J Assoc Nurses AIDS Care. 2020 Jan-Feb;31(1):42-50. doi: 10.1097/JNC.0000000000000078.
Currently, the Southern United States has the highest rates of new HIV diagnoses with the largest percentage of people living with HIV (PLWH), and the most Americans dying from the disease. Given the increase of the HIV epidemic in the Deep South and the availability of evidence-based self-management tools for PLWH, we conducted an in-person survey in Birmingham, Alabama, to understand the symptom profile and the use of technology by PLWH. Muscle aches or joint pain was the most frequently (67%) reported symptom followed by fatigue, sleep difficulties, neuropathy, and depressive symptoms. We also assessed mobile technology use and ownership and found that 83.7% of persons own a smartphone, with most of these (79.9%) being Android users. Given these findings, there is strong scientific premise to support the feasibility of a mobile-delivered symptom self-management tool in the Deep South for improving health outcomes for PLWH.
目前,美国南部的新艾滋病病毒诊断率最高,艾滋病毒感染者(PLWH)的比例最大,死于该疾病的美国人也最多。鉴于深南部的艾滋病毒疫情不断增加,以及有针对 PLWH 的基于证据的自我管理工具,我们在阿拉巴马州伯明翰进行了一项实地调查,以了解 PLWH 的症状特征和技术使用情况。肌肉疼痛或关节疼痛是报告最多的症状(67%),其次是疲劳、睡眠困难、神经病变和抑郁症状。我们还评估了移动技术的使用和拥有情况,发现 83.7%的人拥有智能手机,其中大多数(79.9%)是 Android 用户。鉴于这些发现,有强有力的科学依据支持在深南部使用移动设备提供的症状自我管理工具来改善 PLWH 的健康结果。