与艾滋病毒感染者青少年抗逆转录病毒坚持相关的因素
Elizabeth Mayfield Arnold1, Susan Kamal2, Mary Jane Rotheram-Borus2
1Department of Family and Community Medicine, UT Southwestern Medical Center, Dallas, TX; and.
Journal of acquired immune deficiency syndromes (1999)
|November 17, 2023
概括
艾滋病毒感染者 (YLH) 青少年在获得更大的社会支持和更短的抗逆转录病毒 (ARV) 治疗时间后,报告了更好的坚持. 针对非白人YLH和社会支持有限的人群的有针对性的支持可能会改善病毒抑制.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 青少年医学 青少年医学
背景情况:
- 艾滋病毒感染者 (YLH) 面临的心理社会压力因素影响抗逆转录病毒 (ARV) 坚持.
- 了解影响ARV坚持的因素对于改善YLH的健康结果至关重要.
研究的目的:
- 为了检查与12-24岁的YLH中自我报告的ARV坚持相关的社会人口学,临床和心理社会因素.
- 为了确定坚持的预测因素,以告知更好的病毒抑制干预措施.
主要方法:
- 在洛杉矶和新奥尔良 (2017-2020) 招募的坚持者与非坚持者YLH (N=147) 的比较分析.
- 使用单变量和多变量分析来评估与最近自我报告的ARV坚持相关的因素.
主要成果:
- 大多数YLH (71.2%) 报告了优秀或非常好的ARV坚持; 79%的坚持者实现了病毒抑制.
- 坚持与白人种族,西班牙裔/拉丁裔种族,更大的社会支持和更短的ARV治疗时间有显著的关联.
- 心理健康症状,物质使用,年龄,以及无家可归或被监禁的历史与坚持不相关.
结论:
- 干预措施应侧重于加强对非白人YLH和社会支持有限的人群的支持.
- 在ARV治疗中支持YLH的策略更长时间可能会改善坚持和病毒抑制率.
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