南佛罗里达州艾滋病毒感染者中亲密伴侣暴力和药物使用与病毒抑制的相关性：二次分析。
Associations of Intimate Partner Violence and Drug Use on Viral Suppression Among Women Living With HIV in South Florida: A Secondary Analysis.
机构信息
Caroline Deaterly, PhD, BSN, RN, is a Postdoctoral Student, University of Alabama at Birmingham, Birmingham, Alabama, USA. Veronica Richards, PhD, MPH, is a Postdoctoral Fellow, Pennsylvania State University, University Park, Pennsylvania, USA. Michael Weaver, PhD, RN, FAAN, is a Professor, University of Florida College of Nursing, Gainesville, Florida, USA. Karina Villalba, PhD, MPH, is an Assistant Professor, University of Central Florida College of Medicine, Orlando, Florida, USA. Deepthi Varma, PhD, MSW, MPhil, is an Assistant Professor, University of Florida Department of Epidemiology, Gainesville, Florida, USA. Isaac Payton, MSN, MBA, APRN, PMHNP-BC, is a PhD Student at the University of Florida College of Nursing, and is a Pre-doctoral Student, Southern HIV and Alcohol Research Consortium, Gainesville, Florida, USA. Robert Cook, MD, MPH, is a Professor, University of Florida Department of Epidemiology, Gainesville, Florida, USA.
出版信息
J Assoc Nurses AIDS Care. 2024;35(3):245-251. doi: 10.1097/JNC.0000000000000439. Epub 2024 Feb 28.
Suboptimal viral suppression is associated with worse outcomes and increased HIV transmission among women with HIV (WWH). Based on syndemic theory, we hypothesized that women exposed to recent intimate partner violence (IPV) and current drug use would be most likely to have suboptimal HIV viral suppression. We analyzed baseline data from a longitudinal clinical trial (WHAT-IF? Will Having Alcohol Treatment Improve My Functioning?) that enrolled WWH from Miami, FL, who reported heavy drinking. Bivariate logistic regression was done, mean age was 48 years ( n = 194; SD : 8.7), 40% had current drug use (other than alcohol), and 14% reported recent IPV. WWH who reported both IPV and drug use had the highest rate of suboptimal viral suppression (45%), but these differences were not statistically significant. The high rates of suboptimal viral suppression, drug use, and IPV suggest a need to include screening for IPV in clinical guidelines related to HIV care in women.
病毒抑制效果不理想与艾滋病毒感染者女性（WWH）的预后较差和艾滋病毒传播风险增加有关。基于综合病理论，我们假设最近遭受亲密伴侣暴力（IPV）和当前吸毒的女性最有可能出现病毒抑制效果不理想。我们分析了一项来自迈阿密，佛罗里达州的纵向临床试验（WHAT-IF？接受酒精治疗是否会改善我的功能？）的基线数据，该试验招募了报告大量饮酒的 WWH。进行了双变量逻辑回归，平均年龄为 48 岁（n = 194；SD：8.7），40％的人有当前吸毒（除酒精外），14％的人报告最近遭受 IPV。报告同时遭受 IPV 和吸毒的 WWH 的病毒抑制效果不理想的比例最高（45％），但这些差异没有统计学意义。不理想的病毒抑制效果、吸毒和 IPV 的高发生率表明需要在与女性艾滋病毒护理相关的临床指南中纳入 IPV 筛查。
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