HIV阳性伴侣中的暴力、应对方式与持续的药物依从性
Violence, coping, and consistent medication adherence in HIV-positive couples.
作者信息
Lopez Eliot J, Jones Deborah L, Villar-Loubet Olga M, Arheart Kristopher L, Weiss Stephen M
机构信息
Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
出版信息
AIDS Educ Prev. 2010 Feb;22(1):61-8. doi: 10.1521/aeap.2010.22.1.61.
The purpose of this study was to investigate the extent to which intimate partner violence (IPV) influences antiretroviral medication adherence. Furthermore, it was hypothesized that adherence would differ for men and women based on degree of violence and coping strategies employed by each gender. A sample of HIV seroconcordant and serodiscordant heterosexual couples was recruited from the Miami area and assessed on rates of medication adherence, conflict resolution tactics, and coping strategies. Of these, 190 individual participants were prescribed antiretroviral medication. Baseline rates of adherence were 90.29% for men and 87.77% for women. Acts of violence were found to have negative effects on adherence for women but not for men. However, negative coping strategies were predictive of poor adherence for men but not women. Violence was found to be related to poor coping styles for both men and women. This study offers support for the inclusion of partners in conducting interventions. Furthermore, it underlines the importance of recognizing IPV as a barrier to medication adherence.
本研究的目的是调查亲密伴侣暴力（IPV）在多大程度上影响抗逆转录病毒药物的依从性。此外，研究假设，基于暴力程度以及男女各自采用的应对策略，男女的依从性会有所不同。从迈阿密地区招募了HIV血清学一致和不一致的异性恋伴侣样本，并对药物依从率、冲突解决策略和应对策略进行了评估。其中，190名个体参与者被开具了抗逆转录病毒药物。男性的基线依从率为90.29%，女性为87.77%。研究发现，暴力行为对女性的依从性有负面影响，但对男性没有。然而，消极的应对策略可预测男性依从性差，但对女性则不然。研究发现，暴力与男性和女性的不良应对方式有关。本研究为让伴侣参与干预措施提供了支持。此外，它强调了认识到亲密伴侣暴力是药物依从性障碍的重要性。
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