将物质使用服务纳入艾滋病毒护理:一个未充分利用的实施科学机会
Christopher M Ferraris1,2, Christopher Magana1, Justin Knox1,3,4
1New York State Psychiatric Institute, New York, New York.
Current opinion in HIV and AIDS
|September 10, 2025
概括
将物质使用障碍 (SUD) 服务整合到艾滋病毒护理中,可以改善艾滋病毒感染者 (PWH) 的结果. 最近的研究表明,这些综合模型是可行的和可接受的,尽管影响有所不同. 实施科学可以提高它们的有效性.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 艾滋病毒 医学 艾滋病毒 医学
背景情况:
- 药物使用障碍 (SUD) 在艾滋病毒感染者 (PWH) 中普遍存在,对艾滋病毒治疗产生负面影响.
- 将SUD服务纳入艾滋病毒护理环境是改善健康结果的关键策略.
- 最近的研究重点是PWH中SUD的流行病学和综合护理模型的有效性.
研究的目的:
- 审查最近美国关于SUD和HIV流行病学的研究.
- 综合关于SUD和HIV综合护理模式的发现.
- 识别落实科学的差距和机会.
主要方法:
- 对2023年1月至2025年6月期间发表的18项美国研究进行系统审查.
- 对PWH中物质使用的流行病学数据的分析.
- 评估各种综合护理模式及其报告结果.
主要成果:
- 在PWH中使用物质的高流行率,有记录的种族/种族和性取向差异.
- 综合护理模式,包括共设诊所和简短干预,是可行的和可以接受的.
- 观察到可变的覆盖范围和对艾滋病毒治疗结果的影响;很少有研究使用实施科学框架.
结论:
- 整合SUD和艾滋病毒护理可以改善服务采用率并解决健康差异.
- 这种整合支持国家公共卫生目标,例如结束艾滋病毒流行病.
- 需要更多地使用实施科学来优化综合护理计划的覆盖范围和影响.
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