Gender differences in symptom burden among people living with HIV/AIDS receiving antiretroviral therapy in Yunnan, China.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
Qiao Zhou, Liying Yang, Yu Wan, Xucheng Li, Zheng Zhu, Jianhua Wang, Jibiao Huang, Fang Shen, Qiu Tan, Liting Dong, Qinmin Ni, Shixiao Zhang, Yanfen Fu
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引用次数: 0

Abstract

ABSTRACTLittle is known about gender differences in the symptom burden of people living with HIV/AIDS (PLWHA) on antiretroviral therapy in China. This study was conducted based on a biopsychosocial-medical model to describe gender differences in symptom burden among 1035 PLWHA in Yunnan Province, China. After propensity score matching, 798 PLWHA were included in this analysis. Feeling stressed, poor sleep, and memory loss were the most burdensome symptoms among men, while feeling stressed, memory loss, and dizziness were the most burdensome symptoms among women. Among men PLWHA, factors associated with symptom burden were being of the ethnic minority, CD4 count ≥ 500 cells/mm3, physical functioning, and social support. Among women PLWHA, factors associated with symptom burden were being an inpatient, physical functioning, psychological functioning, and social support. Our findings suggest that healthcare providers need to take into account gender differences when developing optimal prevention, treatment, and care programs that provide individualized care to reduce patients' symptom burden.

中国云南接受抗逆转录病毒治疗的艾滋病感染者症状负担的性别差异。
摘要 在中国,人们对接受抗逆转录病毒治疗的艾滋病感染者(PLWHA)在症状负担方面的性别差异知之甚少。本研究以生物-心理-社会-医疗模型为基础,描述了中国云南省 1035 名艾滋病病毒感染者和艾滋病患者在症状负担方面的性别差异。经过倾向得分匹配后,798 名 PLWHA 纳入了本分析。在男性感染者中,压力感、睡眠不佳和记忆力减退是最沉重的症状,而在女性感染者中,压力感、记忆力减退和头晕是最沉重的症状。在男性 PLWHA 中,与症状负担相关的因素包括少数族裔、CD4 细胞计数≥ 500 cells/mm3、身体机能和社会支持。在女性 PLWHA 中,与症状负担相关的因素包括住院患者、身体机能、心理机能和社会支持。我们的研究结果表明,医疗服务提供者在制定最佳预防、治疗和护理计划时,需要考虑到性别差异,提供个性化护理以减轻患者的症状负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.50
自引率
0.00%
发文量
172
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