一个用于解释男同性恋者和双性恋男性中艾滋病毒抗逆转录病毒治疗依从性的中介模型。
A Mediation Model to Explain HIV Antiretroviral Adherence Among Gay and Bisexual Men.
作者信息
Halkitis Perry N, Palamar Joseph
机构信息
Director of Research, Professor of Applied Psychology, and Director of the Center for Health, Identity, Behavior & Prevention Studies (CHIBPS) at The Steinhardt School, New York University.
graduate student in Public Health and a research affiliate of CHIBPS at The Steinhardt School.
出版信息
J Gay Lesbian Soc Serv. 2008;19(1):35-55. doi: 10.1300/J041v19n01_03.
Based on quantitative data describing a sample of 300 HIV seropositive gay and bisexual men living in New York City who were on antiretroviral drug therapy, variables of interest were collapsed into 4 latent constructs-SES (including health care provision), psychological states, drug use impairment, and HIV treatment adherence-and structural equation modeling was used to test the relations among them. Our model indicated a complex interplay between socioeconomic factors, drug use impairment, psychological states, and adherence. It is imperative for counselors and clinicians working with this population to understand the complex relationships between cultural, social, and psychological realities and adherence to HIV antiviral medications and to develop effective socially relevant and culturally nested interventions.
基于对300名居住在纽约市且正在接受抗逆转录病毒药物治疗的HIV血清阳性同性恋和双性恋男性样本的定量数据，将感兴趣的变量归纳为4个潜在结构——社会经济地位（包括医疗保健提供情况）、心理状态、药物使用障碍和HIV治疗依从性——并使用结构方程模型来检验它们之间的关系。我们的模型表明社会经济因素、药物使用障碍、心理状态和依从性之间存在复杂的相互作用。对于与这一人群打交道的咨询师和临床医生来说，理解文化、社会和心理现实与坚持服用HIV抗病毒药物之间的复杂关系，并制定有效的具有社会相关性和文化嵌入性的干预措施至关重要。
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