AOR] 2.76, 95% CI 1.11-6.87). Our findings indicate that IHISB is positively associated with ART adherence even after controlling for potentially confounding variables. Future studies should investigate the ways in which Internet health information may promote medication adherence among PLWHA.

AB - While the Internet has the potential to educate persons living with HIV/AIDS (PLWHA), websites may contain inaccurate information and increase the risk of nonadherence with antiretroviral therapy (ART). The objectives of our study were to determine the extent to which PLWHA engage in Internet health information seeking behavior (IHISB) and to determine whether IHISB is associated with ART adherence. We conducted a survey of adult, English-speaking HIV-infected patients at four HIV outpatient clinic sites in the United States (Baltimore, Maryland; Detroit, Michigan; New York, and Portland, Oregon) between December 2004 and January 2006. We assessed IHISB by asking participants how much information they had received from the Internet since acquiring HIV. The main outcome was patient-reported ART adherence over the past three days. Data were available on IHISB for 433 patients, 334 of whom were on ART therapy. Patients had a mean age of 45 (standard error [SE] 0.45) years and were mostly male (66%), African American (58%), and had attained a high school degree (73%). Most (55%) reported no IHISB, 18% reported some, and 27% reported "a fair amount" or "a great deal." Patients who reported higher versus lower levels of IHISB were significantly younger, had achieved a higher level of education, and had higher medication self-efficacy. In unadjusted analyses, higher IHISB was associated with ART adherence (odds ratio [OR], 2.96, 95% confidence interval [CI] 1.27-6.94). This association persisted after adjustment for age, gender, race, education, clinic site, and medication self-efficacy (adjusted odds ratio [AOR] 2.76, 95% CI 1.11-6.87). Our findings indicate that IHISB is positively associated with ART adherence even after controlling for potentially confounding variables. Future studies should investigate the ways in which Internet health information may promote medication adherence among PLWHA.

UR - http://www.scopus.com/inward/record.url?scp=79959842109&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959842109&partnerID=8YFLogxK

U2 - 10.1089/apc.2011.0027

DO - 10.1089/apc.2011.0027

M3 - Article

C2 - 21682586

AN - SCOPUS:79959842109

VL - 25

SP - 445

EP - 449

JO - AIDS Patient Care and STDs

JF - AIDS Patient Care and STDs

SN - 1087-2914

IS - 7

ER -