在艾滋病毒感染的退伍军人中自伤非自然死亡
Alexandria C Smith1,2, Joseph L Goulet3,4, David Vlahov1
1Yale School of Nursing, Orange.
AIDS (London, England)
|May 30, 2024
概括
在艾滋病毒感染者 (PWH) 中,将自杀死亡的定义扩展到自伤非自然死亡 (SIUD),揭示了更多可修改的风险因素. 这种更广泛的方法有助于制定针对PWH的有针对性的预防策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 艾滋病毒感染者 (PWH) 面临自杀和意外死亡的高风险.
- 当前的自杀分类可能错过了关键的可修改的风险因素.
研究的目的:
- 评估将死亡的定义从自杀扩大到自伤非自然死亡 (SIUD) 的实用性.
- 为了确定一个更全面的一组可修改的风险因素,用于预防PWH.
主要方法:
- 一个嵌套的病例控制研究,使用来自2006-2015年退伍军人衰老队列研究 (VACS) 的数据.
- 使用ICD-10代码定义的SIUD,包括故意,非故意和不确定的死亡.
- 条件后勤回归用于估计SIUD和自杀风险.
主要成果:
- 以前的自杀企图,情感障碍,使用二,精神病医院住院和美国西部居住增加了自杀和SIUD风险.
- 药物使用障碍,酒精使用障碍,C型肝炎,VACS指数2.0,吸烟和高疼痛水平与SIUD比自杀更强烈相关.
结论:
- 仅仅专注于自杀低估了自我伤害行为对公共健康的影响.
- 扩大对SIUD的关注,有助于识别PWH干预的可修改风险因素.
相关概念视频
Immunodeficiency Diseases
935
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...
935
Pulmonary Tuberculosis I
231
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...
231
Sexually Transmitted Infections
300
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...
300
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Retrovirus Life Cycles
45.8K
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...
45.8K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K


