Center for AIDS Intervention Research (CAIR), Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia.
AIDS Educ Prev. 2022 Jun;34(3):226-244. doi: 10.1521/aeap.2022.34.3.226.
This study examined psychosocial and health needs of persons living with HIV (PLWH) in Russia. The study combined baseline datasets from two social network samples of PLWH in St. Petersburg ( = 872). Samples were recruited between 2014 and 2018 by enrolling a PLWH seed who was either out-of-care or treatment nonadherent as well as network members surrounding each seed, assessing each participant's HIV care, transmission risk, substance use, and mental health characteristics. Almost one-quarter of participants said they were never offered antiretroviral therapy (ART), and-among those offered ART-one-quarter refused or discontinued therapy and 45% were <95% ART-adherent. Almost half of participants had detectable viral load, and many reported continued condomless intercourse with potentially nonconcordant serostatus partners or needle sharing. Over 46% of participants had elevated scores on measures of depression, hopelessness, state anxiety, or poor social support. Study findings illustrate unmet needs of PLWH in Russia.
本研究调查了俄罗斯艾滋病毒感染者（PLWH）的社会心理和健康需求。该研究结合了圣彼得堡两个 PLWH 社交网络样本的基线数据集（n=872）。这些样本是通过招募一名已经脱离护理或不遵医嘱治疗的 PLWH 种子感染者，以及围绕每个种子感染者的网络成员来招募的，评估每个参与者的 HIV 护理、传播风险、物质使用和心理健康特征。近四分之一的参与者表示从未接受过抗逆转录病毒疗法（ART），而在接受 ART 的人群中，四分之一的人拒绝或停止治疗，45%的人接受 ART 的比例<95%。近一半的参与者的病毒载量可检测到，许多人报告继续与潜在的非一致性血清状态伴侣发生无保护性行为或共用针头。超过 46%的参与者在抑郁、绝望、状态焦虑或社会支持不足方面的得分较高。研究结果说明了俄罗斯 PLWH 的未满足需求。
