错失医疗服务：佐治亚州亚特兰大地区艾滋病毒感染者的未满足健康服务需求。
Falling through the cracks: unmet health service needs among people living with HIV in Atlanta, Georgia.
机构信息
University of Connecticut, Storrs, Connecticut, USA.
出版信息
J Assoc Nurses AIDS Care. 2012 May-Jun;23(3):244-54. doi: 10.1016/j.jana.2011.01.005. Epub 2011 Apr 15.
Abstract
Despite growing numbers of people living with HIV (PLWH), the landscape of related services is shrinking. This study investigated health and social service needs of men (N = 489) and women (N = 165) living with HIV in Atlanta, GA. Participants completed confidential measures asking about the health and social services they needed and accessed. Results showed an array of health and social service needs among PLWH; failure to access services was prevalent. Hunger was among the most common basic needs, reported by greater than 60% of men and women. For men, unmet service needs were associated with fewer years since testing positive for HIV, higher CD4+ T cell values, experiencing more stressors and depression, and greater quantity of alcohol use. For women, failure to access services was associated with experiencing depression and not receiving HIV medications. Providing basic services to PLWH remains a public health priority and a moral imperative.
摘要
尽管感染艾滋病毒（HIV）的人数不断增加，但相关服务的范围却在缩小。本研究调查了佐治亚州亚特兰大市感染 HIV 的男性（N=489）和女性（N=165）的健康和社会服务需求。参与者完成了关于他们所需和已获得的健康和社会服务的保密措施。结果表明，HIV 感染者存在一系列健康和社会服务需求；服务获取不足的情况很普遍。饥饿是最常见的基本需求之一，男性和女性中有超过 60%的人报告了这种情况。对于男性来说，未满足的服务需求与 HIV 检测呈阳性后时间较短、CD4+T 细胞值较高、经历更多压力源和抑郁以及饮酒量较大有关。对于女性来说，无法获得服务与经历抑郁和未接受 HIV 药物治疗有关。向 HIV 感染者提供基本服务仍然是公共卫生的重点和道德义务。
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