Yale School of Public Health, New Haven, CT 06510, USA.
AIDS Behav. 2013 Jun;17(5):1775-84. doi: 10.1007/s10461-012-0396-6.
The burden of HIV/AIDS in China is due to injection drug use. Non-clinical caregivers provide much of the care for HIV patients but are often not included in HIV care or research. The objective of this study is to examine the relationships between the caregiver context and mental health of HIV-positive injection drug users and their caregivers. We interviewed 96 patient-caregiver dyads using quantitative methods. A conceptual model was developed as a framework for multivariate linear regression modeling. The strongest predictor of poor patient mental health was lack of social support, which was largely determined by the caregiver's stigma towards HIV/AIDS and caregiver burden. Patient disability and caregiver burden were the primary predictors of poor caregiver mental health. The interrelated nature of caregiver and patient mental health supports the inclusion of caregiver health into the patient's HIV/AIDS treatment to maximize support provision and health for the patient and caregiver.
中国艾滋病的负担是由注射毒品引起的。非临床护理人员为艾滋病毒感染者提供了大部分的护理，但他们往往不包括在艾滋病毒护理或研究中。本研究的目的是研究艾滋病毒阳性注射吸毒者及其护理人员的护理背景与心理健康之间的关系。我们使用定量方法对 96 对患者-护理者进行了访谈。我们建立了一个概念模型，作为多变量线性回归模型的框架。患者心理健康状况不佳的最强预测因素是缺乏社会支持，这主要取决于护理人员对艾滋病的污名化和护理人员的负担。患者的残疾和护理人员的负担是护理人员心理健康状况不佳的主要预测因素。护理人员和患者心理健康的相互关系支持将护理人员的健康纳入到患者的艾滋病治疗中，以最大限度地为患者和护理人员提供支持和健康。
