Nyamathi Adeline, Heravian Anisa, Salem Benissa, Suresh P, Sinha Sanjeev, Ganguly Kalyan, Carpenter Catherine, Ramakrishnan Padma, Marfisee Mary, Liu Yihang
School of Nursing, University of California Los Angeles, CA, USA.
J Int Assoc Provid AIDS Care. 2013 Nov-Dec;12(6):391-6. doi: 10.1177/1545109712442241. Epub 2012 May 2.
The purpose of this descriptive study is to highlight the physical and mental health symptoms of 68 rural women living with AIDS (WLA) in India, their compliance to antiretroviral therapy (ART) medication, and barriers to accessing health care within the past 6 months. Physical and mental health status was obtained by self-report, administered by questionnaire and physician-determined clinical assessment, as well as selected objective parameters. Findings revealed that while rural WLA had been on antiretroviral therapy for just under 2 years, they self-reported a high prevalence of physical symptoms, and more than half reported high levels of depressive symptoms and major barriers to accessing health care. CD4 levels, body weight, and basal metabolic rate were also low. While the rural and urban WLA faced similar health care challenges, the demographic characteristics of the rural women may make them more vulnerable, as they are less adherent to ART and slimmer than their urban counterparts.
这项描述性研究的目的是突出印度68名农村艾滋病病毒感染妇女（WLA）的身心健康症状、她们对抗逆转录病毒疗法（ART）药物的依从性，以及过去6个月内获得医疗保健的障碍。通过问卷调查和医生确定的临床评估以及选定的客观参数进行自我报告，从而获取身心健康状况。研究结果显示，虽然农村艾滋病病毒感染妇女接受抗逆转录病毒治疗不到2年，但她们自我报告身体症状的患病率很高，超过一半的人报告有高水平的抑郁症状以及获得医疗保健的主要障碍。她们的CD4水平、体重和基础代谢率也很低。虽然农村和城市艾滋病病毒感染妇女面临类似的医疗保健挑战，但农村妇女的人口特征可能使她们更易受到伤害，因为她们比城市妇女对抗逆转录病毒疗法的依从性更低且更瘦。
