Isaac K Payton, Angela R Starkweather, Shantrel S Canidate, Drew A Westmoreland, Debra E Lyon
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引用次数: 0
摘要
目的：社会心理压力会对感染或有可能感染艾滋病病毒的年轻男性同性恋者（18 至 44 岁）的应对和适应能力产生负面影响。然而，与心理社会困扰相关的、会影响病毒抑制的压力因素和危险行为尚未得到明确解释。本综述旨在探索现有文献并找出研究空白：方法：检索了 PubMed 和 CINAHL 上的同行评议出版物，共有 8 篇文章符合纳入标准：导致社会心理压力的因素包括：HIV+身份、污名化、歧视、资源不足、遭受社区暴力和监禁。影响病毒抑制的危险行为包括无安全套肛交、吸毒和不坚持服药：了解和解决社会心理问题对于针对青年艾滋病感染者独特的医疗保健需求提供整体护理至关重要。更好地了解压力因素和相关的危险行为将有助于减轻社会心理压力和降低青年艾滋病病毒载量。[社会心理护理与心理健康服务期刊》（Journal of Psychosocial Nursing and Mental Health Services），xx（xx），xx-xx]。
Psychosocial Distress Among Young Men Who Have Sex With Men: A Scoping Review.
Purpose: Psychosocial distress negatively impacts coping and adaptation among young men (aged 18 to 44 years) who have sex with men (YMSM) with, or at risk of acquiring, HIV. However, the stressors and risky behaviors associated with psychosocial distress that impair viral suppression have not been clearly explicated. The current scoping review was conducted to explore the extant literature and identify research gaps.
Method: PubMed and CINAHL were searched for peer-reviewed publications, with a total of eight articles meeting inclusion criteria.
Results: Stressors that contributed to psychosocial distress included HIV+ status, stigma, discrimination, insufficient resources, exposure to community violence, and incarceration. Risky behaviors impacting viral suppression were condomless anal sex, drug use, and medication nonadherence.
Conclusion: Understanding and addressing psychosocial distress is imperative for providing holistic care tailored to the unique health care needs of YMSM. A better understanding of stressors and associated risky behaviors will aid efforts to mitigate psychosocial distress and reduce viral load among YMSM. [Journal of Psychosocial Nursing and Mental Health Services, 62(9), 11-17.].
期刊介绍：
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month
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