生活过程中的压力因素,潜伏应对策略,酒精使用和艾滋病毒感染者的坚持
Amrita Gill1, Gretchen Clum2, Patricia Molina3,4
1Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Box G-BH, Providence, Rhode Island, RI 02912, USA. agill6@tulane.edu.
AIDS and behavior
|November 15, 2024
概括
慢性压力因素,如不良童年经历,会影响艾滋病毒感染者应对策略. 特定的应对方式与较高的酒精使用和药物不服药有关,影响了艾滋病毒治疗.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 医学社会学 医学社会学
背景情况:
- 艾滋病毒感染者 (PWH) 经常面临终身的慢性压力因素,包括不良童年经历 (ACE),终身经济困难 (LEH) 和城市压力.
- 这些压力因素可能会影响应对机制,可能会影响艾滋病毒治疗的坚持和结果.
- 对于了解压力因素对PWH的长期影响而言,人生历程的视角至关重要.
研究的目的:
- 检查慢性压力因素作为艾滋病毒感染者 (PWH) 潜在应对策略的预测因素.
- 为了调查高风险的酒精使用和抗逆转录病毒疗法 (ART) 的不遵守,作为已识别的应对策略的后果.
主要方法:
- 使用了基于生命历程的方法,使用了来自新奥尔良艾滋病毒 (NOAH) 研究中的酒精使用数据.
- 确定了三个潜在的应对策略类别:避免应对 (31%),低频应对 (43%) 和解决问题的应对 (25%).
- 分析了压力因素 (ACE,LEH,城市压力) 和应对课程之间的关联,以及应对课程和结果 (酒精使用,ART坚持) 之间的关联.
主要成果:
- 儿童不良经历 (ACE) 与避免应对有关.
- 与其他策略相比,城市压力与避免应对有关.
- 终身经济困难 (LEH) 预测低频应对.
- 与解决问题的应对相比,低频应对增加了ART不坚持的两倍.
- 与解决问题的应对相比,避免和低频应对策略几乎使高风险的酒精使用增加了一倍.
结论:
- 在PWH中确定了不同的应对策略分类,受生命过程压力因素的影响.
- 解决问题的应对似乎是防止高风险酒精使用和ART不坚持的保护因素.
- 了解这些应对方式及其与压力因素的联系,可以为改善PWH的HIV护理连续性的干预提供信息.
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