南非夸祖鲁-纳塔尔省一个高艾滋病毒负担地区的妇女中的抑郁症状、艾滋病毒检测、与抗逆转录病毒治疗的关联以及病毒抑制情况：一项横断面家庭研究。
Depression symptoms, HIV testing, linkage to ART, and viral suppression among women in a high HIV burden district in KwaZulu-Natal, South Africa: A cross-sectional household study.
机构信息
University of KwaZulu-Natal, South Africa.
University of Gothenburg, Sweden.
出版信息
J Health Psychol. 2022 Mar;27(4):936-945. doi: 10.1177/1359105320982042. Epub 2020 Dec 31.
Abstract
Achieving the UNAIDS 90-90-90 targets by 2020 is contingent on identifying and addressing mental health challenges that may affect HIV testing and treatment-related behaviors. This study is based on survey data from KwaZulu-Natal, South Africa (2014-2015). HIV positive women who reported higher depression scores had a lower odds of having tested previously for HIV (15-25 years: AOR = 0.90, 95% CI [0.83, 0.98]; 26-49 years: AOR = 0.90, 95% CI [0.84, 0.96]). Because HIV testing behavior represents a gateway to treatment, the findings suggest mental health may be one challenge to attaining the UNAIDS 90-90-90 targets.
摘要
实现联合国艾滋病规划署 2020 年 90-90-90 目标，需要确定和解决可能影响艾滋病毒检测和治疗相关行为的精神健康挑战。本研究基于南非夸祖鲁-纳塔尔省（2014-2015 年）的调查数据。报告抑郁评分较高的艾滋病毒阳性妇女，以前接受艾滋病毒检测的可能性较低（15-25 岁：调整后的比值比（AOR）=0.90，95%置信区间[0.83，0.98]；26-49 岁：AOR=0.90，95%置信区间[0.84，0.96]）。由于艾滋病毒检测行为代表着治疗的入口，这些发现表明，精神健康可能是实现联合国艾滋病规划署 90-90-90 目标的一个挑战。
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