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导航空安与稳定：提升南部美国 HIV 服务组织中 HIV 病毒抑制、保持治疗和创伤后应激障碍的多组分创伤干预

Piloting Safety and Stabilization: A Multi-component Trauma Intervention to Improve HIV Viral Suppression, Retention in Care, and Post-traumatic Stress Disorder in a Southern United States HIV Service Organization.

机构信息

Psychiatry and Behavioral Sciences, Meharry Medical College, 1005 Dr. DB Todd Jr. Blvd, Nashville, TN, 37203, USA.

Infectious Disease Division, Vanderbilt University School of Medicine, Nashville, TN, USA.

出版信息

AIDS Behav. 2024 Jan;28(1):174-185. doi: 10.1007/s10461-023-04174-1. Epub 2023 Sep 26.

DOI:10.1007/s10461-023-04174-1
PMID:37751108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10868717/
Abstract

In this observational study, we assessed the extent to which a community-created pilot intervention, providing trauma-informed care for persons with HIV (PWH), affected HIV care retention and viral suppression among PWH attending an HIV Services Organization in the Southern US. PWH with trauma exposure and/or trauma symptoms (N = 166) were offered a screening and referral to treatment (SBIRT) session. Per self-selection, 30 opted-out, 29 received SBIRT-Only, 25 received SBIRT-only but reported receiving other behavioral health care elsewhere, and 82 participated in the Safety and Stabilization (S&S) Intervention. Estimates from multivariable logistic regression analyses indicated S&S Intervention participants had increased retention in HIV care (adjusted odds ratio [aOR] 5.46, 95% CI 1.70-17.50) and viral suppression (aOR 17.74, 95% CI 1.83-172), compared to opt-out participants. Some evidence suggested that PTSD symptoms decreased for intervention participants. A randomized controlled trial is needed to confirm findings.

摘要

在这项观察性研究中，我们评估了社区创建的试点干预措施（为艾滋病毒感染者（PWH）提供创伤知情护理）对美国南部一家艾滋病毒服务组织中接受艾滋病毒护理的 PWH 的艾滋病毒护理保留和病毒抑制的影响。对有创伤暴露和/或创伤症状的 PWH（N=166）进行了筛查和转介治疗（SBIRT）。根据自我选择，30 人选择退出，29 人仅接受 SBIRT，25 人仅接受 SBIRT，但报告在其他地方接受其他行为健康护理，82 人参加了安全和稳定（S&S）干预。多变量逻辑回归分析的估计表明，与选择退出的参与者相比，S&S 干预参与者的艾滋病毒护理保留率（调整后的优势比[aOR]5.46，95%置信区间[CI]1.70-17.50）和病毒抑制率（aOR 17.74，95%CI 1.83-172）有所增加。有证据表明，干预参与者的创伤后应激障碍症状有所下降。需要进行随机对照试验来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3a9/10868717/2f8c95fcca33/nihms-1963402-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3a9/10868717/2f8c95fcca33/nihms-1963402-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3a9/10868717/2f8c95fcca33/nihms-1963402-f0001.jpg

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