共同管理多病症:马拉维高血压和艾滋病毒的关系动态和双重药物坚持
Amy A Conroy1, Julie T Bidwell2, Allison Ruark3
1Department of Medicine, University of California San Francisco, San Francisco, CA, 94158, United States.
概括
关系质量和伴侣支持对于艾滋病毒和高血压患者的药物坚持至关重要. 较低的坚持与糟糕的关系动态和亲密伴侣暴力有关,突出了基于夫妇的干预措施的需要.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 心脏代谢障碍,包括高血压 (HTN),在艾滋病毒感染者中很常见.
- 管理多种慢性疾病使药物坚持变得复杂.
- 主要合作伙伴在支持抗逆转录病毒疗法 (ART) 中发挥着至关重要的作用,但它们在并发症管理中的作用尚未得到充分研究.
研究的目的:
- 调查关系动态与艾滋病毒和HTN的双重药物坚持之间的联系.
- 利用了马拉维健康心脏队列研究的基线数据.
主要方法:
- 对艾滋病毒和HTN感染者及其主要伴侣进行观察性队列研究.
- 评估了药物坚持,关系质量 (亲密,亲密伴侣暴力[IPV]),共享疾病评估和共同应对.
- 使用多项回归来分析关系变量和双重药物坚持之间的关联.
主要成果:
- 对艾滋病毒和/或HTN药物的较低坚持与较低的关系亲密度,共同的疾病评估,夫妻沟通和伴侣支持有关.
- 较高的身体,性和情感IPV率与不完整的HIV/最佳HTN坚持有关.
- 减少沟通和伙伴支持与完全的HIV/亚最佳HTN坚持相关.
结论:
- 包括IPV在内的糟糕的关系质量和功能与较低的双重药物坚持有关.
- 建议基于夫妇的干预措施通过解决关系动态,沟通和社会支持来改善依附.
- 缓解IPV对于成功管理同时发生的HIV和心脏代谢疾病至关重要.
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