Case Western Reserve University, Cleveland, OH, USA.
University of Cincinnati, OH, USA.
West J Nurs Res. 2020 Jan;42(1):4-13. doi: 10.1177/0193945919842874. Epub 2019 Apr 21.
Women living with HIV (WLHIV) face unique challenges to successfully self-manage HIV including substance use and limited social capital. We conducted a 6-month mixed-methods study to describe how social capital influences HIV self-management and substance use among WLHIV. Participants completed a self-report survey and in-depth interview at baseline, and 3 and 6 months. Descriptive statistics, -tests, and generalized estimating equations (GEEs) were used to examine quantitative relationships. Qualitative data were analyzed using qualitative description. Current substance users reported lower social capital compared with past substance users (2.63 vs. 2.80; = .34). Over time, substance use and social capital were associated with HIV self-management (Wald χ = 28.43; < .001). Qualitative data suggest that HIV self-management is influenced by overlapping experiences with social capital, including influential trust, community, and value of self can be complicated by ongoing substance use. Social capital can facilitate improved HIV self-management; however, substance use and trauma can weaken this relationship.
HIV 感染者（PLHIV）在成功进行 HIV 自我管理方面面临着独特的挑战，包括药物使用和有限的社会资本。我们开展了一项为期 6 个月的混合方法研究，旨在描述社会资本如何影响 HIV 感染者的自我管理和药物使用情况。参与者在基线、3 个月和 6 个月时完成了一份自我报告调查和深入访谈。描述性统计、检验和广义估计方程（GEE）用于检验定量关系。定性数据采用定性描述进行分析。与过去有药物使用史的人相比，当前药物使用者的社会资本较低（2.63 分比 2.80 分；=.34）。随着时间的推移，药物使用和社会资本与 HIV 自我管理相关（Wald χ=28.43；<.001）。定性数据表明，HIV 自我管理受到社会资本重叠经验的影响，包括有影响力的信任、社区和自我价值，但持续的药物使用会使情况变得复杂。社会资本可以促进 HIV 自我管理的改善；然而，药物使用和创伤可能会削弱这种关系。
