Health disparities affecting persons living with HIV and using substances in China

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2023-10-01 DOI:10.1016/j.apnr.2023.151729

Joyce P. Yang PhD , Chengshi Shiu MSW, PhD, GStat , Lin Zhang RN, MPH , Kerong Wang RN, BSN , Hongzhou Lu MD, PhD , Hongxin Zhao MD , Wei-Ti Chen RN, CNM, PhD, FAAN

{"title":"Health disparities affecting persons living with HIV and using substances in China","authors":"Joyce P. Yang PhD , Chengshi Shiu MSW, PhD, GStat , Lin Zhang RN, MPH , Kerong Wang RN, BSN , Hongzhou Lu MD, PhD , Hongxin Zhao MD , Wei-Ti Chen RN, CNM, PhD, FAAN","doi":"10.1016/j.apnr.2023.151729","DOIUrl":null,"url":null,"abstract":"<div><p>Health disparities affecting persons living with HIV (PLWH) as well as those affecting individuals who use substances have been documented in China. However, health status and outcomes within the intersectional population of those who both live with HIV and use substances is not well understood. One hundred and sixty-nine PLWH receiving care in China completed surveys assessing HIV-clinical factors, substance use, and HIV-related physical health symptoms. We tested associations between substance use and health symptoms using multivariate logistic and ordinal regressions. Using one substance over the past week was associated with greater maximal severity of physical symptoms (<em>p</em> < .01); using two or more substances in the past week was associated with both increased total physical symptom severity (<em>p</em> < .05) and a dosage response in increased maximal severity (<em>p</em> < .01). Findings highlight the need for providers to address substance use for comprehensive care of PLWH to improve overall wellbeing.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.7000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0897189723000630","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Health disparities affecting persons living with HIV (PLWH) as well as those affecting individuals who use substances have been documented in China. However, health status and outcomes within the intersectional population of those who both live with HIV and use substances is not well understood. One hundred and sixty-nine PLWH receiving care in China completed surveys assessing HIV-clinical factors, substance use, and HIV-related physical health symptoms. We tested associations between substance use and health symptoms using multivariate logistic and ordinal regressions. Using one substance over the past week was associated with greater maximal severity of physical symptoms (p < .01); using two or more substances in the past week was associated with both increased total physical symptom severity (p < .05) and a dosage response in increased maximal severity (p < .01). Findings highlight the need for providers to address substance use for comprehensive care of PLWH to improve overall wellbeing.

查看原文本刊更多论文

影响中国艾滋病毒感染者和使用药物者的健康差距。

中国已经记录了影响艾滋病毒感染者和使用药物者的健康差异。然而，艾滋病毒感染者和使用药物者的跨部门人群的健康状况和结果尚不清楚。在中国接受治疗的169名PLWH完成了评估HIV临床因素、药物使用和HIV相关身体健康症状的调查。我们使用多变量逻辑回归和有序回归测试了物质使用与健康症状之间的相关性。在过去一周内使用一种物质与更大的最大身体症状严重程度相关（p

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.