Holman Susan, Bruno Denise, Saint Fleur-Calixte Rose, Johnson Mallory O, Weber Kathleen M, Ramirez Catalina, Konkle-Parker Deborah, Sharma Anjali, Alcaide Maria L, Merenstein Daniel J, Topper Elizabeth F, Farah-Abraham Rachael, Wilson Tracey E
Susan Holman, DrPH, RN, MS, is a Clinical Assistant Professor, College of Medicine, and the STAR Program HIV Research Projects Director, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.
Denise Bruno, MD, MPH, is Associate Dean for Global Engagement and an Associate Professor of Health Policy and Management, SUNY Downstate Health Sciences University School of Public Health, Brooklyn, New York, USA.
J Assoc Nurses AIDS Care. 2025 Jun 6;36(5):516-528. doi: 10.1097/JNC.0000000000000563.
As women living with HIV (WWH) age, screening for common comorbid conditions is increasingly important. However, gaps exist in how best to support mammography adherence among WWH. To examine relationships between health care empowerment (HCE) and mammography adherence, we analyzed data from the Women's Interagency HIV Study. HCE is defined as (a) being informed, committed, collaborative, and engaged in one's health care and (b) tolerant of uncertainties in treatment outcomes. Of 846 WWH, 68.7% reported mammogram receipt over a 2-year period following HCE scale completion. Multiple logistic regression analysis found that women reporting mammograms had higher informed, committed, collaborative, and engaged in one's health care scores than those who did not (adjusted odds ratio = 1.10, 95% confidence interval = 1.02-1.20, p = .02), adjusting for model covariates. Being tolerant of uncertainties in treatment outcomes was not associated with mammogram receipt. These findings expand research on modifiable determinants of mammography screening, the role of HCE, and can inform interventions to improve health outcomes among WWH.
随着感染艾滋病毒的女性（WWH）年龄增长，筛查常见的合并症变得越来越重要。然而，在如何最好地支持WWH坚持进行乳房X光检查方面仍存在差距。为了研究医疗保健赋权（HCE）与乳房X光检查依从性之间的关系，我们分析了妇女机构间艾滋病毒研究的数据。HCE的定义为：（a）了解情况、有决心、相互协作并参与自己的医疗保健，以及（b）容忍治疗结果的不确定性。在846名WWH中，68.7%的人在完成HCE量表后的两年内报告接受了乳房X光检查。多因素logistic回归分析发现，报告接受过乳房X光检查的女性在了解情况、有决心、相互协作并参与自己的医疗保健方面的得分高于未接受检查的女性（调整后的优势比 = 1.10，95%置信区间 = 1.02 - 1.20，p = 0.02），并对模型协变量进行了调整。容忍治疗结果的不确定性与接受乳房X光检查无关。这些发现扩展了关于乳房X光检查筛查可改变决定因素、HCE作用的研究，并可为改善WWH健康结果的干预措施提供参考。
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