Lee Sung-Jae, Li Li, Lin Chunqing, Tuan Le Anh
a Semel Institute for Neuroscience and Human Behavior, Center for Community Health , University of California , Los Angeles , CA , USA.
AIDS Care. 2015;27(3):283-7. doi: 10.1080/09540121.2014.963015. Epub 2014 Oct 6.
It is hypothesized that persons who use drugs (PWUD) in Vietnam who are also HIV-positive may face additional challenges in psychosocial outcomes, and these challenges may extend to their family members. In this study, we examined depressive symptoms, stigma, social support, and caregiver burden of HIV-positive PWUD and their family members, compared to the outcomes of HIV-negative PWUD and their family members. Baseline, 3-month, and 6-month assessment data were gathered from 83 PWUD and 83 family members recruited from four communes in Phú Thọ Province, Vietnam. For PWUD, although we observed a general decline in overall stigma over time for both groups, HIV-positive PWUD consistently reported significantly higher overall stigma for all three periods. Depressive symptoms among family members in both groups declined over time; however, family members of HIV-positive PWUD reported higher depressive symptoms across all three periods. In addition, family members of HIV-positive PWUD reported lower levels of tangible support across all three periods. Caregiver burden among family members of HIV-positive PWUD increased significantly over time, whereas the reported burden among family members of HIV-negative PWUD remained relatively unchanged. The findings highlight the need for future interventions for PWUD and family members, with targeted and culturally specific strategies to focus on the importance of addressing additional stigma experienced by PWUD who are HIV-positive. Such challenges may have direct negative impact on their family members' depressive symptoms, tangible support, and caregiver burden.
据推测，越南同时感染艾滋病毒的吸毒者（PWUD）在心理社会方面可能面临更多挑战，且这些挑战可能会延伸至其家庭成员。在本研究中，我们对比了艾滋病毒呈阳性的吸毒者及其家庭成员与艾滋病毒呈阴性的吸毒者及其家庭成员的抑郁症状、耻辱感、社会支持和照料者负担。从越南富寿省四个公社招募了83名吸毒者和83名家庭成员，收集了他们的基线、3个月和6个月评估数据。对于吸毒者而言，尽管我们观察到两组的总体耻辱感随时间普遍下降，但艾滋病毒呈阳性的吸毒者在所有三个时间段的总体耻辱感一直显著更高。两组家庭成员的抑郁症状均随时间下降；然而，艾滋病毒呈阳性的吸毒者的家庭成员在所有三个时间段的抑郁症状报告得分更高。此外，艾滋病毒呈阳性的吸毒者的家庭成员在所有三个时间段报告的实际支持水平较低。艾滋病毒呈阳性的吸毒者的家庭成员的照料者负担随时间显著增加，而艾滋病毒呈阴性的吸毒者的家庭成员报告的负担相对保持不变。研究结果凸显了未来针对吸毒者及其家庭成员进行干预的必要性，采用有针对性且符合文化特点的策略，以关注解决艾滋病毒呈阳性的吸毒者所面临的额外耻辱感的重要性。此类挑战可能会对其家庭成员的抑郁症状、实际支持和照料者负担产生直接负面影响。
