支持性的夫妻关系可以缓冲艾滋病毒的危害,对艾滋病毒治疗的耻辱,对艾滋病毒治疗的坚持
Sarah A Gutin1, Allison Ruark2, Lynae A Darbes3
1Department Of Community Health Systems, School of Nursing, University of California, San Francisco (UCSF), 2 Koret Way, San Francisco, CA, 94143, USA. sarah.gutin@ucsf.edu.
BMC public health
|September 28, 2023
概括
艾滋病毒污名化对抗逆转录病毒疗法 (ART) 的坚持产生负面影响,特别是当关系支持较低时. 支持性关系可以缓冲这些影响,强调需要以夫妻为中心的干预措施.
科学领域:
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 艾滋病毒污名化对艾滋病毒影响的个人和夫妇来说是一个重大挑战.
- 情侣关系可能会受到艾滋病污名的影响,导致压力或亲密度增加.
- 艾滋病毒污名,关系动态和ART坚持之间的相互作用需要进一步调查.
研究的目的:
- 检查马拉维夫妇预期的艾滋病毒污名和关系动态 (信任,性满足,沟通,伴侣支持) 之间的关联.
- 评估预期的艾滋病毒污名和自我报告的ART坚持之间的关系.
- 调查关系动态是否缓和了预期的耻辱和ART坚持之间的关联.
主要方法:
- 来自马拉维Zomba的211个异性恋夫妇 (422个人) 的二次数据,其中至少有一个伴侣接受ART.
- 调查评估了预期的耻辱感,关系动态和ART坚持.
- 线性混合模型和通用估计方程模型被用于分析关联和相互作用.
主要成果:
- 预期的更高的耻辱感与性满意度和伴侣的社会支持有负面联系.
- 关系动态调节了预期的耻辱和ART坚持之间的关联.
- 当预期的耻辱感较高,社会支持或性满意度较低时,ART的坚持率最低.
结论:
- 预期的艾滋病毒污名化与较低的ART坚持有关,特别是在社会支持和性满意度低的关系中.
- 支持和满意的夫妻关系可以减轻耻辱对ART坚持的负面影响.
- 加强夫妇沟通和支持系统的干预措施对于减轻污名对艾滋病毒感染者夫妇的影响至关重要.
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