不稳定住房的HIV阳性成年人急性护理利用的特定精神科关联因素。
Specific psychiatric correlates of acute care utilization among unstably housed HIV-positive adults.
作者信息
Chartier Maggie, Carrico Adam W, Weiser Sheri D, Kushel Margot B, Riley Elise D
机构信息
San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA.
出版信息
AIDS Care. 2012;24(12):1514-8. doi: 10.1080/09540121.2012.672720. Epub 2012 Apr 25.
Abstract
The role of specific psychiatric diagnoses in emergency department use and/or inpatient hospitalizations (acute care) has not been extensively examined among HIV-infected, unstably housed persons. A community-recruited sample of 284 HIV-infected, unstably housed adults completed the Diagnostic Interview Schedule for DSM-IV. One-third of participants screened positive for major depression and stimulant use disorders. Sleeping on the street [adjusted odds ratio (AOR) = 4.21], major depression (AOR = 2.88) and stimulant use disorders (AOR = 4.45) were associated with greater odds of acute care use. Housing and effective treatment of depression and stimulant use disorders may decrease use of acute care services in this population.
摘要
在艾滋病毒感染且居住不稳定的人群中，特定精神疾病诊断在急诊科就诊和/或住院治疗（急性护理）方面的作用尚未得到广泛研究。一个由社区招募的284名艾滋病毒感染且居住不稳定的成年人样本完成了DSM-IV诊断访谈表。三分之一的参与者筛查出患有重度抑郁症和兴奋剂使用障碍。露宿街头（调整优势比[AOR]=4.21）、重度抑郁症（AOR=2.88）和兴奋剂使用障碍（AOR=4.45）与急性护理使用几率增加相关。解决住房问题以及有效治疗抑郁症和兴奋剂使用障碍可能会减少该人群对急性护理服务的使用。
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