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波多黎各巴亚蒙地区注射吸毒的艾滋病毒/艾滋病患者的心理社会及临床状况

Psycho social and clinical spectrum of HIV/AIDS injecting drug users in Bayamón, Puerto Rico.

作者信息

Gómez M A, Fernandez D M, Hunter R

机构信息

Retrovirus Research Center, Internal Medicine Department, Universidad Central del Caribe, Bayamón, Puerto Rico 00960-6032, USA.

出版信息

Cell Mol Biol (Noisy-le-grand). 1997 Nov;43(7):1145-52.

PMID:9449549
Abstract

OBJECTIVES

To describe the demographic characteristics, the risk related practices, and the clinical and immunological features of Puerto Rican HIV injecting drug users (IDU's).

DESIGN

Cross-sectional survey of a longitudinal cohort (N=1,500).

METHODS

The HIV Central Registry at the Universidad Central del Caribe has been recruiting HIV/AIDS patients attending the Immunologic Clinic and the University Hospital Ramón Ruiz Arnau since may 1992. 1500 patients have been interviewed and a record including demographic, risk related, clinical and immunologic data has been created for each one of them. Chi square and t-tests were performed to assess the potential significant differences of the TDU's vs the non-IDU's.

RESULTS

57.1% of the HIV/AIDS patients were IDU's. Most of them were males, had a lower education level, with an age fluctuating between 27 to 36 years old and most of them were unemployed. Most IDU's reported to have had heterosexual relations. With regard to the clinical spectrum, Pneumocystis carinii pneumonia (PCP) was the only indicative condition associated with injecting drug use (IDU), as well as bacterial endocarditis, chronic diarrhea, night sweats and idiopathic fever. The spectrum of vulnerabilities of IDU's is larger than that of non-IDU's, with regard to psycho-social, behavioral and clinical features. These vulnerabilities can limit their access to services and render their compliance to treatment more difficult.

摘要

目的

描述波多黎各艾滋病毒注射吸毒者(IDU)的人口统计学特征、风险相关行为以及临床和免疫学特征。

设计

对一个纵向队列(N = 1500)进行横断面调查。

方法

自1992年5月以来,加勒比中央大学的艾滋病毒中央登记处一直在招募前往免疫诊所和拉蒙·鲁伊斯·阿尔瑙大学医院就诊的艾滋病毒/艾滋病患者。已对1500名患者进行了访谈,并为他们每个人创建了一份包括人口统计学、风险相关、临床和免疫学数据的记录。进行卡方检验和t检验以评估注射吸毒者与非注射吸毒者之间潜在的显著差异。

结果

57.1%的艾滋病毒/艾滋病患者为注射吸毒者。他们大多数为男性,教育水平较低,年龄在27至36岁之间波动,且大多数人失业。大多数注射吸毒者报告有异性关系。在临床症状方面,卡氏肺孢子虫肺炎(PCP)是与注射吸毒(IDU)相关的唯一指示性病症,还有细菌性心内膜炎、慢性腹泻、盗汗和不明原因发热。在心理社会、行为和临床特征方面,注射吸毒者的脆弱性范围比非注射吸毒者更大。这些脆弱性可能会限制他们获得服务的机会,并使他们更难遵守治疗。

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