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与在埃塞俄比亚开始接受抗逆转录病毒治疗的艾滋病毒/艾滋病感染者(PLWH)食物不足相关的社会心理因素。

Psychosocial Factors Associated with Food Insufficiency Among People Living with HIV/AIDS (PLWH) Initiating ART in Ethiopia.

机构信息

Institute for Implementation Science in Population Health, City University of New York, 55 West 125th Street, New York, NY, 10027, USA.

Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

AIDS Behav. 2019 Nov;23(11):3052-3057. doi: 10.1007/s10461-019-02505-9.

Abstract

Food insufficiency is associated with suboptimal HIV treatment outcomes. Less is known about psychosocial correlates of food insufficiency among PLWH. This sample includes 1176 adults initiating antiretroviral therapy at HIV clinics in Ethiopia. Logistic regression modeled the association of psychological distress, social support, and HIV-related stigma with food insufficiency. Among respondents, 21.4% reported frequent food insufficiency. Psychological distress [adjusted odds ratio (aOR) 2.61 (95% CI 1.79, 3.82)], low social support [aOR 2.20 (95% CI 1.57, 3.09)] and enacted stigma [aOR 1.69 (95% CI 1.26, 2.25)] were independently associated with food insufficiency. Food insufficiency interventions should address its accompanying psychosocial context.

摘要

食物不足与 HIV 治疗效果不佳有关。人们对 PLWH 食物不足的心理社会相关因素知之甚少。本样本包括在埃塞俄比亚的 HIV 诊所开始接受抗逆转录病毒治疗的 1176 名成年人。Logistic 回归分析了心理困扰、社会支持和与 HIV 相关的耻辱感与食物不足之间的关系。在受访者中,21.4%的人报告经常出现食物不足。心理困扰[调整后的优势比(aOR)2.61(95%可信区间 1.79,3.82)]、低社会支持[aOR 2.20(95%可信区间 1.57,3.09)]和实施的耻辱感[aOR 1.69(95%可信区间 1.26,2.25)]与食物不足独立相关。食物不足干预措施应针对其伴随的心理社会环境。

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