艾滋病毒感染者健康的社会决定因素影响密歇根州重要的健康结果
S Karram1, C Sanger2, C Convery2
1Michigan Department of Health and Human Services, Bureau of HIV and STI Programs, Lansing, MI, USA. karrams@michigan.gov.
AIDS and behavior
|January 5, 2024
概括
解决健康的社会决定因素 (SDOH) 显著影响艾滋病毒护理. 更多的SDOH挑战与较差的健康结果相关,包括艾滋病毒感染者 (PLWH) 错过的预约和心理健康问题.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 健康的社会决定因素 (SDOH) 对改善艾滋病毒感染者 (PLWH) 的生活质量和获得护理的机会至关重要.
- 了解SDOH和艾滋病毒临床结果之间的关联是国家优先事项.
研究的目的:
- 检查密歇根州SDOH和HIV临床结果和生活质量指标之间的关联.
- 确定SDOH如何影响PLWH中的耻辱,心理健康,ART坚持和病毒抑制.
主要方法:
- 利用俄勒冈州艾滋病毒健康指数的社会决定因素和CDC医疗监测项目数据.
- 用人加权百分比和患病率与预测边际平均值,调整为人口因素.
- 分析了SDOH,临床结果,耻辱和心理健康之间的关联.
主要成果:
- 具有≥4个SDOH挑战的PLWH更有可能错过HIV护理预约 (aPR:2.57) 和经历抑郁症 (aPR:4.03) 和焦虑症 (aPR:3.55).
- 这些人不太可能实现100%的抗逆转录病毒疗法 (ART) 坚持 (aPR:0.62) 和持续的病毒抑制 (aPR:0.77).
- 最高的耻辱评分是由面临≥4个SDOH挑战的人报告的.
结论:
- 在SDOH和不良的HIV健康和生活质量结果之间存在显著的关联.
- 调查结果可以为联邦,州和地方战略提供信息,以改善PLWH的结果.
- 将PLWH与社会支持和心理健康服务联系起来,对于福祉和更好的医疗保健结果至关重要.
关键词:
护理结果的结果.艾滋病病毒 艾滋病病毒 艾滋病病毒艾滋病毒护理 艾滋病毒护理心理健康 心理健康密歇根州密歇根州密歇根州的密歇根州.在SDOH中,SDOH是SDOH.健康的社会决定因素污名化是一种耻辱.美国的美国.更多相关视频
07:02Identifying Dysregulated Genes Induced by Kaposi's Sarcoma-associated Herpesvirus KSHV
Published on: September 14, 2010
12.7K
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.6K
相关概念视频
Pulmonary Tuberculosis I
244
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
244
Dimensions of Health and Illness
7.3K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.3K
Sexually Transmitted Infections
316
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
316
Immunodeficiency Diseases
941
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
941
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Retrovirus Life Cycles
46.0K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
46.0K
