艾滋病毒感染的黑人和拉丁裔跨性别女性中的全球COVID-19流行病和静态负荷
Ashleigh J Rich1, Huijun Jiang2, Jenny Williams1
1School of Nursing, Duke University.
Psychology of sexual orientation and gender diversity
|September 2, 2025
概括
随着COVID-19的流行,艾滋病毒感染的黑人和拉丁裔跨性别女性的压力生物标志物和静态负荷显著增加. 尽管疫苗接种率很高,但这群人面临着相当大的COVID-19负担和未得到满足的支持需求.
科学领域:
- 健康上的差异
- 流行病学
- 公共卫生
背景情况:
- 黑人和拉丁裔跨性别女性感染艾滋病毒 (BLTWLH) 面临着独特的生理心理压力因素.
- COVID-19 疫情加剧了现有的健康挑战,并为弱势群体带来了新的挑战.
- 了解疫情对BLTWLH的压力和健康结果的影响对于有针对性的干预至关重要.
研究的目的:
- 调查COVID-19大流行对BLTWLH压力生物标志物和静态负载指数 (ALI) 的影响.
- 评估这一群体中的COVID-19感染,住院和疫苗接种情况.
- 确定与大流行相关的未满足的支持需求.
主要方法:
- 在2019年10月至2022年6月期间注册的BLTWLH的纵向队列研究 (LITE Plus).
- 描述性统计数据比较了疫情前 (2020年3月之前) 和疫情后 (2021年1月至2022年12月) 的压力生物标志物和ALI得分.
- 报告的COVID-19指标和疫苗接种情况的频率和比例.
主要成果:
- 流行病后,慢性压力生物标志物在所有身体系统中都升高,样本的ALI分布明显上升.
- 在患病后访问的108名参与者中,有19%的患者呈COVID-19阳性检测,4%的患者住院治疗,70%的患者接种了疫苗,24%的患者接种了增强剂.
- 22%的人报告COVID-19相关的支持需求未得到满足,这表明尽管有应对策略,但仍存在持续的挑战.
结论:
- COVID-19 疫情对 BLTWLH 的压力生物标志物和静态负荷产生了不利影响,凸显了它们的独特脆弱性.
- 尽管在包括疫苗接种在内的预防工作中进行了大量参与,但COVID-19的高负担和未满足的支持需求仍然存在.
- 未来的研究和干预必须解决艾滋病毒,性别认同,种族/种族以及与流行病相关的压力因素的复杂相互作用.
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