People with HIV in HAART-era Russia: transmission risk behavior prevalence, antiretroviral medication-taking, and psychosocial distress.
People with HIV in HAART-era Russia: transmission risk behavior prevalence, antiretroviral medication-taking, and psychosocial distress.
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DOI：
10.1007/s10461-010-9793-x
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发表时间：
2011-05
影响因子：
4.4
通讯作者：
Pirogov, Dmitry G.
中科院分区：
文献类型：
--
作者：
Amirkhanian, Yuri A.;Kelly, Jeffrey A.;Kuznetsova, Anna V.;DiFranceisco, Wayne J.;Musatov, Vladimir B.;Pirogov, Dmitry G.
关键词：
俄罗斯是世界上艾滋病毒流行增长最快的国家之一。传播风险行为，HAART服用，和不断增长的人口的俄罗斯艾滋病毒感染者（PLH）在HAART时代的社会心理困扰的研究不足。参与者的系统招募的横断面样本492 PLH在圣彼得堡彼得堡完成措施的性和药物注射的做法，坚持，歧视和心理困扰。自从了解他们的状态，59%的参与者有艾滋病毒阴性或未知血清状态的合作伙伴（平均值=5.9）。52%的人报告与这些伴侣发生无保护性交，其中29%的行为没有保护。感知到的歧视越大，安全套使用率越低。23%的IDU PLH仍然共用针头，预测没有主要合作伙伴，教育程度较低，更经常遇到的歧视。25%的艾滋病毒携带者被拒绝接受一般医疗保健，11%被拒绝就业，6%被解雇，6%被迫离开家庭。39%的参与者可能患有临床抑郁症，37%的焦虑水平与精神病住院患者相当，社会支持较低。54%的PLH正在接受HAART治疗，16%的PLH拒绝HAART方案，5%的PLH服用不到90%的剂量。需要为俄罗斯PLH提供全面的社区服务，以减少艾滋病相关的心理社会困扰和持续的艾滋病毒传播风险行为。社会方案应减少耻辱和歧视，促进受影响者及其家庭的社会融合。
Russia has seen one of the world’s fastest-growing HIV epidemics. Transmission risk behavior, HAART-taking, and psychosocial distress of the growing population of Russian people living with HIV (PLH) in the HAART era are understudied. Participants of a systematically-recruited cross-sectional sample of 492 PLH in St. Petersburg completed measures of sexual and drug injection practices, adherence, perceived discrimination, and psychosocial distress. Since learning of their status, 59% of participants had partners of HIV-negative or unknown serostatus (mean=5.9). 52% reported unprotected intercourse with such partners, with 29% of acts unprotected. Greater perceived discrimination predicted lower condom use. 23% of IDU PLH still shared needles, predicted by having no primary partner, lower education, and more frequently-encountered discrimination. 25% of PLH had been refused general health care, 11% refused employment, 6% fired, and 6% forced from family homes. 39% of participants had probable clinical depression, 37% had anxiety levels comparable to psychiatric inpatients, and social support was low. 54% of PLH were on HAART, 16% of PLH refused HAART regimens, and 5% took less than 90% of their doses. Comprehensive community services for Russian PLH are needed to reduce AIDS-related psychosocial distress and continued HIV transmission risk behaviors. Social programs should reduce stigma and discrimination, and promote social integration of affected persons and their families.
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影响因子：
4.4
作者：
Sikkema, Kathleen J.;Watt, Melissa H.;Drabkin, Anya S.;Meade, Christina S.;Hansen, Nathan B.;Pence, Brian W.
通讯作者：
Pence, Brian W.
DOI：
10.1097/00042560-200205010-00014
发表时间：
2002-05-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
de Olalla, PG;Knobel, H;Caylà, JA
通讯作者：
Caylà, JA
DOI：
10.1097/qai.0b013e318158a474
发表时间：
2007-12-15
影响因子：
3.6
作者：
Johnson, Mallory O.;Charlebois, Edwin;Chesney, Margaret A.
通讯作者：
Chesney, Margaret A.
DOI：
10.1097/qai.0b013e3181ca48bf
发表时间：
2010-06-01
影响因子：
3.6
作者：
Glass, Tracy R.;Battegay, Manuel;Bucher, Heiner C.
通讯作者：
Bucher, Heiner C.
影响因子：
3.8
作者：
Kissin, Dmitry M.;Zapata, Lauren;Hillis, Susan
通讯作者：
Hillis, Susan