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感染艾滋病毒的非裔美国和拉丁裔男同性恋者抗逆转录病毒治疗依从性的障碍与促进因素

Barriers and Facilitators for Antiretroviral Treatment Adherence Among HIV-Positive African American and Latino Men Who Have Sex With Men.

作者信息

Carey James W, Carnes Neal, Schoua-Glusberg Alisú, Kenward Katherine, Gelaude Deborah, Denson Damian J, Gall Elizabeth, Randall Laura A, Frew Paula M

机构信息

Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention, Atlanta, Georgia.

Research Support Services, Incorporated, Evanston, Illinois.

出版信息

AIDS Educ Prev. 2019 Aug;31(4):306-324. doi: 10.1521/aeap.2019.31.4.306.

DOI:10.1521/aeap.2019.31.4.306
PMID:31361514
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10985706/
Abstract

Some Black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not take antiretroviral therapy (ART). We conducted semistructured interviews with 84 adult, Black/African American and Hispanic/Latino MSM with HIV to understand ART barriers and facilitators. We used chi-square statistics to identify factors associated with ART use ( ≤ .05), and selected illustrative quotes. Over half (51.2%) said they followed their doctor's instructions; however, only 27.4% reported consistently taking ART. Some men delayed ART until overcoming diagnosis denial or becoming very sick. ART use was facilitated by encouragement from others, treatment plans, side effect management, lab test improvements, pill-taking reminders, and convenient care facilities that provide "one-stop shop" services. Men were more likely to take ART when having providers who communicated effectively and were perceived to treat them with respect. Healthcare personnel can use our findings to strengthen services for MSM of color.

摘要

一些感染了艾滋病毒的黑人/非裔美国人和西班牙裔/拉丁裔男男性行为者（MSM）没有接受抗逆转录病毒治疗（ART）。我们对84名感染艾滋病毒的成年黑人/非裔美国人和西班牙裔/拉丁裔MSM进行了半结构化访谈，以了解ART的障碍和促进因素。我们使用卡方统计来确定与ART使用相关的因素（≤.05），并选择了有代表性的引述。超过一半（51.2%）的人表示他们遵循医生的指示；然而，只有27.4%的人报告一直坚持服用ART。一些男性推迟ART治疗，直到克服对诊断的否认或病情非常严重。他人的鼓励、治疗计划、副作用管理、实验室检测改进、服药提醒以及提供“一站式”服务的便捷护理设施都促进了ART的使用。当有能有效沟通并被认为尊重他们的医疗服务提供者时，男性更有可能接受ART治疗。医护人员可以利用我们的研究结果来加强为有色人种MSM提供的服务。

相似文献

[1]
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[2]
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[6]
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[7]
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[1]
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J Acquir Immune Defic Syndr. 2025-5-8

[2]
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AIDS Patient Care STDS. 2025-6

[3]
iTHRIVE 365: A Community-Led, Multicomponent Health Promotion Intervention for Black Same Gender Loving Men.

Ann LGBTQ Public Popul Health. 2023-12

[4]
Understanding Disparities in Antiretroviral Therapy Adherence and Sustained Viral Suppression Among Black, Hispanic/Latina, and White Women in the United States - Medical Monitoring Project, United States, 2015-2019.

J Acquir Immune Defic Syndr. 2023-8-15

[5]
"We in This Fight Together…": HIV Treatment and Prevention Among Couples of HIV-Discordant Black and Latino Men Who Have Sex with Men.

J Prev Health Promot. 2022-1

[6]
Barriers to Antiretroviral Therapy Adherence Among HIV-Positive Hispanic and Latino Men Who Have Sex with Men -United States, 2015-2019.

MMWR Morb Mortal Wkly Rep. 2020-10-9

[7]
Uptake of online HIV-related continuing medical education training among primary care providers in Southeast United States, 2017-2018.

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本文引用的文献

[1]
Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study.

Lancet. 2019-5-2

[2]
Ending the HIV Epidemic: A Plan for the United States.

JAMA. 2019-3-5

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HIV-Related Stigma by Healthcare Providers in the United States: A Systematic Review.

AIDS Patient Care STDS. 2018-10

[4]
Barriers and Facilitators for Clinical Care Engagement Among HIV-Positive African American and Latino Men Who Have Sex with Men.

AIDS Patient Care STDS. 2018-4-18

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J Public Health Manag Pract. 2018

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AIDS Patient Care STDS. 2017-12

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AIDS Patient Care STDS. 2017-11

[8]
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J Acquir Immune Defic Syndr. 2017-12-15

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Ann Intern Med. 2017-9-19

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J Acquir Immune Defic Syndr. 2017-11-1

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