Stress, social support and housing are related to health status among HIV-positive persons in the Deep South of the United States
Stress, social support and housing are related to health status among HIV-positive persons in the Deep South of the United States
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DOI：
10.1080/09540120412331299780
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发表时间：
2005-04-01
影响因子：
1.7
通讯作者：
Walker, JF
中科院分区：
文献类型：
--
作者：
Stewart, KE;Cianfrini, LR;Walker, JF
自我报告的健康状况措施始终与医疗结果相关，而且具有成本效益。使用这些措施的研究发现，那些生活在农村地区或获得支助的机会有限的人健康状况较差，结果也较差。针对这些问题，对阿拉巴马州401名艾滋病毒阳性者进行了调查。层次回归模型检验了住房稳定性、压力、物质使用等变量与身体（PCS）和心理（MCS）健康状况的关系。样本中34%是女性，66%是非裔美国人。大多数人正在接受抗逆转录病毒药物治疗，近20%的人住在不稳定的住房中。年龄与健康状况呈显著负相关。CD4细胞计数与PCS呈正相关（p< 0.01）；感知总应力（p< 0.02）与住房稳定性（p< 0.04）呈负相关。该模型占PCS方差的14% （p< 0.001）。对于MCS，一般应激（p< 0.001）呈负相关，物质使用呈负相关（p< 0.075）。社会支持与MCS呈正相关（p< 0.02）。该模型占MCS方差的近31% （p< 0.001）。通过评估和解决社会孤立、生活压力和住房等社会问题，可改善艾滋病毒阳性者的健康状况。
Self-report health status measures are consistently associated with medical outcomes and are cost-effective. Studies using such measures find that those who live in rural areas or have limited access to support experience poorer health status and poorer outcomes. A survey addressing these issues was administered to 401 HIV-positive persons throughout Alabama. Hierarchical regression models examined the relation of housing stability, stress, substance use and other variables to physical (PCS) and mental (MCS) health status. The sample was 34% female and 66% African-American. Most were receiving antiretroviral medications, and nearly 20% were in unstable housing. Age showed a significant negative relationship to health status. CD4 cell count ( p< 0.01) was positively associated with PCS; perceived general stress ( p< 0.02) and housing stability ( p< 0.04) were negatively associated. The model accounted for 14% of the variance in PCS ( p< 0.001). For MCS, general stress ( p< 0.001) was negatively associated and substance use tended towards a negative association ( p< 0.075). Social support ( p< 0.02) was positively associated with MCS. The model accounted for nearly 31% of the MCS variance ( p< 0.001). Health status among HIV-positive persons may be improved by assessing and addressing social issues such as social isolation, life stressors and housing.