人际和社区层面的暴力经历与艾滋病毒结果之间的关联:对瑞安·怀特诊所的暴力查的影响
Ameeta S Kalokhe1,2, Katherine M Anderso3, Madelyn Carlson3
1Division of Infectious Diseases, Emory University School of Medicine, Atlanta, GA, USA.
AIDS care
|January 29, 2025
概括
在艾滋病毒感染者 (PLWH) 中,暴力很常见. 虽然暴力并没有直接影响艾滋病毒护理,但与PTSD有关,这降低了病毒抑制的几率,突出了创伤相关的护理需求.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒 医学 艾滋病毒 医学
- 创伤研究 创伤研究
背景情况:
- 人际和社区暴力经常被艾滋病毒感染者 (PLWH) 报告.
- 了解暴力对艾滋病毒结果的影响对于护理至关重要.
- 在临床环境中需要有效的查和支持资源.
研究的目的:
- 检查人际和社区暴力经历与艾滋病毒结果之间的关联.
- 为了调查暴力的作用,代理措施如PTSD,焦虑和抑郁症.
- 为PLWH提供创伤信息的护理策略.
主要方法:
- 在亚特兰大,乔治亚州,从2021年2月到2022年12月对285个PLWH进行了一项研究.
- 有目的的抽样确保了性别,种族/种族以及艾滋病毒护理保留的多样性.
- 多变量分析评估了暴力经历,PTSD,焦虑,抑郁和HIV结果 (参与,保留,病毒抑制).
主要成果:
- 报告了亲密伴侣暴力 (89%),非伴侣暴力 (97%),仇恨犯罪 (93%) 和不良童年经历 (59%) 的高一生患病率.
- 终身暴力经历与艾滋病毒护理参与,保留或病毒抑制没有直接联系.
- 暴力经历与PTSD有关,这显著降低了持久病毒抑制的几率 (AOR 0.35).
结论:
- 在PLWH中暴力的高流行率需要普遍的创伤知情方法.
- 实施PTSD查可以识别需要创伤支持的患者.
- 解决创伤对于改善艾滋病毒健康结果至关重要.
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