艾滋病毒、癌症和应对：艾滋病毒感染者癌症诊断的累积负担。
HIV, cancer, and coping: The cumulative burden of a cancer diagnosis among people living with HIV.
机构信息
Duke University School of Nursing, Durham, NC, USA.
Duke Global Health Institute, Durham, NC, USA.
出版信息
J Psychosoc Oncol. 2021;39(6):734-748. doi: 10.1080/07347332.2020.1867691. Epub 2021 Jan 6.
Abstract
OBJECTIVES
People living with HIV (PLWH) have increased risk for cancer and worse cancer-specific survival. We explored the emotional burden of cancer and HIV as a potential driver of cancer mortality.
RESEARCH APPROACH
Semi-structured qualitative interviews with PLWH and cancer.
PARTICIPANTS
27 PLWH who had either completed cancer treatment, were currently undergoing treatment, or experienced challenges in completing treatment.
METHODOLOGICAL APPROACH
An inductive qualitative approach using the constant comparative method.
FINDINGS
Participants drew strong parallels between being diagnosed with HIV and cancer. Many described HIV-related stigma that hindered social support. Cancer treatment side effects were a major challenge, impacting treatment adherence for both cancer and HIV.
IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS
There is a need for convenient, affordable, and visible services to support PLHIV as they navigate cancer care. Services should be tailored to the unique needs of this population by addressing HIV-related stigma, building social support, and fostering resilience.
摘要
目的
艾滋病毒感染者（PLWH）患癌症的风险增加，癌症特异性生存率更差。我们探讨了癌症和艾滋病毒带来的情绪负担，这可能是癌症死亡率的一个驱动因素。
研究方法
对已完成癌症治疗、正在接受治疗或在完成治疗方面遇到挑战的 27 名艾滋病毒感染者和癌症患者进行半结构式定性访谈。
参与者
27 名已完成癌症治疗、正在接受治疗或在完成治疗方面遇到挑战的艾滋病毒感染者和癌症患者。
方法
采用归纳性定性方法，使用恒定性比较法。
结果
参与者将艾滋病毒和癌症的诊断进行了强烈的对比。许多人描述了阻碍社会支持的与艾滋病毒相关的耻辱感。癌症治疗的副作用是一个主要的挑战，这对癌症和艾滋病毒的治疗依从性都有影响。
对心理社会服务提供者的意义
需要提供方便、负担得起且可见的服务，以支持 PLHIV 进行癌症护理。这些服务应针对该人群的独特需求进行调整，方法是解决与艾滋病毒相关的耻辱感、建立社会支持和培养韧性。
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