Chronic Illness Perceptions and Cardiovascular Disease Risk Behaviors in Black and Latinx Sexual Minority Men with HIV: A Cross-Sectional Analysis

IF 2.4 Q1 NURSING

Nursing Reports Pub Date : 2024-08-08 DOI:10.3390/nursrep14030143

S. R. Ramos, Baram Kang, Sangchoon Jeon, Marilyn Fraser, Trace Kershaw, Mohamed Boutjdir

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引用次数: 0

Abstract

Ethnic and racial sexual minority men with HIV have a disproportionately higher risk of HIV-related cardiovascular disease (CVD). There is a lack of tailored and culturally salient behavioral interventions to address HIV-related chronic illness in ethnic and racial sexual minority men, and literature on their understanding and awareness of modifiable behavioral risks is limited. The purpose of this study was to assess illness perceptions about HIV and HTN, and describe physical activity, tobacco, and e-cigarette use in Black and Latinx sexual minority men living with HIV. We used the validated Illness Perception Questionnaire-Revised (IPQ-R) to assess perceptions about two interrelated chronic diseases, HIV and CVD. To assess CVD behavioral risk, we assessed physical activity using the International Physical Activity Questionnaire. Tobacco and e-cigarette use were assessed using items from the Behavioral Risk Factor Surveillance System. Sleep difficulties were the most prevalent symptom attributed to HIV, and were statistically associated with fatigue, upset stomach, and loss of strength. Anxiety was reported to be caused by HIV (57%) and HTN (39%). Half of the participants engaged in vigorous activity for 128 min (SD = 135) daily, and 63% engaged in moderate activity for 94 min (SD = 88) daily. Over a third reported current tobacco use and 20% reported current e-cigarette use. This study provides formative data to better understand how Black and Latinx sexual minority men with HIV perceive intersecting chronic illnesses and their engagement in modifiable CVD risk behaviors. Sleep, mental health disparities, and financial hardships were commonly reported. More research is needed to address intersecting chronic illnesses and mental health conditions that are influenced by social positioning over the life course, and impact CVD risk factors. This study was not registered.

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感染艾滋病毒的黑人和拉丁裔少数性取向男性的慢性病认知与心血管疾病风险行为：横断面分析

感染艾滋病毒的少数族裔和种族性少数群体男性罹患与艾滋病毒相关的心血管疾病（CVD）的风险高得不成比例。目前还缺乏有针对性的、文化上突出的行为干预措施来解决少数族裔和性少数种族男性与 HIV 相关的慢性病问题，而有关他们对可改变的行为风险的理解和认识的文献也很有限。本研究旨在评估黑人和拉美裔性少数群体男性艾滋病感染者对艾滋病和高血压的疾病认知，并描述他们的体育活动、烟草和电子烟使用情况。我们使用经过验证的疾病认知问卷-修订版（IPQ-R）来评估对艾滋病和心血管疾病这两种相互关联的慢性疾病的认知。为了评估心血管疾病的行为风险，我们使用国际体力活动调查问卷对体力活动进行了评估。烟草和电子烟的使用情况使用行为风险因素监测系统中的项目进行评估。睡眠困难是艾滋病毒导致的最普遍症状，据统计，睡眠困难与疲劳、胃部不适和体力下降有关。据报告，焦虑是由艾滋病病毒（57%）和高血压（39%）引起的。半数参与者每天进行 128 分钟（标准差 = 135）的剧烈活动，63% 的参与者每天进行 94 分钟（标准差 = 88）的中度活动。超过三分之一的参与者表示目前使用烟草，20%的参与者表示目前使用电子烟。这项研究提供了形成性数据，有助于更好地了解感染艾滋病毒的黑人和拉丁裔性少数群体男性如何看待相互交织的慢性疾病及其参与可改变的心血管疾病风险行为。睡眠、心理健康差异和经济困难是普遍报告的问题。我们需要开展更多的研究，以探讨在生命过程中受社会定位影响并对心血管疾病风险因素产生影响的交叉性慢性疾病和精神健康状况。本研究未注册。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.