探索社会因素与艾滋病毒感染的老年非洲裔美国人当前物质使用之间的关联
Timothy N Crawford1,2, Sydney Silverstein1
1Department of Population and Public Health Sciences, Wright State University Boonshoft School of Medicine, Dayton, Ohio, USA.
Substance use & misuse
|March 15, 2025
概括
像耻辱和不安全感这样的社会因素与艾滋病毒感染的老年非洲裔美国人的物质使用有关. 解决这些社会决定因素对于减少物质使用和改善艾滋病毒护理参与至关重要.
科学领域:
- 公共卫生 公共卫生
- 艾滋病毒 医学 艾滋病毒 医学
- 成研究 研究成研究
背景情况:
- 药物使用在艾滋病毒感染的老年人中很常见,对艾滋病毒治疗产生负面影响.
- 资源不安全,耻辱和歧视等社会因素可能会影响物质使用.
- 关于社会因素对艾滋病毒感染的老年非洲裔美国人物质使用的影响的研究有限.
研究的目的:
- 调查人口和社会因素与物质使用之间的关系.
- 为了检查与艾滋病毒感染的老年非洲裔美国人的物质使用模式.
主要方法:
- 一项描述性研究涉及52名参与者 (≥50岁) 在俄俄州,他们认为自己是黑人或非洲裔美国人.
- 在线调查评估过去三个月使用的酒精,阿片类药物,可卡因,大麻和安非他胺类兴奋剂.
- 后勤回归模型分析了物质使用与艾滋病毒相关的耻辱,粮食/住房不安全,歧视,监禁历史,就业和人口统计之间的关联.
主要成果:
- 报告的过去三个月物质使用的高患病率:大麻 (67.3%),危险的酒精使用 (85.0%),可卡因 (53.8%),安非他命类兴奋剂 (51.9%) 和阿片类药物 (50%).
- 与艾滋病毒相关的耻辱,歧视和住房不安全与阿片类药物,可卡因和安非他林使用的几率增加有关.
- 歧视,粮食不安全和住房不安全与使用大麻和冒险饮酒的可能性更高有关.
结论:
- 进一步的研究是必不可少的,以充分了解社会因素如何影响该人口的物质使用.
- 针对已识别的社会决定因素的干预措施可能会减少艾滋病毒感染的老年人中物质使用.
- 了解这些关联可以为制定有效的公共卫生战略提供信息.
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