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抗逆转录病毒治疗的HIV患者中HIV支持小组护理的利用情况及其对治疗结果的影响:来自埃塞俄比亚基于人群的HIV影响评估的证据

HIV Support Group Care Utilization and its Effect on Treatment Outcome Among HIV Patients on Antiretroviral Therapy: Evidence from Ethiopia Population-Based HIV Impact Assessment.

作者信息

Kitaw Tegene Atamenta, Haile Ribka Nigatu

机构信息

Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.

出版信息

AIDS Behav. 2025 Mar;29(3):817-822. doi: 10.1007/s10461-024-04562-1. Epub 2024 Nov 30.

Abstract

In the realm of HIV care, support groups play a pivotal role by bringing together individuals living with HIV to share experiences and receive guidance from healthcare professionals. These groups are renowned for their substantial benefits, including improving emotional well-being, enhancing treatment adherence, and fostering a strong sense of community. However, despite these advantages, there is a notable gap in Ethiopia regarding concrete evidence of their impact on key treatment outcomes. This study aims to bridge this gap by exploring how support group care influences viral suppression rates among HIV patients. The study was conducted among 259 HIV-positive individuals on ART using the EPHIA survey, employing a two-stage, stratified sampling design across urban areas in nine regions and two city administrations. Data analysis was performed using STATA version 17, and multicollinearity was assessed (VIF = 1.07). A multivariate logistic regression model was fitted, with a p-value of ≤ 0.05 considered statistically significant. Results showed that 25.12% of participants utilized HIV support groups. Those who participated in support groups were 3.14 times more likely to achieve viral load suppression compared to non-participants (AOR = 3.14, 95% CI: 1.35-6.30). This study highlights that HIV support groups significantly boost viral suppression rates, underscoring the importance of integrating these groups into standard treatment protocols. These findings underline the need for continued research to assess long-term outcomes and further optimize the effectiveness of support group care in enhancing HIV treatment outcomes.

摘要

在艾滋病护理领域,支持小组发挥着关键作用,它将艾滋病病毒感染者聚集在一起,分享经验并接受医护人员的指导。这些小组以其显著的益处而闻名,包括改善情绪健康、提高治疗依从性以及培养强烈的社区意识。然而,尽管有这些优势,但在埃塞俄比亚,关于它们对关键治疗结果影响的具体证据存在明显差距。本研究旨在通过探索支持小组护理如何影响艾滋病患者的病毒抑制率来填补这一差距。该研究使用EPHIA调查,在259名接受抗逆转录病毒治疗的艾滋病病毒阳性个体中进行,采用两阶段分层抽样设计,覆盖九个地区和两个市辖区的城市地区。使用STATA 17版进行数据分析,并评估多重共线性(方差膨胀因子VIF = 1.07)。拟合了一个多变量逻辑回归模型,p值≤0.05被认为具有统计学意义。结果显示,25.12%的参与者使用了艾滋病支持小组。与未参与者相比,参与支持小组的人实现病毒载量抑制的可能性高出3.14倍(调整后比值比AOR = 3.14,95%置信区间:1.35 - 6.30)。本研究强调,艾滋病支持小组显著提高了病毒抑制率,凸显了将这些小组纳入标准治疗方案的重要性。这些发现强调了持续进行研究以评估长期结果并进一步优化支持小组护理在改善艾滋病治疗结果方面有效性的必要性。

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