探索俄俄州艾滋病毒感染的老年黑人或非洲裔美国人资源不安全的相关性
Yanil V Ramirez1, Gisella M Drouet Saltos1, Timothy N Crawford2,3,4
1Wright State University Boonshoft School of Medicine, Dayton, OH, USA.
Journal of racial and ethnic health disparities
|September 4, 2024
概括
资源不安全,包括粮食和住房不稳定,显著影响了艾滋病毒感染的老年非洲裔美国人. 诸如吸毒,歧视和艾滋病污名等因素增加了这些弱点的风险.
科学领域:
- 健康的社会决定因素
- 公共卫生 公共卫生
- 艾滋病毒/艾滋病研究研究
背景情况:
- 资源不安全是影响艾滋病毒感染者 (PWH) 健康的关键社会决定因素.
- 艾滋病毒感染的老年非洲裔美国人 (AA) 是一个受健康差异不成比例地影响的脆弱人口.
- 了解这一人口群体面临的特定资源不安全性对于有效的卫生干预至关重要.
研究的目的:
- 确定艾滋病毒感染的老年非洲裔美国人 (AA) 中的粮食和住房不安全性.
- 检查资源不安全与物质使用史,耻辱和歧视之间的关联.
主要方法:
- 一项横截面研究包括52名50岁以上的黑人或AA的参与者,在俄俄州被诊断出艾滋病毒.
- 粮食不安全性使用家庭粮食不安全性获取量表来衡量.
- 住房不安全被定义为缺乏稳定的住房;资源不安全被分为安全,食物/住房不安全或两者兼而有之.
主要成果:
- 近一半 (48.1%) 的参与者经历住房不安全,58.0% 面临粮食不安全,38.5% 经历两种情况.
- 目前的物质使用,特别是阿片类药物,与资源不安全性有显著的关联 (OR=5.54).
- 日常歧视 (OR=1.19),重大歧视 (OR=1.75) 和艾滋病毒污名化 (OR=1.24) 的经历也与增加的资源不安全性有关.
结论:
- 社会因素对艾滋病毒感染的老年非洲裔美国人资源不安全造成了重大影响.
- 识别这些促成因素对于制定有针对性的干预措施至关重要.
- 解决资源不安全问题可以帮助打击艾滋病毒传播,改善健康结果.
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