Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Suite W6501, Baltimore, MD, 21205, USA.
Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
AIDS Behav. 2022 Jan;26(1):243-251. doi: 10.1007/s10461-021-03377-8. Epub 2021 Jul 21.
Social support is associated with improved HIV care and quality of life. We utilized latent class analysis to identify three classes of baseline emotional and tangible perceived social support, termed "Strong", "Wavering" and "Weak". "Weak" vs. "Strong" perceived social support was associated over time with an 8% decreased risk of optimal antiretroviral therapy (ART) adherence for emotional and 6% decreased risk for tangible perceived social support. Importantly, "Wavering" vs "Strong" social support also showed a decreased risk of ART adherence of 6% for emotional and 3% for tangible support. "Strong" vs. "Weak" perceived support had a similar association with undetectable viral load, but the association for "Strong" vs. "Wavering" support was not statistically significant. Intensity of social support is associated with HIV care outcomes, and strong social support may be needed for some individuals. It is important to quantify the level or intensity of social support that is needed to optimize HIV outcomes.
社会支持与改善 HIV 护理和生活质量有关。我们利用潜在类别分析来确定基线情感和有形感知社会支持的三个类别，分别称为“强”、“波动”和“弱”。随着时间的推移，与“弱”相比，“强”感知社会支持与最佳抗逆转录病毒治疗 (ART) 依从性降低 8%（针对情感）和 6%（针对有形感知）的风险相关。重要的是，与“强”相比，“波动”社会支持在情感方面的 ART 依从性降低了 6%，在有形支持方面降低了 3%。与“弱”相比，“强”感知支持与无法检测到的病毒载量也有类似的关联，但“强”与“波动”支持之间的关联没有统计学意义。社会支持的强度与 HIV 护理结果有关，一些人可能需要强大的社会支持。重要的是要量化优化 HIV 结果所需的社会支持的水平或强度。
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