艾滋病毒感染者合并精神健康障碍：抗逆转录病毒治疗的依从性。
Comorbid mental health disorders in persons living with HIV: Adherence to antiretroviral therapy.
机构信息
University of Colorado College of Nursing, United States of America.
University of Colorado College of Nursing, United States of America.
出版信息
Arch Psychiatr Nurs. 2019 Aug;33(4):364-370. doi: 10.1016/j.apnu.2019.04.008. Epub 2019 Apr 19.
Abstract
This is a secondary data analysis exploring adherence to antiretroviral therapy (ART) in persons living with HIV (PLWH) with a comorbid mental health disorder. Logistic regression analyses indicated that PLWH who had reliable housing were over six times more adherent than those with unreliable housing. Descriptive odds ratio analyses showed directional relationships for ART adherence with coping, employment, and social support. These results indicate areas for future investigation in PLWH and comorbid mental health disorders, and the potential to find ways to foster certain emotional or living conditions that promote ART adherence.
摘要
这是一项二次数据分析，旨在探讨合并精神健康障碍的艾滋病毒感染者（PLWH）对抗逆转录病毒疗法（ART）的依从性。逻辑回归分析表明，与住房不可靠的 PLWH 相比，住房可靠的 PLWH 坚持治疗的可能性高出六倍以上。描述性优势比分析显示，应对方式、就业和社会支持与 ART 依从性之间存在方向性关系。这些结果表明，在 PLWH 和合并精神健康障碍方面有进一步研究的空间，并有可能找到促进某些促进 ART 依从性的情绪或生活条件的方法。
相似文献
1
Comorbid mental health disorders in persons living with HIV: Adherence to antiretroviral therapy.
Arch Psychiatr Nurs. 2019 Aug;33(4):364-370. doi: 10.1016/j.apnu.2019.04.008. Epub 2019 Apr 19.
2
Mental health disorders and substance use among people living with HIV in Nepal: their influence on non-adherence to anti-retroviral therapy.
AIDS Care. 2019 Aug;31(8):923-931. doi: 10.1080/09540121.2019.1587365. Epub 2019 Mar 5.
3
Disparities in Electronically Monitored Antiretroviral Adherence and Differential Adherence Predictors in Latinx and Non-Latinx White Persons Living with HIV.
AIDS Patient Care STDS. 2020 Aug;34(8):344-355. doi: 10.1089/apc.2019.0256.
4
Alcohol and associated characteristics among older persons living with human immunodeficiency virus on antiretroviral therapy.
Subst Abus. 2014;35(3):245-53. doi: 10.1080/08897077.2014.890997.
5
Physical Activity, Depression, and Antiretroviral Therapy Adherence Among People Living With HIV: A Mediation Analysis.
J Assoc Nurses AIDS Care. 2019 Sep-Oct;30(5):556-562. doi: 10.1097/JNC.0000000000000045.
6
Protocol of a randomized controlled trial to test the effects of client-centered Representative Payee Services on antiretroviral therapy adherence among marginalized people living with HIV.
BMC Public Health. 2020 Sep 23;20(1):1443. doi: 10.1186/s12889-020-09500-z.
7
Associations between the legal context of HIV, perceived social capital, and HIV antiretroviral adherence in North America.
BMC Public Health. 2013 Aug 8;13:736. doi: 10.1186/1471-2458-13-736.
8
Perceived risks and amelioration of harm in research using mobile technology to support antiretroviral therapy adherence in the context of methamphetamine use: a focus group study among minorities living with HIV.
Harm Reduct J. 2020 Jun 11;17(1):41. doi: 10.1186/s12954-020-00384-1.
9
Medication beliefs and structural barriers to treatment adherence among people living with HIV infection.
Psychol Health. 2016;31(4):383-95. doi: 10.1080/08870446.2015.1111371. Epub 2015 Nov 24.
10
Adherence to antiretroviral therapy: factors independently associated with reported difficulty taking antiretroviral therapy in a national sample of HIV-positive Australians.
HIV Med. 2011 Oct;12(9):562-9. doi: 10.1111/j.1468-1293.2011.00928.x. Epub 2011 May 9.
引用本文的文献
1
Challenges in assessing self-reported adherence to antiretroviral therapy among individuals living with HIV/AIDS and mental disorders.
BMC Res Notes. 2025 Jul 16;18(1):301. doi: 10.1186/s13104-025-07368-z.
2
Cumulative tenofovir diphosphate exposure in persons with HIV taking single- vs. multiple-tablet regimens.
Pharmacotherapy. 2022 Aug;42(8):641-650. doi: 10.1002/phar.2711. Epub 2022 Jun 24.
3
Polysubstance use and adherence to antiretroviral treatment in the Miami Adult Studies on HIV (MASH) cohort.
AIDS Care. 2022 May;34(5):639-646. doi: 10.1080/09540121.2021.1896660. Epub 2021 Mar 5.
4
Trauma exposure, PTSD, and suboptimal HIV medication adherence among marginalized individuals connected to public HIV care in Miami.
J Behav Med. 2021 Apr;44(2):147-158. doi: 10.1007/s10865-020-00191-w. Epub 2020 Oct 24.
本文引用的文献
1
Understanding the Impact of Hazardous and Harmful Use of Alcohol and/or Other Drugs on ARV Adherence and Disease Progression.
PLoS One. 2015 May 1;10(5):e0125088. doi: 10.1371/journal.pone.0125088. eCollection 2015.
2
Adherence and HIV RNA Suppression in the Current Era of Highly Active Antiretroviral Therapy.
J Acquir Immune Defic Syndr. 2015 Aug 1;69(4):493-8. doi: 10.1097/QAI.0000000000000643.
3
The gender gap in mental health service use.
Soc Psychiatry Psychiatr Epidemiol. 2015 Jul;50(7):1089-95. doi: 10.1007/s00127-015-1038-x. Epub 2015 Mar 19.
4
Association between antiretroviral therapy adherence and employment status: systematic review and meta-analysis.
Bull World Health Organ. 2015 Jan 1;93(1):29-41. doi: 10.2471/BLT.14.138149. Epub 2014 Oct 30.
5
Changes in neurocognition and adherence over six months in HIV-infected individuals with cocaine or heroin dependence.
AIDS Care. 2015;27(3):333-7. doi: 10.1080/09540121.2014.985183. Epub 2014 Dec 6.
6
Antiretroviral therapy: current drugs.
Infect Dis Clin North Am. 2014 Sep;28(3):371-402. doi: 10.1016/j.idc.2014.06.001.
7
Concurrent use of comedications reduces adherence to antiretroviral therapy among HIV-infected patients.
J Manag Care Spec Pharm. 2014 Aug;20(8):844-50. doi: 10.18553/jmcp.2014.20.8.844.
8
Impact of health literacy on medication adherence: a systematic review and meta-analysis.
Ann Pharmacother. 2014 Jun;48(6):741-51. doi: 10.1177/1060028014526562. Epub 2014 Mar 11.
9
Impact of HIV-related stigma on treatment adherence: systematic review and meta-synthesis.
J Int AIDS Soc. 2013 Nov 13;16(3 Suppl 2):18640. doi: 10.7448/IAS.16.3.18640.
10
"Damaging what wasn't damaged already": psychological tension and antiretroviral adherence among HIV-infected methadone-maintained drug users.
AIDS Care. 2013;25(11):1370-4. doi: 10.1080/09540121.2013.766303. Epub 2013 Feb 13.
Zotero 插件