Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress.
Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress.
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DOI：
10.1007/s10865-009-9217-4
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发表时间：
2009-10
影响因子：
3.1
通讯作者：
Safren, Steven A.
中科院分区：
文献类型：
--
作者：
O'Cleirigh, Conall;Skeer, Margie;Mayer, Kenneth H.;Safren, Steven A.
本研究探讨了创伤后和抑郁症状的严重程度与健康相关的生活质量（HRQOL）的措施，并在503例艾滋病毒感染的男性谁与男性发生性关系（MSM）招募在他们的初级艾滋病毒护理设置的样本中的卫生保健利用的关系。参与者完成了情绪和焦虑，HRQOL和HIV治疗的计算机辅助评估。从电子病历中提取外周血CD4（辅助性T细胞）淋巴细胞计数、血浆HIV RNA浓度和医疗预约次数。控制人口统计数据、疾病阶段和抗逆转录病毒药物、创伤后应激和抑郁症状导致一般健康估计以及疼痛、角色和工作相关损害的显着差异。此外，在多变量模型中，创伤后应激和抑郁严重程度占卫生保健利用的显着变化，而艾滋病毒疾病进展的症状和指数没有。这些结果扩展了目前的研究提供的证据之间的关系创伤后应激和抑郁症状的严重程度与功能障碍和医疗保健利用的措施，在一个相对健康的，城市队列的HIV感染的男男性接触者。
This study examined the relationship of post-traumatic and depressive symptom severity with measures of health-related quality of life (HRQOL), and health care utilization in a sample of 503 HIV-infected men who have sex with men (MSM) recruited in their primary HIV care setting. Participants completed computer assisted assessments of mood and anxiety, HRQOL, and HIV treatment. Peripheral blood CD4 (T helper) lymphocyte count, plasma HIV RNA concentration, and number of medical appointments were extracted from an electronic medical record. Controlling for demographics, disease stage, and antiretroviral medication, post-traumatic stress and depression symptoms accounted for significant variation in general health estimates, and in pain, role, and work-related impairment. Additionally, in multivariable models, post-traumatic stress and depression severity accounted for significant variation in health care utilization whereas symptoms and indices of HIV disease progression did not. These results extend the current research by providing evidence of the relationship between post-traumatic stress and depression symptom severity with measures of functional impairment and health care utilization in a relatively healthy, urban cohort of HIV-infected MSM.
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影响因子：
6.9
作者：
Dew, MA;Becker, JT;Banks, G
通讯作者：
Banks, G
影响因子：
3.1
作者：
Jones, DJ;Beach, SRH;Foster, SE
通讯作者：
Foster, SE
影响因子：
--
作者：
Liebschutz, JM;Feinman, G;Samet, J
通讯作者：
Samet, J
DOI：
10.1097/00042560-199503010-00006
发表时间：
1995-03-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY
影响因子：
--
作者：
BOZZETTE, SA;HAYS, RD;WU, AW
通讯作者：
WU, AW
影响因子：
17.7
作者：
Leserman, J;Petitto, JM;Evans, DL
通讯作者：
Evans, DL