巴西艾滋病毒/艾滋病患者的耻辱:对治疗坚持的影响
Lia Beatriz Henke de Azevedo1, Angelo Brandelli Costa2,3, Guilherme Welter Wendt4
1Postgraduate Program in Applied Health Sciences, Western Paraná State University, Francisco Beltrão, PR, Brazil.
艾滋病毒的污名显著影响治疗的坚持. 内化和普遍的艾滋病毒污名,以及年龄和健康状况等因素,增加了错过抗逆转录病毒疗法 (ART) 剂量的可能性.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 医学社会学 医学社会学
背景情况:
- 围绕艾滋病毒/艾滋病的耻辱感对有效的预防和治疗策略构成重大障碍.
- 这种污名有着深刻的个人和社会后果,影响了艾滋病毒/艾滋病 (PWHA) 感染者的福祉.
研究的目的:
- 调查PWHA经历的各种形式的耻辱和他们对艾滋病毒治疗的坚持之间的复杂关系.
- 为了确定与不坚持抗逆转录病毒治疗 (ART) 相关的特定的人口,临床和心理社会因素.
主要方法:
- 一项以社区为基础的研究,涉及1784名被诊断为艾滋病毒/艾滋病的参与者.
- 利用耻辱指数2.0来衡量耻辱和歧视,内化耻辱和治疗坚持.
- 采用描述性和推断性的统计分析,包括关联测试,群组比较和预测建模.
主要成果:
- 25.45%的人报告错过至少一剂ART.
- 内化耻辱 (OR=1.334) 和一般的与艾滋病毒相关的耻辱 (OR=1.049) 独立地与不遵守相关.
- 具有良好的自我报告健康状况的PWHA (OR=1.636) 和那些推迟启动ART (OR=1.940) 的人更有可能错过剂量.
结论:
- 不坚持ART受到人口统计,临床和心理社会因素的结合的影响,特别是耻辱感.
- 解决内化和普遍的艾滋病毒污名对于改善治疗坚持至关重要.
- 调查结果可以为开发有针对性的艾滋病毒服务和公共卫生政策提供信息,以减轻耻辱和提高治疗结果.
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