HIV-Related Stigma, Social Support, and Psychological Distress Among Individuals Initiating ART in Ethiopia.
HIV-Related Stigma, Social Support, and Psychological Distress Among Individuals Initiating ART in Ethiopia.
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DOI：
10.1007/s10461-018-2059-8
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发表时间：
2018-12
影响因子：
4.4
通讯作者：
Nash D
中科院分区：
文献类型：
--
作者：
Parcesepe A;Tymejczyk O;Remien R;Gadisa T;Kulkarni SG;Hoffman S;Melaku Z;Elul B;Nash D
最近世界卫生组织(WHO)艾滋病毒治疗指南的扩展可能有助于及时启动抗逆转录病毒治疗(ART)。然而，普遍治疗策略的大规模成功需要对早期ART启动的已知障碍有更全面的了解。这项工作旨在更全面地了解艺术启动的三个已知障碍之间的相互关系：心理困扰、与艾滋病毒相关的耻辱和低社会支持。我们分析了埃塞俄比亚六家艾滋病毒治疗诊所1175名成年人开始抗逆转录病毒治疗的横断面访谈数据。评估的每种形式的艾滋病毒相关污名的经历(例如，预期的、内化的和实施的)与增加心理痛苦的几率有关。然而，在那些报告实施了与艾滋病毒相关的耻辱的人中，社会支持和心理痛苦之间没有显著的联系。鉴于高度内化的耻辱与心理痛苦之间的巨大关系，改善艾滋病毒感染者心理健康的干预措施应考虑纳入解决污名问题的组成部分，重点放在预防或减少污名内化的战略上。增加社会支持的干预措施可能不足以改善艾滋病毒携带者的心理健康，这些人经历了与艾滋病毒有关的耻辱。未来的研究应该研究管理艾滋病毒相关污名的精神健康后果的替代战略，包括应对技能培训。
Recent World Health Organization (WHO) HIV treatment guideline expansion may facilitate timely antiretroviral therapy (ART) initiation. However, large-scale success of universal treatment strategies requires a more comprehensive understanding of known barriers to early ART initiation. This work aims to advance a more comprehensive understanding of interrelationships among three known barriers to ART initiation: psychological distress, HIV-related stigma, and low social support. We analyzed cross-sectional interview data on 1175 adults initiating ART at six HIV treatment clinics in Ethiopia. Experience of each form of HIV-related stigma assessed (e.g., anticipatory, internalized, and enacted) was associated with increased odds of psychological distress. However, among those who reported enacted HIV-related stigma, there was no significant association between social support and psychological distress. Interventions to improve mental health among people living with HIV should consider incorporating components to address stigma, focusing on strategies to prevent or reduce the internalization of stigma, given the magnitude of the relationship between high internalized stigma and psychological distress. Interventions to increase social support may be insufficient to improve the mental health of people living with HIV who experienced enacted HIV-related stigma. Future research should examine alternative strategies to manage the mental health consequences of enacted HIV-related stigma, including coping skills training.
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影响因子：
2.9
作者：
Rueda S;Mitra S;Chen S;Gogolishvili D;Globerman J;Chambers L;Wilson M;Logie CH;Shi Q;Morassaei S;Rourke SB
通讯作者：
Rourke SB
DOI：
10.1097/qai.0000000000000258
发表时间：
2014-09-01
影响因子：
3.6
作者：
Chibanda, Dixon;Benjamin, Laura;Abas, Melanie
通讯作者：
Abas, Melanie
DOI：
10.1080/09540121.2013.844761
发表时间：
2014-05-04
影响因子：
1.7
作者：
Onyebuchi-Iwudibia, Oscar;Brown, Amy
通讯作者：
Brown, Amy
新诊断的HIV感染的成年人拒绝抗逆转录病毒疗法。
DOI：
10.1097/qad.0b013e32834b6464
发表时间：
2011-11-13
期刊：
AIDS (London, England)
影响因子：
--
作者：
Katz IT;Essien T;Marinda ET;Gray GE;Bangsberg DR;Martinson NA;De Bruyn G
通讯作者：
De Bruyn G
DOI：
10.1097/qad.0000000000001323
发表时间：
2017-01-14
期刊：
AIDS (London, England)
影响因子：
--
作者：
Sudfeld CR;Kaaya S;Gunaratna NS;Mugusi F;Fawzi WW;Aboud S;Smith Fawzi MC
通讯作者：
Smith Fawzi MC