HIV 感染者中的亚裔美国人：通过路径分析发现身体症状和睡眠障碍会激活应对策略。
Physical symptoms and sleep disturbances activate coping strategies among HIV-infected Asian Americans: a pathway analysis.
机构信息
School of Nursing, Fujian Medical University, Fuzhou, People's Republic of China.
School of Nursing, University of California Los Angeles, Los Angeles, CA, USA.
出版信息
AIDS Care. 2021 Sep;33(9):1201-1208. doi: 10.1080/09540121.2021.1874270. Epub 2021 Jan 23.
How to activate adaptive coping strategies has an important and practical meaning for the quality of life of people living with HIV (PLHIV); however, few studies have focused on the effects of sleep disturbances and HIV-related physical symptoms on coping strategies. The specific relationships among coping strategies, sleep disturbances and HIV-related physical symptoms were unknown. We performed a path analysis to examine the proposed model of relationships among sleep disturbances, physical symptoms, and coping strategies. A convenience sample of 69 HIV-positive Asian Americans in San Francisco, Los Angeles, and New York City were recruited and data were collected on demographics, sleep disturbances, HIV-related physical symptoms, and coping strategies. Sleep disturbances directly affect maladaptive coping (= 0.34), and physical symptoms directly affect adaptive coping ( = 0.30) and maladaptive coping ( = 0.24). Interventions designed to decrease sleep disturbances and physical symptoms should be developed to enhance adaptive coping and reduce maladaptive coping among Asian Americans with HIV.
对于 HIV 感染者（PLHIV）的生活质量来说，如何激活适应性应对策略具有重要的现实意义；然而，很少有研究关注睡眠障碍和与 HIV 相关的身体症状对应对策略的影响。应对策略、睡眠障碍和与 HIV 相关的身体症状之间的具体关系尚不清楚。我们进行了路径分析，以检验睡眠障碍、身体症状和应对策略之间关系的假设模型。在旧金山、洛杉矶和纽约市，我们招募了 69 名方便的 HIV 阳性亚裔美国人作为样本，并收集了人口统计学、睡眠障碍、与 HIV 相关的身体症状和应对策略的数据。睡眠障碍直接影响适应不良的应对方式（=0.34），身体症状直接影响适应性应对（=0.30）和适应不良的应对（=0.24）。应该制定旨在减少睡眠障碍和身体症状的干预措施，以增强亚裔美国人的适应性应对，减少适应不良的应对。
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