与未经控制的感染和艾滋病毒感染者中使用物质的死亡率相关的心理社会因素:潜伏类分析
Renae D Schmidt1, Viviana E Horigian2, Rui Duan2
1Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 Northwest 14th Street, Miami, FL, 33136, USA. rds174@miaimi.edu.
AIDS and behavior
|August 2, 2024
概括
独特的心理社会症状模式识别了艾滋病毒感染者使用物质 (PLWH-SU) 的子组,严重的症状与较差的病毒抑制和生存结果有关.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 传染性疾病 传染性疾病
背景情况:
- 艾滋病毒感染者使用物质 (PLWH-SU) 经常经历复杂的心理社会挑战.
- 了解症状异质性对于有针对性的干预和改善健康结果至关重要.
研究的目的:
- 根据心理社会症状认可模式,识别PLWH-SU的不同的子组 (隐性类别).
- 评估这些已识别的类是否预测不同的健康结果,包括病毒抑制和死亡率.
主要方法:
- 从801个美国医院注册的PLWH-SU中分析了28个心理社会项目 (2012-2014,后续2017年).
- 回归分析用于预测病毒抑制.
- 生存分析预测所有原因死亡率.
主要成果:
- 根据心理社会症状模式确定了五种不同的PLWH-SU潜伏类.
- 具有更严重和多种基线心理社会症状的班级显示病毒抑制的可能性较低.
- 心理社会症状严重程度的增加与生存率的降低有关.
结论:
- 心理社会症状模式揭示了PLWH-SU人口中的重要子组.
- 识别这些子组有助于了解不良健康结果的风险,例如病毒抑制和死亡率不佳.
- 解决初级,心理健康和物质使用需求的综合护理模式对PLWH-SU至关重要.
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