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Are religion and spirituality barriers or facilitators to treatment for HIV: a systematic review of the literature.
AIDS Care 2017; 29(1):1-13AC

Abstract

Much attention has been given to the relationship between religion/spirituality (R/S) and HIV in recent years, but comparatively little has been explored in regard to R/S and HIV testing, retention in care, and adherence to medication. Religious views concerning HIV risk behavior pose challenges to communication and education about sexual health in religious communities and may serve as barriers to HIV treatment and care. Conversely, religious coping and spiritual well-being, as well as social support could serve as facilitators to HIV treatment and care. This study aims to fill a gap in the literature by addressing the following questions: (1) what dimensions of R/S have been found to be factors associated with HIV outcomes?; (2) which R/S factors function as barriers or facilitators to care among people living with HIV (PLWH)?; and (3) which R/S factors, if any, vary across socio-demographic groups? Thirty-three empirical articles were identified for systematic review. Of the 33 empirical studies included, 24 studies found that at least one measure of R/S was associated with better adherence and clinical health outcomes. Twelve studies found at least one measure of R/S to be associated with poorer adherence and clinical health outcomes. Seven of the studies found at least one R/S measure to have no significant association with outcomes. Though all of the studies included in this review focused on R/S experiences of PLWH, there was very little consistency in regard to measurement of R/S. Studies in this review included a wide range of R/S measures, including beliefs, religious/spiritual practices, R/S coping, organizational religion, and many more. Of the 33 studies reviewed, only 9 focused on unique populations such as women, people with histories of substance abuse, immigrants, etc. Findings from this review highlight opportunities for more studies in various populations using standardized R/S measures.

Authors+Show Affiliations

a Department of Sociology , University of Alabama at Birmingham , Birmingham , AL , USA.

Pub Type(s)

Journal Article
Review
Systematic Review

Language

eng

PubMed ID

27410058

Citation

Medved Kendrick, Haley. "Are Religion and Spirituality Barriers or Facilitators to Treatment for HIV: a Systematic Review of the Literature." AIDS Care, vol. 29, no. 1, 2017, pp. 1-13.
Medved Kendrick H. Are religion and spirituality barriers or facilitators to treatment for HIV: a systematic review of the literature. AIDS Care. 2017;29(1):1-13.
Medved Kendrick, H. (2017). Are religion and spirituality barriers or facilitators to treatment for HIV: a systematic review of the literature. AIDS Care, 29(1), pp. 1-13.
Medved Kendrick H. Are Religion and Spirituality Barriers or Facilitators to Treatment for HIV: a Systematic Review of the Literature. AIDS Care. 2017;29(1):1-13. PubMed PMID: 27410058.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are religion and spirituality barriers or facilitators to treatment for HIV: a systematic review of the literature. A1 - Medved Kendrick,Haley, Y1 - 2016/07/13/ PY - 2016/7/14/pubmed PY - 2017/7/8/medline PY - 2016/7/14/entrez KW - HIV KW - Spirituality KW - adherence KW - measurement of religion/spirituality KW - religion SP - 1 EP - 13 JF - AIDS care JO - AIDS Care VL - 29 IS - 1 N2 - Much attention has been given to the relationship between religion/spirituality (R/S) and HIV in recent years, but comparatively little has been explored in regard to R/S and HIV testing, retention in care, and adherence to medication. Religious views concerning HIV risk behavior pose challenges to communication and education about sexual health in religious communities and may serve as barriers to HIV treatment and care. Conversely, religious coping and spiritual well-being, as well as social support could serve as facilitators to HIV treatment and care. This study aims to fill a gap in the literature by addressing the following questions: (1) what dimensions of R/S have been found to be factors associated with HIV outcomes?; (2) which R/S factors function as barriers or facilitators to care among people living with HIV (PLWH)?; and (3) which R/S factors, if any, vary across socio-demographic groups? Thirty-three empirical articles were identified for systematic review. Of the 33 empirical studies included, 24 studies found that at least one measure of R/S was associated with better adherence and clinical health outcomes. Twelve studies found at least one measure of R/S to be associated with poorer adherence and clinical health outcomes. Seven of the studies found at least one R/S measure to have no significant association with outcomes. Though all of the studies included in this review focused on R/S experiences of PLWH, there was very little consistency in regard to measurement of R/S. Studies in this review included a wide range of R/S measures, including beliefs, religious/spiritual practices, R/S coping, organizational religion, and many more. Of the 33 studies reviewed, only 9 focused on unique populations such as women, people with histories of substance abuse, immigrants, etc. Findings from this review highlight opportunities for more studies in various populations using standardized R/S measures. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/27410058/Are_religion_and_spirituality_barriers_or_facilitators_to_treatment_for_HIV:_a_systematic_review_of_the_literature_ L2 - http://www.tandfonline.com/doi/full/10.1080/09540121.2016.1201196 DB - PRIME DP - Unbound Medicine ER -