Qualitative study of the quality of sleep in marginalized individuals living with HIV.
Qualitative study of the quality of sleep in marginalized individuals living with HIV.
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DOI：
10.2147/ppa.s44595
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发表时间：
2013
影响因子：
2.2
通讯作者：
Johnson MO
中科院分区：
文献类型：
--
作者：
Saberi P;Comfort M;Sheon N;Johnson MO
据报道，与一般人群相比，人类免疫缺陷病毒（HIV）感染者的睡眠障碍更高。尽管睡眠质量差（QOS）的后果，艾滋病毒感染的睡眠障碍的研究是缺乏和许多问题的相关性差的QOS，特别是在边缘化人群，仍然没有答案。我们进行了一对一的定性访谈与14个边缘化的艾滋病毒感染者谁报告穷人的QOS检查自我报告的睡眠质量的相关性，并探讨QOS和抗逆转录病毒治疗依从性之间的关系。研究结果表明，这些人的心理健康问题，结构性因素和身体状况对QOS的复杂和多方面的影响。与那些没有表达这种依从性障碍的人相比，那些报告QOS较差作为抗逆转录病毒依从性障碍的人报告了由于入睡或感觉太累而无法服药的依从性较低。这些访谈强调了询问患者的QOS的重要性，因为这是一个讨论诸如依从性、抑郁、自杀意念和物质使用等话题的机会。
Sleep disturbances have been reported to be higher in human immunodeficiency virus (HIV)-infected individuals compared to the general population. Despite the consequences of poor quality of sleep (QOS), research regarding sleep disturbances in HIV infection is lacking and many questions regarding correlates of poor QOS, especially in marginalized populations, remain unanswered. We conducted one-on-one qualitative interviews with 14 marginalized HIV-infected individuals who reported poor QOS to examine self-reported correlates of sleep quality and explore the relationship between QOS and antiretroviral adherence. Findings suggest a complex and multidimensional impact of mental health issues, structural factors, and physical conditions on QOS of these individuals. Those reporting poor QOS as a barrier to antiretroviral adherence reported lower adherence due to falling asleep or feeling too tired to take medications in comparison to those who did not express this adherence barrier. These interviews underscore the importance of inquiries into a patient’s QOS as an opportunity to discuss topics such as adherence, depression, suicidal ideation, and substance use.