Barriers to HIV treatment adherence among Latinx MSM in the U.S. include youth, poverty, substance use, and need for additional services—all of which call for more solutions that are specifically tailored for that community, the U.S. CDC reported in Morbidity and Mortality Weekly Report.
The self-reported data came from the Medical Monitoring Project and covered 2015 through 2019. On an adherence scale that went up to 100 (representing perfect adherence), 77% of the 1,673 Latinx MSM scored 85 or higher.
Those who lapsed more often in taking their HIV medications were more likely to be younger, have income at or below the national poverty level, report recent substance use and/or depression, or have an unmet need for ancillary services. Such services include case management, counseling, mental health treatment, as well as help with transportation, housing, or food, plus interpreter services.
“Culturally tailored interventions aimed at improving adher¬ence, particularly among Hispanic/Latino MSM who are younger, live in poverty, use drugs, and have unmet needs for ancillary services, might improve viral suppression, leading to better health outcomes and decreasing HIV transmission,” study authors concluded.