Gore-Felton Cheryl, Vosvick Mark, Bendel Talor, Koopman Cheryl, Das Bibi, Israelski Dennis, Herrera Mireya, Litzenberg Kim, Spiegel David
Medical College of Wisconsin, Center for AIDS Intervention Research (CAIR) 53202, USA.
Int J STD AIDS. 2003 Aug;14(8):539-46. doi: 10.1258/095646203767869156.
This study examined the prevalence of sexually transmitted diseases (STDs) as well as the relationships between STDs and coping strategies used to deal with the stress of living with HIV among adults. The sample comprised 179 men and women, 58% were Caucasian, 54% were male, more than half (61%) were diagnosed with AIDS, 43% were heterosexual, and 39% reported an STD post-HIV diagnosis. Logistic regression analysis indicated that individuals reporting longer time elapsed since HIV diagnosis and greater use of emotion-focused coping were more likely to report STDs. There was an interaction effect between time and coping such that the less time that elapsed since HIV diagnosis and the more an individual used emotion-focused coping, the more likely they were to report an STD. Tailoring interventions to address specific stressors associated with length of time living with HIV, may be a particularly effective prevention strategy.
本研究调查了性传播疾病(STD)的患病率,以及成人中性传播疾病与用于应对感染艾滋病毒生活压力的应对策略之间的关系。样本包括179名男性和女性,58%为白种人,54%为男性,超过一半(61%)被诊断为艾滋病,43%为异性恋,39%在艾滋病毒诊断后报告患有性传播疾病。逻辑回归分析表明,报告自艾滋病毒诊断以来时间间隔较长且更多使用以情绪为中心应对方式的个体更有可能报告患有性传播疾病。时间和应对方式之间存在交互作用,即自艾滋病毒诊断以来时间间隔越短且个体使用以情绪为中心应对方式越多,他们就越有可能报告患有性传播疾病。针对与感染艾滋病毒时间长短相关的特定压力源制定干预措施,可能是一种特别有效的预防策略。