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针对人类免疫缺陷病毒、丙型肝炎病毒和梅毒的即时护理压力性快速检测

Stressful point-of-care rapid testing for human immunodeficiency virus, hepatitis C virus, and syphilis.

作者信息

Reynolds Grace L, Fisher Dennis G, Brocato Jo, van Otterloo Lucy, Khahlil Khaloud, Huckabay Loucine

机构信息

1 Health Care Administration Department, California State University, Long Beach, CA, USA.

2 Center for Behavioral Research and Services, California State University, Long Beach, CA, USA.

出版信息

Int J STD AIDS. 2017 Sep;28(10):975-984. doi: 10.1177/0956462416684460. Epub 2016 Dec 19.

Abstract

Even with technological advances in point-of-care rapid testing for HIV, hepatitis, and syphilis, individuals may still find the experience of submitting to testing, and receiving results, to be stressful. Participants completed the rapid test experience questionnaires to assess stress both prior to and after the specimen collection. Participants completed the risk behavior assessment, the coping strategies indicator, and the Barratt impulsivity scale. Participants chose which rapid tests they wanted using a list administered via computer. Logistic regression analysis was used to model self-reported stress prior to testing and after testing. A total of 1097 individuals completed testing. Individuals who scored high on avoidance reported a stressful experience at pretest (OR = 1.15, CI = 1.04, 1.26) while higher educational attainment was associated with no stress at both time points. Injection drug users, avoidant, and impulsive individuals experience stress either before or after rapid testing. Education appears to be protective against stressful testing.

摘要

即使在针对艾滋病毒、肝炎和梅毒的即时快速检测技术取得进步的情况下,个人在接受检测和获取结果的过程中仍可能感到压力重重。参与者在样本采集前后完成快速检测体验问卷,以评估压力情况。参与者还完成了风险行为评估、应对策略指标和巴拉特冲动性量表。参与者通过电脑列出的清单选择他们想要进行的快速检测项目。采用逻辑回归分析对检测前和检测后的自我报告压力进行建模。共有1097人完成了检测。在回避方面得分高的个体在检测前报告有压力体验(比值比=1.15,置信区间=1.04,1.26),而较高的教育程度在两个时间点均与无压力相关。注射吸毒者、回避型和冲动型个体在快速检测前或检测后会经历压力。教育似乎对减轻检测压力具有保护作用。

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