感染艾滋病毒且有药物滥用问题的青少年:高痛苦水平与治疗不依从及性风险相关。

Youth living with HIV and problem substance use: elevated distress is associated with nonadherence and sexual risk.

作者信息

Nugent Nicole R, Brown Larry K, Belzer Marvin, Harper Gary W, Nachman Sharon, Naar-King Sylvie

机构信息

Rhode Island Hospital, Brown University, Providence Rhode Island, USA.

出版信息

J Int Assoc Physicians AIDS Care (Chic). 2010 Mar-Apr;9(2):113-5. doi: 10.1177/1545109709357472. Epub 2010 Feb 4.

Abstract

PURPOSE

To examine health risk behaviors in distressed youth living with HIV (YLH) with problem substance use.

METHODS

Assessed distress, antiretroviral (ARV) adherence, and unprotected sex in a racially and geographically diverse sample of 122 YLH.

RESULTS

A total of 87% of distressed YLH reported significantly more past-month ARV nonadherence (odds ratio [OR] = 7.15) and were more likely to have unprotected sex under the influence (OR = 5.14) than nondistressed youth.

CONCLUSIONS

Distressed YLH with problem substance use may benefit from interventions to improve adherence and to decrease sexual risk, especially while under the influence of drugs.

摘要

目的

研究感染艾滋病毒的问题性物质使用困境青年(YLH)的健康风险行为。

方法

对122名来自不同种族和地域的YLH样本进行苦恼、抗逆转录病毒(ARV)依从性和无保护性行为评估。

结果

与无苦恼的青年相比,共有87%的苦恼YLH报告称过去一个月的ARV不依从情况显著更多(优势比[OR]=7.15),且在受影响状态下更有可能发生无保护性行为(OR=5.14)。

结论

有问题性物质使用的苦恼YLH可能会从改善依从性和降低性风险的干预措施中受益,尤其是在药物影响下。

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