Chapman Lambert Crystal, Wright Nicole C, Elopre Latesha, Fazeli Pariya, King Kiko, Raper James L, Holstad Marcia M, Azuero Andres, Turan Janet M, Mugavero Michael J
Crystal Chapman Lambert is an Associate Professor, University of Alabama, School of Nursing, Birmingham, Alabama, USA; Nicole C. Wright is an Associate Professor, University of Alabama, School of Public Health, Birmingham, Alabama, USA; Latesha Elopre is an Assistant Professor, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; Pariya Fazeli is an Associate Professor, University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama, USA; Marcia Holstad is a Research Professor, Emory University, School of Nursing, Atlanta, Georgia, USA; Kiko King is a Research Assistant, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; James L. Raper is a Professor, Department of Infectious Diseases and School of Nursing, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA; Janet Turan is a Professor, Department of Health Care Organization and Policy, University of Alabama at Birmingham, School of Public Health, Birmingham, Alabama, USA; Michael J. Mugavero is Professor, Department of Infectious Diseases, University of Alabama at Birmingham, School of Medicine, Birmingham, Alabama, USA.
J Assoc Nurses AIDS Care. 2022;33(6):593-604. doi: 10.1097/JNC.0000000000000355. Epub 2022 Sep 9.
Lifetime traumatic events are prevalent among people with HIV and consistently associated with deleterious HIV outcomes. Yet, little is known about the impact of recent stressful events on health outcomes among Black women with HIV (WWH). This cross-sectional study assessed the prevalence of recent stressful events and lifetime traumatic events and their association with HIV outcomes in Black WWH ( n = 200) in the Southeastern United States. We evaluated the association between stressful events and HIV outcomes using chi-square tests and unadjusted and adjusted logistic regression analyses. In the unadjusted analyses, missed visits were associated with higher odds of recent stressful events (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.04-1.16) and lifetime traumatic events (OR 1.15, 95% CI 1.05-1.26). In the adjusted analysis, exposure to recent stressful events was independently associated with missed visits (adjusted OR 1.08, 95% CI 1.01-1.15). Interventions addressing recent stressful events are warranted.
终身创伤性事件在艾滋病毒感染者中很常见，并且一直与有害的艾滋病毒相关后果有关。然而，对于近期压力事件对感染艾滋病毒的黑人女性（WWH）健康结果的影响却知之甚少。这项横断面研究评估了美国东南部感染艾滋病毒的黑人女性（n = 200）近期压力事件和终身创伤性事件的患病率及其与艾滋病毒相关结果的关联。我们使用卡方检验以及未调整和调整后的逻辑回归分析来评估压力事件与艾滋病毒相关结果之间的关联。在未调整分析中，就诊错过与近期压力事件（优势比[OR] 1.10，95%置信区间[CI] 1.04 - 1.16）和终身创伤性事件（OR 1.15，95% CI 1.05 - 1.26）的较高几率相关。在调整分析中，近期压力事件的暴露与就诊错过独立相关（调整后OR 1.08，95% CI 1.01 - 1.15）。应对近期压力事件的干预措施是必要的。
