管理搬家:艾滋病毒和应对男人搬到约翰内斯堡
Maria Francesca Nardell1,2, Jenny Jyoung Lee3, Sithabile Mngadi-Ncube4
1Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.
AIDS care
|November 19, 2025
概括
约翰内斯堡的艾滋病毒感染者更多地利用宗教应对. 没有永久居留权的人也表现出更高的宗教和以问题为中心/情绪应对能力,这表明需要有针对性的支持来改善艾滋病毒护理参与度.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 流行病学 流行病学
背景情况:
- 南非的男性在艾滋病毒护理中代表性不足,特别是面临服务获取挑战的移民男性.
- 有效的应对策略对于医疗保健决策至关重要,但艾滋病毒状况和移民压力因素对应对的影响仍未得到充分研究.
- 约翰内斯堡拥有大量的移民人口,主要是男性,强调需要了解他们独特的健康挑战.
研究的目的:
- 调查艾滋病毒状况,与流动性相关的压力因素和移民到约翰内斯堡的男性应对策略之间的关联.
- 鉴定移民男性如何使用不同的应对机制,与他们的艾滋病毒状况和居住身份有关.
- 为制定有针对性的干预措施提供信息,以改善对弱势移民群体的艾滋病毒护理参与.
主要方法:
- 从2月到2024年4月,在移民到约翰内斯堡的男性中进行了一项横截面调查.
- 收集的数据包括自我报告的艾滋病毒状况和Soweto应对量表的得分,衡量以问题为中心/情绪和宗教应对.
- 使用线性回归模型分析了应对得分,艾滋病毒状态和流动性变量 (公民身份/居住身份) 之间的关联.
主要成果:
- 与艾滋病毒阳性男性相比,艾滋病毒感染者报告的宗教应对得分明显高 (p=0.026).
- 与没有公民身份或永久居民身份的男性相比,在宗教应对 (p=0.024) 和以问题为中心/情绪应对 (p=0.022) 方面,男性的得分更高.
- 这些发现表明,与艾滋病毒状况和与移民有关的因素相关的不同应对模式.
结论:
- 针对移民男性,特别是那些没有永久居留权的男性,有针对性的应对支持干预措施可以加强他们与艾滋病毒护理服务的接触.
- 了解宗教信仰在应对机制中的作用,对于为南非艾滋病毒感染者制定有效的健康干预措施至关重要.
- 虽然这项研究不能对所有移民群体进行概括,但该研究强调了在艾滋病毒护理策略中解决与流动性相关的压力因素的重要性.
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