高 HIV 负担地区基层医疗保健提供者的心理健康筛查实践：患者是否患有 HIV 有关系吗？
Mental Health Screening Practices Among Primary Care Providers in High HIV Burden Areas of the South: Does Having Patients with HIV Matter?
机构信息
Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA, 30322, USA.
Altarum Institute, Ann Arbor, MI, USA.
出版信息
J Behav Health Serv Res. 2021 Jan;48(1):103-111. doi: 10.1007/s11414-020-09719-z.
Mental health (MH) disorders are associated with HIV-related risk and health outcomes. Primary care providers (PCPs) conducting MH screenings can link persons living with HIV (PWH) to appropriate services, particularly in HIV burden areas of Southeastern States (the South). Little data exist on PCPs' MH screening practices. Depression, MH history, and substance use screenings among PCPs were examined in the South. Rao-Scott chi-square (χ[df]) statistics (p ≤ 0.05) analyzed MH screening between PCPs with and without PWH patients. Compared with PCPs without PWH patients, PCPs with PWH patients routinely screened for substance use more frequently (50.6% vs. 43.2%; χ[1] = 20.3; p < 0.0001). Compared with PCPs without PWH patients, PCPs with PWH patients routinely screened for depression less frequently (36.2% vs. 50.9%; χ[1] = 32.0; p < 0.0001). Providers increasing MH screenings will improve HIV-related outcomes in the South.
心理健康障碍与 HIV 相关的风险和健康结果有关。进行心理健康筛查的初级保健提供者可以将艾滋病毒感染者（PLHIV）与适当的服务联系起来，特别是在东南部各州（南方）的 HIV 负担地区。关于初级保健提供者心理健康筛查实践的数据很少。本研究在南方检查了初级保健提供者的抑郁、心理健康史和物质使用筛查情况。 Rao-Scott 卡方（χ[df]）统计量（p≤0.05）分析了有和没有 PLHIV 患者的初级保健提供者之间的心理健康筛查情况。与没有 PLHIV 患者的初级保健提供者相比，有 PLHIV 患者的初级保健提供者更频繁地常规筛查物质使用情况（50.6% vs. 43.2%；χ[1] = 20.3；p<0.0001）。与没有 PLHIV 患者的初级保健提供者相比，有 PLHIV 患者的初级保健提供者更不频繁地常规筛查抑郁情况（36.2% vs. 50.9%；χ[1] = 32.0；p<0.0001）。增加心理健康筛查的提供者将改善南方的与 HIV 相关的结果。
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